Premonitory urge to tic in Tourette’s is associated with interoceptive awareness
Abstract
Background A contribution of aberrant interoceptive awareness to the perception of premonitory urges in Gilles de la Tourette syndrome (GTS) has been hypothesized. Methods We assessed interoceptive awareness in 19 adults with GTS and 25 age-matched healthy controls using the heartbeat counting task. We also used multiple regression to explore whether the severity of premonitory urges was predicted by interoceptive awareness or severity of tics and obsessive-compulsive symptoms. Results We observed lower interoceptive awareness in GTS compared with controls. Interoceptive awareness was the strongest predictor of premonitory urges in GTS, with greater interoceptive awareness being associated with more urges. Greater tic severity was also associated with higher rates of premonitory urges. Conclusion The observed relationship between severity of premonitory urges and interoceptive awareness suggests that interoception might be involved in self-reported premonitory urges in GTS. High levels of interoceptive awareness might reflect a self-attentive capacity to perceive urges.
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The premonitory urge to tic in individuals with Tourette Syndrome is positively associated with cardiac interoceptive accuracy and self-reported interoceptive attention.
“Interestingly, the premonitory urge to tic in individuals with Tourette Syndrome has been found to be positively associated with cardiac interoceptive accuracy and self-reported interoceptive attention (Ganos and Garrido, 2015; Rae et al., 2019).”
From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Ganos and Garrido, 2015
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- Authors
- Ganos, C., Garrido, A., Navalpotro‐Gómez, I., Ricciardi, L., Martino, D., Edwards, M. J., Tsakiris, M., Haggard, P., & Bhatia, K. P.
- Affiliations
- University Medical Center Hamburg-Eppendorf (DE)
- Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology University College London London UK
- Hospital Del Mar (ES)
- UCL Queen Square Institute of Neurology (GB)
- Queen Elizabeth Hospital (GB)
- Department of Psychology, Royal Holloway University of London London UK
- University College London (GB)
- Corresponding author
- Ganos, Christos
- ORCID
- Venue
- Movement Disorders
- Publisher
- Wiley
- Published
- 2015-04-16
- Volume
- 30
- Issue
- 9
- Pages
- 1198-1202
- ISSN
- 0885-3185 (ISSN-L)
- 1531-8257
- OpenAlex
- W1923271967
- Cited by
- 140
- References
- 33
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 8 · 2023: 10 · 2022: 13 · 2021: 11 · 2020: 30 · 2019: 16 · 2018: 16 · 2017: 8 · 2016: 10 · 2015: 4
- FWCI
- 15.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Movement Disorders (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Deutsche Forschungsgemeinschaft ((DFG; GA2031/1-2))
- Movement Disorders society, Actelion,Ipsen, Pharm Allergan and Merz
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- Tourette syndrome, premonitory urges, interoceptive awareness, interoception, tic severity, obsessive-compulsive symptoms, heartbeat counting task
- MeSH terms
- Adult, Awareness, Female, Tourette Syndrome, Humans, Male, Middle Aged, Severity of Illness Index, Case-Control Studies, Tics, Young Adult, Anticipation, Psychological
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