Evidence map›Paper›PMID 31802271›Full record

ArticleEuropean child & adolescent psychiatry2020

The Premonitory Urge for Tics Scale in a large sample of children and adolescents: psychometric properties in a developmental context. An EMTICS study.

Thaïra J C Openneer, Zsanett Tárnok, Emese Bognar, Noa Benaroya-Milshtein, Blanca Garcia-Delgar, Astrid Morer, Tamar Steinberg, Pieter J Hoekstra, Andrea Dietrich, and the EMTICS collaborative group

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In one paragraph

Article in European child & adolescent psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 5% 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, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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  14. Pain in Tourette Syndrome: A Comprehensive Review.Journal of child and adolescent psychopharmacology · 2025
    Review
  15. Auditory gating and its clinical correlates in adults with chronic tic disorder and neurotypical adults.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024
    Article
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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

10 authors at 4 institutions in 4 countries.

Thaïra J C OpenneerDepartment of Child and Adolescent Psychiatry, University of Groningen, University Medical Center Groningen, Hanzeplein 1 XA10, 9713 GZ, Groningen, The Netherlands. t.openneer@accare.nl.ORCID http://orcid.org/0000-0003-4770-2264
Zsanett TárnokVadaskert Child and Adolescent Psychiatric Hospital, Budapest, Hungary.
Emese BognarVadaskert Child and Adolescent Psychiatric Hospital, Budapest, Hungary.
Noa Benaroya-MilshteinChild and Adolescent Psychiatry Department, Affiliated to Sackler Faculty of Medicine, Schneider Children's Medical Center of Israel, Tel Aviv University, Petah-Tikva, Israel.
Blanca Garcia-DelgarDepartment of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clinic Universitari, Barcelona, Spain.
Astrid MorerDepartment of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clinic Universitari, Barcelona, Spain.
Tamar SteinbergChild and Adolescent Psychiatry Department, Affiliated to Sackler Faculty of Medicine, Schneider Children's Medical Center of Israel, Tel Aviv University, Petah-Tikva, Israel.
Pieter J Hoekstra *Department of Child and Adolescent Psychiatry, University of Groningen, University Medical Center Groningen, Hanzeplein 1 XA10, 9713 GZ, Groningen, The Netherlands.
Andrea Dietrich *Department of Child and Adolescent Psychiatry, University of Groningen, University Medical Center Groningen, Hanzeplein 1 XA10, 9713 GZ, Groningen, The Netherlands.
and the EMTICS collaborative group
University Medical Center Groningen · NLTel Aviv University · ILHospital Universitari de Vic · ESVadaskert Alapítvány a Gyermekek Lelki Egészségéért · HU

Funding

European Union's Seventh Framework Programme 278367
6 · The paper itself

Abstract

Premonitory urges are uncomfortable physical sensations preceding tics that occur in most individuals with a chronic tic disorder. The Premonitory Urge for Tics Scale (PUTS) is the most frequently used self-report measure to assess the severity of premonitory urges. We aimed to evaluate the psychometric properties of the PUTS in the largest sample size to date (n = 656), in children aged 3-16 years, from the baseline measurement of the longitudinal European Multicenter Tics in Children Study (EMTICS). Our psychometric evaluation was done in three age-groups: children aged 3-7 years (n = 103), children between 8 and 10 years (n = 253), and children aged 11-16 years (n = 300). The PUTS exhibited good internal reliability in children and adolescents, also under the age of 10, which is younger than previously thought. We observed significant but small correlations between the severity of urges and severity of tics and obsessive-compulsive symptoms, and between severity of urges and ratings of attention-deficit/hyperactivity disorder and internalizing and externalizing behaviors, however, only in children of 8-10 years. Consistent with previous results, the 10th item of the PUTS correlated less with the rest of the scale compared to the other items and, therefore, should not be used as part of the questionnaire. We found a two-factor structure of the PUTS in children of 11 years and older, distinguishing between sensory phenomena related to tics, and mental phenomena as often found in obsessive-compulsive disorder. The age-related differences observed in this study may indicate the need for the development of an age-specific questionnaire to assess premonitory urges.

Indexed as

Severity of Illness IndexAdolescentChildChild, PreschoolFemaleHumansMalePsychometricsReproducibility of ResultsTic DisordersTourette SyndromeObsessive–compulsive symptomsPremonitory Urge for Tics Scale (PUTS)Premonitory urgesPsychometric propertiesTourette syndrome

Identifiers

PMID31802271
PMCPMC7501098
OpenAlexW2993114070

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.