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COVID-19 related increase in childhood tics and tic-like attacks

Archives of disease in childhood, 2021-05, Vol.106 (5), p.420-421 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. ;This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained. https://bmj.com/coronavirus/usage? ;ISSN: 0003-9888 ;EISSN: 1468-2044 ;DOI: 10.1136/archdischild-2021-321748 ;PMID: 33677431

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  • Title:
    COVID-19 related increase in childhood tics and tic-like attacks
  • Author: Heyman, Isobel ; Liang, Holan ; Hedderly, Tammy
  • Subjects: Anxieties ; Attention deficit hyperactivity disorder ; Autism ; Children ; Children & youth ; Coronaviruses ; COVID-19 ; Diagnosis ; Emotional behavior ; Girls ; Health services ; Mental disorders ; Mental health ; Pandemics ; Pediatrics ; Social networks ; Stress ; Teenagers ; Tourette syndrome
  • Is Part Of: Archives of disease in childhood, 2021-05, Vol.106 (5), p.420-421
  • Description: Correspondence to Dr Isobel Heyman, Great Ormond Street Hospital For Children NHS Foundation Trust, London WC1N 3JH, UK; i.heyman@ucl.ac.uk Explosion of tics Since the onset of the COVID-19 pandemic, paediatricians and child mental health practitioners have noticed an increase in tic symptoms in some children and adolescents already diagnosed with tic disorders.1 Interestingly, clinicians have also seen a marked increase in presentations of sudden and new onset of severe tics and ‘tic-like’ attacks. More in-depth discussion with the young person, with careful evaluation and questioning of carers, reveals a significant and upsetting change to routine, with adverse impact on socialisation, education, and emotional and behavioural functioning in the context of the COVID-19 pandemic and lockdown. Functional symptoms as a part of an overall increase in mental health disorders during the COVID-19 pandemic The adverse impact of the COVID-19 pandemic on adult and child mental health is becoming increasingly evident.4 5 Rates of mental health problems in children and young people were 10.8% in the 2017 UK mental health survey. Once a positive diagnosis of functional tic-like attacks has been made, optimum management is likely to include integration of paediatric and mental healthcare7 and ensuring children and families understand the diagnosis and the usefulness of behavioural/psychological intervention.8 There are new data showing that referrals to child mental health services in September 2020 were 72% higher than in September 2019.9 It will be important that functional and mental health aspects are considered in the likely increase of physical presentations associated with long COVID in the coming year.
  • Publisher: England: BMJ Publishing Group LTD
  • Language: English
  • Identifier: ISSN: 0003-9888
    EISSN: 1468-2044
    DOI: 10.1136/archdischild-2021-321748
    PMID: 33677431
  • Source: Alma/SFX Local Collection
    ProQuest Central
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