Tourette-like
behaviors in the normal population are
associated with hyperactive/impulsive ADHD-like
behaviors but do not relate to deficits in
conditioned inhibition or response
inhibition
Analysis of the Yawning scale yielded a
three factor solution distinguishing between
active, inactive and stress induced yawning. The
Yawning scales were significantly positively
correlated with pure (and overall) TS-like
behaviors, and YWN-inactive was also associated
with compulsive TS behaviors. The Yawning scales
also showed some associations with ADHD-like
behaviors, whereby YWN-activity (and overall)
was significantly positively associated with all
ASRS scales, and YWN-inactivity with
hyperactive/impulsive (and overall) ASRS.
However, YWN-stress was not linked to ASRS. The
regression analyses for the unique contribution
of the TS and ASRS scales (thus accounting for
covariation amongst those) showed that only the
three TS-like behaviors remained significantly
associated with yawning during inactivity, and
only motor TS-like behaviors with yawning during
stressful situations involving
self-presentation/awareness.
The ASRS scales were not linked to these two
yawning scales. In contrast, only phonic (but
not motor or OCB) TS-like behaviors and
inattentive (but not hyperactive/impulsive) ASRS
were positively associated with yawning during
activity involving concentration. In general,
the findings support the notion that excessive
yawning is associated with TS (Dalsgaard et al.,
2001; Walusinski et al., 2010), but suggest that
the behavioral yawning model may be more
specific to TS in the context of relaxation (for
all TS behaviors) or during self-awareness and
stress (specifically for motor tics). Secondly,
phonic tics, characterized by involuntary sounds
produced by moving air through the nose, mouth,
or throat, and underlying the same muscle groups
as yawning itself (Leckman et al., 2006), are
linked to yawning across different everyday
situational contexts (inactive and active).
Given the role of premonitory sensations in
tic-generating S-S associations (Robertson,
2000), this suggests that yawning in those
situations may trigger more common phonic tics.
Yawning during stressful situations involving
greater self-awareness, however, may be more
likely to trigger motor tics, which also involve
different muscle groups (Leckman et al.,
2006).
Thus, taking the situational context of
premonitory sensations associated with different
symptom expression into account may be useful in
studying homogenous subgroups of TS (Prado et
al., 2008). However, the finding that
ASRS-inattention was associated with yawning
during activity suggests that the behavioral
yawning model may also be useful for ADD, and
warrants further investigation in clinical
samples. Given that yawning is thought to
increase arousal (Walusinski et al., 2010), it
may well be a functional response to increase
attention during situations where concentration
is required.