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To investigate prospectively symptomatology of SIB in adults with CTD, we developed and validated the self-injurious behavior scale for tic disorders (SIBS-T). Patients completed the SIBS-T and a variety of assessments for tics and comorbidities. We investigated SIB frequency, internal consistency of the SIBS-T, and carried out an exploratory factor analysis (EFA). We enrolled n\u2009=\u2009123 adult patients with CTD. SIB was reported by n\u2009=\u2009103 patients (83.7%). The most frequently reported SIB were beating\/pushing\/throwing and were found in 79.6% of cases. Patients with SIB had significantly higher tic severity measured with the Adult Tic Questionnaire (ATQ) (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.002) as well as higher severity of psychiatric comorbidities such as obsessive\u2013compulsive symptoms (OCS) (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001,), attention deficit\/hyperactivity disorder (ADHD) (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001,), and anxiety (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.001). In addition, patients with SIB had significantly lower quality of life (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.002). Pearson correlations demonstrated significant associations between SIB and severity of tics (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001), depression (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.005), ADHD (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.008), and borderline personality traits (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.014). Consequently, higher SIBS-T also correlated with greater impairment of quality of life (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001). The internal consistency of the SIBS-T was good (\u03b1\u2009=\u20090.88). The EFA confirmed a single factor underlying the SIBS-T.\n                  <\/jats:p>","DOI":"10.1038\/s41598-024-66528-6","type":"journal-article","created":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T16:04:53Z","timestamp":1722441893000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Validation and assessment of the self-injurious behavior scale for tic disorders (SIBS-T)"],"prefix":"10.1038","volume":"14","author":[{"given":"Natalia","family":"Szejko","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heike gro\u00dfe","family":"Schlarmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Pisarenko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Haas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie","family":"Brandt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewgeni","family":"Jakubovski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten R.","family":"M\u00fcller-Vahl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,31]]},"reference":[{"key":"66528_CR1","doi-asserted-by":"publisher","DOI":"10.1002\/mdc3.12043","author":"C Ganos","year":"2014","unstructured":"Ganos, C., M\u00fcnchau, A. & Bhatia, K. 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