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(If you are looking for partners on TS related research you can post your call here. Please email Peristera Paschou at This e-mail address is being protected from spambots. You need JavaScript enabled to view it )

 

  • "Acceptance"  of premonitory urges and Tics

Ella Gev, Alan Apter, Sharon Zimmerman, Tami Steinberg.

Matta and Harry Freund Neuropsychiatric Tourette Syndrome and Tic Disorders Clinic, Schneider Children's Medical Center of Israel, 

14 Kaplan Street, Petach Tikvah, Israel.

We are interested in collaboration with researchers in Europe that have knowledge and interest in behavioral models of tic expression and impact.  Our goal is to elaborate existing behavioral models and protocols by increasing the understanding on the premonitory urge phenomena.

For more information please contact us at  This e-mail address is being protected from spambots. You need JavaScript enabled to view it  

Research summary:

Premonitory urges often precede tic expression, and are relieved by completion of the tic. Many patients suffering from tics report that the urges are even more bothersome than the tics themselves. Although modern behavioral treatments (e.g. HRT, ERP) are based on the premonitory urge – tic sequence, the specific effects those treatments have on the urge has only been partially examined.  Evaluating the direct relation between "acceptance" (Hayes et al. 1999) and premonitory urge may provide further insight regarding existing treatments and assist in developing new treatment protocols. Our objective is to examine the influence of an "acceptance based approach" on the premonitory urge and its application for tic expression among individuals with TS. We plan to examine experimentally the relation between acceptance and premonitory urge compared to tic suppression and premonitory urge.  Participants aged 10 -18 will be recruited from the Schneider Children Medical Center Tourette clinic. Our procedure will include three conditions (neutral, suppression and acceptance) in which participants will be instructed on how to manage their premonitory sensations to tic. After managing their urge according to instructions, they will be asked to complete a premonitory urges appraisal rating. Due to previous findings that acceptance results in a decrease in discomfort as opposed to suppression, which increases discomfort (Marks & Woods, 2004) and considering the fact that discomfort (i.e. stress) is known to increase tic frequency, we expect to find a greater reduction in tic frequency after acceptance compared to suppression. Understanding the relationship between acceptance of premonitory urges and tic severity may lead to new insights regarding treatment available for TS.

 


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