Evidence map›Paper›PMID 29982875›Full record

ArticleEuropean child & adolescent psychiatry2019

European Multicentre Tics in Children Studies (EMTICS): protocol for two cohort studies to assess risk factors for tic onset and exacerbation in children and adolescents.

Anette Schrag, Davide Martino, Alan Apter, Juliane Ball, Erika Bartolini, Noa Benaroya-Milshtein, Maura Buttiglione, Francesco Cardona, Roberta Creti, Androulla Efstratiou and 25 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in European child & adolescent psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Emotion regulation and tic disorders in children.European child & adolescent psychiatry · 2023
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Clinical precursors of tics: an EMTICS study.Journal of child psychology and psychiatry, and allied disciplines · 2022
    Article
  18. Review
  19. A Comprehensive Review of Tic Disorders in Children.Journal of clinical medicine · 2021
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

35 authors at 16 institutions in 12 countries.

Anette SchragDepartment of Clinical Neurosciences, UCL Institute of Neurology, University College London, London, UK.
Davide MartinoDepartment of Clinical Neurosciences, University of Calgary, Calgary, Canada.
Alan ApterChild and Adolescent Psychiatry Department, Schneider Children's Medical Center of Israel, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Petah-Tikva, Israel.
Juliane BallClinic of Child and Adolescent Psychiatry and Psychotherapy, University of Zurich, Zurich, Switzerland.
Erika BartoliniGSK, Siena, Italy.
Noa Benaroya-MilshteinChild and Adolescent Psychiatry Department, Schneider Children's Medical Center of Israel, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Petah-Tikva, Israel.
Maura ButtiglioneDepartment of Biological Sciences and Human Oncology, Medical School, University of Bari "Aldo Moro", Bari, Italy.
Francesco CardonaDepartment of Human Neurosciences, University La Sapienza of Rome, Rome, Italy.
Roberta CretiDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Androulla EfstratiouWHO Global Collaborating Centre for Reference and Research on Diphtheria and Streptococcal Infections, Reference Microbiology, Directorate National Infection Service, Public Health England, London, UK.
Maria GariupUniversity of Barcelona, Barcelona, Spain.
Marianthi GeorgitsiDepartment of Molecular Biology and Genetics, Democritus University of Thrace, Alexandroupoli, Greece.
Tammy HedderlyEvelina London Children's Hospital GSTT, Kings Health Partners AHSC, London, UK.
Isobel HeymanGreat Ormond Street Hospital for Children, UCL Institute of Child Health, London, UK.
Immaculada MargaritGSK, Siena, Italy.
Pablo MirUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clinica, Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocio/CSIC/Universidad de Sevilla, Seville, Spain.
Natalie MollInstitute of Laboratory Medicine, University Hospital, LMU Munich, Munich, Germany.
Astrid MorerDepartment of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clinic Universitari, Barcelona, Spain.
Norbert MüllerDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Kirsten Müller-VahlClinic of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hannover, Germany.
Alexander MünchauInstitute of Neurogenetics, University of Lübeck, Lübeck, Germany.
Graziella OreficiDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Kerstin J PlessenChild and Adolescent Mental Health Center, Mental Health Services, Capital Region of Denmark and University of Copenhagen, Copenhagen, Denmark.
Cesare PorcelliAzienda Sanitaria Locale di Bari, Mental Health Department, Child and Adolescent Neuropsychiatry Service of Bari Metropolitan Area, Bari, Italy.
Peristera PaschouDepartment of Biological Sciences, Purdue University, West Lafayette, USA.
Renata RizzoChild Neuropsychiatry Section, Department of Clinical and Experimental Medicine, School of Medicine, Catania University, Catania, Italy.
Veit RoessnerDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, TU Dresden, Dresden, Germany.
Markus J SchwarzInstitute of Laboratory Medicine, University Hospital, LMU Munich, Munich, Germany.
Tamar SteinbergChild and Adolescent Psychiatry Department, Schneider Children's Medical Center of Israel, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Petah-Tikva, Israel.
Friederike Tagwerker GloorClinic of Child and Adolescent Psychiatry and Psychotherapy, University of Zurich, Zurich, Switzerland.
Zsanett TarnokVadaskert Child and Adolescent Psychiatric Hospital, Budapest, Hungary.
Susanne WalitzaClinic of Child and Adolescent Psychiatry and Psychotherapy, University of Zurich, Zurich, Switzerland.
Andrea DietrichDepartment of Child and Adolescent Psychiatry, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.
Pieter J HoekstraDepartment of Child and Adolescent Psychiatry, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands. p.hoekstra@accare.nl.
EMTICS Collaborative Group
Tel Aviv University · ILLMU Klinikum · DEIstituto Superiore di Sanità · ITUniversity Medical Center Groningen · NLUniversity of Zurich · CHDemocritus University of Thrace · GRGreat Ormond Street Hospital · GBPurdue University West Lafayette · USUniversity of Copenhagen · DKInstituto de Biomedicina de Sevilla · ESMedizinische Hochschule Hannover · DERegion Zealand · DKUniversity College London · GBUniversity of Bari Aldo Moro · ITUniversity of Calgary · CAUniversity of Catania · IT

Funding

FP7 Ideas: European Research Council 278367
6 · The paper itself

Abstract

Genetic predisposition, autoimmunity and environmental factors [e.g. pre- and perinatal difficulties, Group A Streptococcal (GAS) and other infections, stress-inducing events] might interact to create a neurobiological vulnerability to the development of tics and associated behaviours. However, the existing evidence for this relies primarily on small prospective or larger retrospective population-based studies, and is therefore still inconclusive. This article describes the design and methodology of the EMTICS study, a longitudinal observational European multicentre study involving 16 clinical centres, with the following objectives: (1) to investigate the association of environmental factors (GAS exposure and psychosocial stress, primarily) with the onset and course of tics and/or obsessive-compulsive symptoms through the prospective observation of at-risk individuals (ONSET cohort: 260 children aged 3-10 years who are tic-free at study entry and have a first-degree relative with a chronic tic disorder) and affected individuals (COURSE cohort: 715 youth aged 3-16 years with a tic disorder); (2) to characterise the immune response to microbial antigens and the host's immune response regulation in association with onset and exacerbations of tics; (3) to increase knowledge of the human gene pathways influencing the pathogenesis of tic disorders; and (4) to develop prediction models for the risk of onset and exacerbations of tic disorders. The EMTICS study is, to our knowledge, the largest prospective cohort assessment of the contribution of different genetic and environmental factors to the risk of developing tics in putatively predisposed individuals and to the risk of exacerbating tics in young individuals with chronic tic disorders.

Indexed as

AdolescentChildChild, PreschoolCohort StudiesEuropeFemaleGenetic Predisposition to DiseaseHumansMaleRisk FactorsTic DisordersGeneticsLongitudinalObsessive–compulsive disorderStreptococcal infectionStressTourette syndrome

Identifiers

PMID29982875
PMCPMC6349795
OpenAlexW2871072430

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.