RT Journal Article
SR Electronic
T1 Psychiatric comorbidity is common in dystonia and other movement disorders
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP archdischild-2020-319541
DO 10.1136/archdischild-2020-319541
A1 Michelle S Lorentzos
A1 Isobel Heyman
A1 Benjamin J Baig
A1 Anna E Coughtrey
A1 Andrew McWilliams
A1 David R Dossetor
A1 Mary-Clare Waugh
A1 Ruth A Evans
A1 Josie Hollywood
A1 Joshua Burns
A1 Manoj P Menezes
A1 Shekeeb S Mohammad
A1 Padraig Grattan-Smith
A1 Kathleen M Gorman
A1 Belinda H A Crowe
A1 Robert Goodman
A1 Manju A Kurian
A1 Russell C Dale
YR 2020
UL http://adc.bmj.com/content/early/2020/07/24/archdischild-2020-319541.abstract
AB Objective To determine rates of psychiatric comorbidity in a clinical sample of childhood movement disorders (MDs).Design Cohort study.Setting Tertiary children’s hospital MD clinics in Sydney, Australia and London, UK.Patients 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).Interventions On-line development and well-being assessment which was additionally clinically rated by experienced child psychiatrists.Main outcome measures Diagnostic schedule and manual of mental disorders-5 criteria for psychiatric diagnoses.Results 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.Conclusions Psychiatric comorbidity is common in non-tic MDs such as dystonia. These psychiatric comorbidities appear to be under-recognised and undertreated.