抽动障碍及功能性抽动样行为患者的先兆冲动
Premonitory Urge in Patients with Tics and Functional Tic-like Behaviors.
作者信息
Szejko Natalia, Fletcher Julian, Martino Davide, Pringsheim Tamara
机构信息
Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Department of Bioethics, Medical University of Warsaw, Warsaw, Poland.
出版信息
Mov Disord Clin Pract. 2024 Mar;11(3):276-281. doi: 10.1002/mdc3.13951. Epub 2023 Dec 22.
BACKGROUND
Premonitory urges (PU) are well described in primary tics, but their frequency and intensity in functional tic-like behaviors (FTLB) are unclear.
OBJECTIVE
To study the experience of PU in patients with FTLB.
METHODS
We compared the results of the premonitory urge for tics scale (PUTS) in adults with tics and FTLB in the University of Calgary Adult Tic Registry.
RESULTS
We included 83 patients with tics and 40 with FTLB. When comparing patients with tics, FTLB with tics and FTLB only, we did not detect significant differences either in the total PUTS score (P = 0.39), or in any of the individual PUTS item sub-scores (P values ranging between 0.11 and 0.99).
CONCLUSIONS
Patients with FTLB report PU at similar frequency and intensity to patients with tics. This finding confirms that PU are not a useful feature to discriminate FTLB from tics.
背景
先兆冲动（PU）在原发性抽动中已有详细描述，但在功能性抽动样行为（FTLB）中的频率和强度尚不清楚。
目的
研究FTLB患者的PU体验。
方法
我们比较了卡尔加里大学成人抽动登记处抽动患者和FTLB成人患者的抽动先兆冲动量表（PUTS）结果。
结果
我们纳入了83例抽动患者和40例FTLB患者。在比较抽动患者、伴有抽动的FTLB患者和仅患有FTLB的患者时，我们在PUTS总分（P = 0.39）或任何单个PUTS项目子分数中均未检测到显著差异（P值在0.11至0.99之间）。
结论
FTLB患者报告的PU频率和强度与抽动患者相似。这一发现证实，PU并非区分FTLB和抽动的有用特征。
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