TY - JOUR T1 - Psychiatric comorbidity is common in dystonia and other movement disorders JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 62 LP - 67 DO - 10.1136/archdischild-2020-319541 VL - 106 IS - 1 AU - Michelle S Lorentzos AU - Isobel Heyman AU - Benjamin J Baig AU - Anna E Coughtrey AU - Andrew McWilliams AU - David R Dossetor AU - Mary-Clare Waugh AU - Ruth A Evans AU - Josie Hollywood AU - Joshua Burns AU - Manoj P Menezes AU - Shekeeb S Mohammad AU - Padraig Grattan-Smith AU - Kathleen M Gorman AU - Belinda H A Crowe AU - Robert Goodman AU - Manju A Kurian AU - Russell C Dale Y1 - 2021/01/01 UR - http://adc.bmj.com/content/106/1/62.abstract N2 - 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. ER -