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Psychiatric comorbidity is common in dystonia and other movement disorders.
- Source :
- Archives of Disease in Childhood; Jan2021, Vol. 106 Issue 1, p62-67, 6p
- Publication Year :
- 2021
-
Abstract
- <bold>Objective: </bold>To determine rates of psychiatric comorbidity in a clinical sample of childhood movement disorders (MDs).<bold>Design: </bold>Cohort study.<bold>Setting: </bold>Tertiary children's hospital MD clinics in Sydney, Australia and London, UK.<bold>Patients: </bold>Cases were children with tic MDs (n=158) and non-tic MDs (n=102), including 66 children with dystonia. Comparison was made with emergency department controls (n=100), neurology controls with peripheral neuropathy or epilepsy (n=37), and community controls (n=10 438).<bold>Interventions: </bold>On-line development and well-being assessment which was additionally clinically rated by experienced child psychiatrists.<bold>Main Outcome Measures: </bold>Diagnostic schedule and manual of mental disorders-5 criteria for psychiatric diagnoses.<bold>Results: </bold>Psychiatric comorbidity in the non-tic MD cohort (39.2%) was comparable to the tic cohort (41.8%) (not significant). Psychiatric comorbidity in the non-tic MD cohort was greater than the emergency control group (18%, p<0.0001) and the community cohort (9.5%, p<0.00001), but not the neurology controls (29.7%, p=0.31). Almost half of the patients within the tic cohort with psychiatric comorbidity were receiving medical psychiatric treatment (45.5%) or psychology interventions (43.9%), compared with only 22.5% and 15.0%, respectively, of the non-tic MD cohort with psychiatric comorbidity.<bold>Conclusions: </bold>Psychiatric comorbidity is common in non-tic MDs such as dystonia. These psychiatric comorbidities appear to be under-recognised and undertreated. [ABSTRACT FROM AUTHOR]
- Subjects :
- MOVEMENT disorders
SEPARATION anxiety
COMORBIDITY
TIC disorders
CEREBRAL anoxia-ischemia
PSYCHOTHERAPY
MENTAL illness
MEDICAL care
MENTAL depression
DIAGNOSIS of mental depression
RESEARCH
HOSPITAL emergency services
RESEARCH methodology
DYSTONIA
CASE-control method
EVALUATION research
MEDICAL cooperation
PSYCHOMETRICS
COMPARATIVE studies
RESEARCH funding
CLASSIFICATION of mental disorders
LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 00039888
- Volume :
- 106
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Archives of Disease in Childhood
- Publication Type :
- Academic Journal
- Accession number :
- 147693523
- Full Text :
- https://doi.org/10.1136/archdischild-2020-319541