Clinic of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hanover, Germany.
School of Psychology, Centre for Innovation in Mental Health, University of Southampton, Southampton, UK.
Sci Rep. 2023 Nov 10;13(1):19627. doi: 10.1038/s41598-023-37658-0.
Complex tics and obsessive or compulsive behaviour can be difficult to differentiate diagnostically. The majority of adult patients with Tourette syndrome report experiencing premonitory urges before tics. Some of these experiences have been linked to non-just-right experiences (NJRE), which are frequently reported by patients with obsessive-compulsive disorder or behaviours (OCD/OCB). We aimed to assess whether NJRE are more closely related to tics and tic-associated premonitory urges or whether they are more closely associated with OCD. A total of N = 111 patients (mean age = 34.77 + /-12.93; N = 37 female) with a confirmed diagnosis of Tourette syndrome completed the premonitory urges for tic disorders scale (PUTS), the revised non-just-right experiences scale (NJRE-QR), and questionnaires regarding their tic severity, and comorbid OCD/OCB. A multi-trait-multi-methods matrix was calculated to examine associations amongst scales measuring tic-related and OCB-related phenomena. The PUTS correlated overall higher with tic questionnaires than with OCD/OCB questionnaires. The NJRE correlated higher with OCD symptoms than with tic severity. The results indicate that non-just-right experiences are more closely associated with comorbid OCB than with tics in patients with Tourette syndrome.
复杂抽搐和强迫或强迫行为在诊断上可能难以区分。大多数成年抽动秽语综合征患者报告在抽搐前有预感冲动。这些经历中的一些与非适当体验（NJRE）有关，强迫症或行为障碍（OCD/OCB）患者经常报告这些体验。我们旨在评估 NJRE 是否与抽搐和抽搐相关的预感冲动更密切相关，还是与 OCD 更密切相关。共有 111 名（平均年龄 34.77 +/- 12.93；N = 37 名女性）确诊为抽动秽语综合征的患者完成了抽动障碍预感冲动量表（PUTS）、修订后的非适当体验量表（NJRE-QR），以及关于其抽搐严重程度和共患 OCD/OCB 的问卷。计算了多特质-多方法矩阵，以检查测量与抽搐相关和与 OCB 相关现象的量表之间的关联。PUTS 与抽搐问卷的总体相关性高于与 OCD/OCB 问卷的相关性。NJRE 与 OCD 症状的相关性高于抽搐严重程度。结果表明，在抽动秽语综合征患者中，非适当体验与共患 OCB 的关系比与抽搐的关系更密切。
