Neuropediatrics 2024; 55(01): 067-070
DOI: 10.1055/a-2039-4425
Short Communication

Differences in Tic Severity Among Adolescent Girls and Boys with Tourette Syndrome During the Pandemic

1   Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States
2   Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States
,
Steve W. Wu
1   Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States
2   Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States
,
David A. Huddleston
1   Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States
,
Tara D. Lipps
1   Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States
,
Donald L. Gilbert
1   Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States
2   Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States
› Author Affiliations

Abstract

Limited data are available regarding the impact of the coronavirus disease 2019 (COVID-19) pandemic on adolescents with Tourette syndrome (TS). We sought to compare sex differences in tic severity experienced by adolescents before and during the COVID-19 pandemic. We extracted from the electronic health record and retrospectively reviewed Yale Global Tic Severity Scores (YGTSS) from adolescents (ages 13 through 17) with TS presenting to our clinic before (36 months) and during (24 months) the pandemic. A total of 373 unique adolescent patient encounters (prepandemic: 199; pandemic: 173) were identified. Compared with prepandemic, girls accounted for a significantly greater proportion of visits during the pandemic (p < 0.001). Prepandemic, tic severity did not differ between girls and boys. During the pandemic, compared with girls, boys had less clinically severe tics (p = 0.003). During the pandemic, older girls, but not boys, had less clinically severe tics (ρ =− 0.32, p = 0.003). These findings provide evidence that, regarding tic severity assessed with YGTSS, the experiences of adolescent girls and boys with TS have differed during the pandemic.



Publication History

Received: 20 January 2023

Accepted: 16 February 2023

Accepted Manuscript online:
21 February 2023

Article published online:
24 March 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Racine N, Korczak DJ, Madigan S. Evidence suggests children are being left behind in COVID-19 mental health research. Eur Child Adolesc Psychiatry 2022; 31 (09) 1479-1480
  • 2 Racine N, McArthur BA, Cooke JE, Eirich R, Zhu J, Madigan S. Global prevalence of depressive and anxiety symptoms in children and adolescents during COVID-19: a meta-analysis. JAMA Pediatr 2021; 175 (11) 1142-1150
  • 3 Meherali S, Punjani N, Louie-Poon S. et al. Mental health of children and adolescents amidst COVID-19 and past pandemics: a rapid systematic review. Int J Environ Res Public Health 2021; 18 (07) 3432
  • 4 Fegert JM, Vitiello B, Plener PL, Clemens V. Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: a narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child Adolesc Psychiatry Ment Health 2020; 14: 20
  • 5 Conte G, Baglioni V, Valente F, Chiarotti F, Cardona F. Adverse mental health impact of the COVID-19 lockdown in individuals with Tourette syndrome in Italy: an online survey. Front Psychiatry 2020; 11: 583744
  • 6 Graziola F, Garone G, Di Criscio L. et al. Impact of Italian lockdown on Tourette's syndrome patients at the time of the COVID-19 pandemic. Psychiatry Clin Neurosci 2020; 74 (11) 610-612
  • 7 Hall CL, Marston L, Khan K. et al. The COVID-19 pandemic and its impact on tic symptoms in children and young people: a prospective cohort study. Child Psychiatry Hum Dev 2022; 1-11
  • 8 Mataix-Cols D, Ringberg H, Fernández de la Cruz L. Perceived worsening of tics in adult patients with Tourette syndrome after the COVID-19 outbreak. Mov Disord Clin Pract (Hoboken) 2020; 7 (06) 725-726
  • 9 Larsh TR, Wu SW, Gilbert DL. Comparison of impairment in functional tic disorders versus Tourette syndrome. Pediatr Neurol 2022; 134: 83-84
  • 10 Pringsheim T, Ganos C, McGuire JF. et al. Rapid onset functional tic-like behaviors in young females during the COVID-19 pandemic. Mov Disord 2021; 36 (12) 2707-2713
  • 11 Leckman JF, Riddle MA, Hardin MT. et al. The Yale Global Tic Severity Scale: initial testing of a clinician-rated scale of tic severity. J Am Acad Child Adolesc Psychiatry 1989; 28 (04) 566-573
  • 12 Team RCR. A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing; 2021
  • 13 Storch EA, Murphy TK, Chase RM. et al. Peer victimization in youth with Tourette's syndrome and chronic tic disorder: relations with tic severity and internalizing symptoms. J Psychopathol Behav Assess 2007; 29 (04) 211-219