The COVID-19 pandemic and its impact on tic symptoms in children and young people: a prospective cohort study

Charlotte L Hall1,2, Louise Marston3, Kareem Khan2,1, Beverley J Brown2, Charlotte Sanderson4,5, Per Andrén6, Sophie Bennett5,4, Isobel Heyman4, David Mataix–Cols6, Eva Serlachius6, Chris Hollis1,2, Tara Murphy4,5
1NIHR Nottingham Biomedical Research Centre, Institute of Mental Health, Mental Health & Clinical Neurosciences, University of Nottingham, Nottingham, UK
2Institute of Mental Health, School of Medicine, Mental Health & Clinical Neurosciences, NIHR MindTech MedTech Co-operative, University of Nottingham, Nottingham, UK
3Research Department of Primary Care and Population Health and Priment CTU, University College London, London, UK
4UCL Great Ormond Street Institute of Child Health (ICH), London, UK
5Psychological and Mental Health Services, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
6Centre for Psychiatry Research, Department of Clinical Neuroscience, Stockholm Health Care Services, Karolinska Institutet, Region Stockholm, Stockholm, Sweden

Tóm tắt

AbstractTo understand how children and young people with tic disorders were affected by COVID-19, we compared pre and during pandemic scores on the Yale Global Tic Severity Scale (YGTSS). Participants were young people (N = 112; male:78%; 9–17 years) randomised to the control arm of the “ORBIT-Trial” (ISRCTN70758207, ClinicalTrials.gov-NCT03483493). For this analysis, the control arm was split into two groups: one group was followed up to 12-months’ post-randomisation before the pandemic started (pre-COVID group, n = 44); the other group was impacted by the pandemic at the 12-month follow-up (during-COVID group, n = 47). Mixed effects linear regression modelling was conducted to explore differences in YGTSS at 6- and 12-months post-randomisation. There were no significant differences in tic symptom or severity between participants who were assessed before and during COVID-19. This finding was not influenced by age, gender, symptoms of anxiety or autism spectrum disorder. Thus, the COVID-19 pandemic did not significantly impact existing tic symptoms.

Từ khóa


Tài liệu tham khảo

Gov.uk (2020) Attendance in education and early years settings during the coronavirus (COVID-19) outbreak. https://explore-education-statistics.service.gov.uk/find-statistics/attendance-in-education-and-early-years-settings-during-the-coronavirus-covid-19-outbreak/2020-week-26. Accessed 16th August 2021

Sellers R, Warne N, Pickles A, Maughan B, Thapar A, Collishaw S (2019) Cross-cohort change in adolescent outcomes for children with mental health problems. JCPP 60:813–821

Holmes EA, O’Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L et al (2020) Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry 7(6):547–560

Newlove-Delgado T, McManus S, Sadler K, Thandi S, Vizard T, Cartwright C Ford T (2021) Child mental health in England before and during the COVID-19 lockdown. Lancet Psychiatry 8(5):353–354

Ford T, John A, Gunnell D (2021) Mental health of children and young people during pandemic. BMJ 372:n614. doi: https://doi.org/10.1136/bmj.n614

Saurabh K, Ranjan S (2020) Compliance and Psychological Impact of Quarantine in Children and Adolescents due to Covid-19 Pandemic. Indian J Pediatr 87:532–536

Zhou S-J, Zhang L-G, Wang L-L, Guo Z-C, Wang J-Q, Chen J-C, Liu M, Chen X, Chen J-X (2020) Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. Eur Child Adolesc Psychiat 29(6):749–758

Lifestyles Team ND (2020) Mental health of children and young people in England 2020, Wave 1 follow-up to the 2017 survey. Health and Social Care Information Centre. https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-of-children-andyoung-people-in-england/2020-wave-1-follow-up. Accessed 14 August 2021

Waite P, Pearcey S, Shum A, Raw J, Patalay P, Creswell C (2020) How did the mental health of children and adolescents change during early lockdown during the COVID-19 pandemic in the UK? https://psyarxiv.com/t8rfx Accessed 10 August 2021

Barendse M, Flannery J, Cavanagh C, Aristizabal M, Becker SP, Berger E, Breaux R, Campione-Barr N, Church JA, Crone E (2021) Longitudinal change in adolescent depression and anxiety symptoms from before to during the COVID-19 pandemic: an international collaborative of 12 samples. https://psyarxiv.com/hn7us/ Accessed 10

Mansfield KL, Jindra C (2020) M F The OxWell School Survey: Report of Preliminary Findings. https://www.psych.ox.ac.uk/research/schoolmentalhealth/summary-report/preliminarysummaryreport_oxwellsurvey2020_entire_survey_2020-09-11.pdf Accessed 09 August 2021

Widnall E, Winstone L, Mars B, Haworth C, Kidger J (2020) Young people’s mental health during the COVID-19 pandemic: Initial findings from a secondary school survey study in South West England. National Institute for Health Research School for Public Health Research https://sphr.nihr.ac.uk/wp-content/uploads/2020/08/Young-Peoples-Mental-Health-during-the-COVID-19-Pandemic-Report-Final.pdf Accessed 10 August 2021

England NHSUK (2020) Covid 19 mental health autisum update. In, https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/covid-19-mh-lh-autism-cell-update-number-1-15-march-2020.pdf Accessed 10 August 2021

Castro-Kemp S, Mahmud A (2021) School closures and returning to school: views of parents of children with disabilities in England during the Covid-19 pandemic. Front Educ. 9 https://doi.org/10.3389/feduc.2021.666574

Couper-Kenney F, Riddell S (2021) The impact of COVID-19 on children with additional support needs and disabilities in Scotland. Euro J Spec l Needs Educ 36:20–34

de Miranda DM, da Silva Athanasio B, de Sena Oliveira AC, Silva ACS (2020) How is COVID-19 pandemic impacting mental health of children and adolescents?Int J Disaster Risk Reduct Frontiers in Education: 101845

Tokatly Latzer I, Leitner Y, Karnieli-Miller O (2021) Core experiences of parents of children with autism during the COVID-19 pandemic lockdown. Autism 25:1047–1059

Robertson MM, Eapen V, Singer HS, Martino D, Scharf JM, Paschou P, Roessner V, Woods DW, Hariz M, Mathews CA (2017) Gilles de la Tourette syndrome. Nat Rev Dis Primers 3:1–20

Hollis C, Pennant M, Cuenca J, Glazebrook C, Kendall T, Whittington C, Stockton S, Larsson L, Bunton P, Dobson S, Groom M, Hedderly T, Heyman I, Jackson G, Jackson S, Murphy T, Rickards H, Robertson M, Stern J (2016) Clinical effectiveness and patient perspectives of different treatment strategies for tics in children and adolescents with Tourette syndrome: a systematic review and qualitative analysis. Health Technol Assesment 20:1–450

Reilly C, Grant M, Bennett S, Murphy T, Heyman I (2019) Physical exercise in Tourette syndrome–a systematic review. Child Adolesc Ment Health 24:3–11

Robertson MM, Eapen V, Rizzo R, Stern JS, Hartmann A (2020) Gilles de la Tourette Syndrome: advice in the times of COVID-19. F1000Research 9. https://doi.org/10.12688/f1000research.23275.2

Heyman I, Liang H, Hedderly T (2021) COVID-19 related increase in childhood tics and tic-like attacks. Arch Dis Child 106(5):420–421

Conte G, Baglioni V, Valente F, Chiarotti F, Cardona F (2020) Adverse Mental Health Impact of the COVID-19 Lockdown in Individuals With Tourette Syndrome in Italy: An Online Survey. Front Psychiatry 11:1325

Pringsheim T, Ganos C, McGuire JF, Hedderly T, Woods D, Gilbert DL, Piacentini J, Dale RC, Martino D (2021) Rapid onset functional tic-like behaviors in young females during the COVID-19 pandemic. Mov disorders: official J Mov Disorder Soc. 10 https://doi.org/10.1002/mds.28778

Ganos C, Martino D, Espay AJ, Lang AE, Bhatia KP, Edwards MJ (2019) Tics and functional tic-like movements: Can we tell them apart? Neurology 93:750–758

Hull M, Parnes M, Jankovic J (2021) Increased Incidence of Functional (Psychogenic) Movement Disorders in Children and Adults Amidst the COVID-19 Pandemic: A Cross-Sectional Study. Neurol Clin Pract. (11)5 doi.https://doi.org/10.1212/CPJ.0000000000001082

Mataix-Cols D, Ringberg H, de la Cruz LF (2020) Perceived worsening of tics in adult patients with Tourette syndrome after the COVID‐19 outbreak. Mov Disord Clin Pract 7:725

Hall C, Davies E, Andrén P, Murphy T, Bennett S, Brown B et al (2019) Investigating a therapist-guided, parent-assisted remote digital behavioural intervention for tics in children and adolescents—‘Online Remote Behavioural Intervention for Tics’(ORBIT) trial: protocol of an internal pilot study and single-blind randomised controlled trial. BMJ Open 9:e027583

Leckman JF, Riddle MA, Hardin MT, Ort SI, Swartz KL, Stevenson J, Cohen DJ (1989) The Yale Global Tic Severity Scale: initial testing of a clinician-rated scale of tic severity. J Am Acad Child Adolesc Psychiatry 28:566–573

Hollis C, Hall CL, Jones R, Marston L, Le Novere M, Hunter R et al (2021) Therapist-supported online remote behavioural intervention for tics in children and adolescents in England (ORBIT): a multicentre, parallel group, single-blind, randomised controlled trial. Lancet Psychiatry. 10 https://doi.org/10.1016/S2215-0366(21)00235-2

Hull M, Parnes M (2021) Tics and TikTok: Functional tics spread through social media.Mo Mov Disord Clin Pract https://doi.org/10.1002/mdc3.13267

Rutter M, Bailey A, Lord C (2003) Social Communication Questionnaire (SCQ). Western Psychological Services, Los Angeles, USA

Chandler S, Charman T, Baird G, Simonoff E, Loucas T, Meldrum D, Scott M, Pickles A (2007) Validation of the social communication questionnaire in a population cohort of children with autism spectrum disorders. Am Acad Child Adolesc Psychiatry 46:1324–1332

Spence SH (1998) A measure of anxiety symptoms among children. Behav Res Ther 36:545–566

Gov.uk (2019) The English Indices of Deprivation. https://www.gov.uk/government/publications/english-indices-of-deprivation-2019-technical-report Accessed 12th August 2021

Bruining H, Bartels M, Polderman TJ, Popma A (2020) COVID-19 and child and adolescent psychiatry: an unexpected blessing for part of our population? Eur Child Adolesc Psychiatry 30:1139–1140

Cuenca J, Glazebrook C, Kendall T, Hedderly T, Heyman I, Jackson G et al (2015) Perceptions of treatment for tics among young people with Tourette syndrome and their parents: a mixed methods study. BMC Psychiatry 15:46