Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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Clinical Aspects of Premonitory Urges in Patients with Tourette's Disorder

  • Nam, Seok Hyun (Department of Psychiatry, College of Medicine, Chonbuk National University) ;
  • Park, Juhyun (College of Medicine, Seoul National University) ;
  • Park, Tae Won (Department of Psychiatry, College of Medicine, Chonbuk National University)
  • Received : 2018.08.09
  • Accepted : 2018.12.06
  • Published : 2019.04.01
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Abstract

Most patients with Tourette's disorder experience an uncomfortable sensory phenomenon called the premonitory urge immediately before experiencing tics. It has been suggested that premonitory urges are associated with comorbidities such as obsessive compulsive disorder, anxiety disorders, and attention-deficit/hyperactivity disorder, although these associations have been inconsistent. Most patients experience tics as a result of the premonitory urges, and after the tics occur, most patients report that the premonitory urges are temporarily relieved. As a consequence, several studies have assessed the premonitory urge and its potential therapeutic utility. Based on the concept that the premonitory urge induces tics, behavioral treatments such as Exposure and Response Prevention and Habit Reversal Therapy have been developed. However, it is still unclear whether habituation, the main mechanism of these therapies, is directly related to their effectiveness. Moreover, the observed effects of pharmacological treatments on premonitory urges have been inconsistent.

Keywords

References

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