doi: 10.1007/s10578-022-01401-z.


Online ahead of print.

Affiliations

Item in Clipboard

Sarah L O’Dor et al.


Child Psychiatry Hum Dev.


.

Abstract

The current study assessed the impact of the COVID-19 pandemic on children with PANS/PANDAS, a condition characterized by sudden-onset obsessive-compulsive, tic, or restrictive eating symptoms following infection. We conducted an anonymous survey between February and June 2021 of 254 self-reported caregivers of minors with PANS/PANDAS. Caregivers answered questions regarding PANS/PANDAS symptoms, telehealth care, and intention to vaccinate their child against COVID-19. PANS/PANDAS symptoms during COVID-19 infections were assessed when applicable. Children’s OCD symptoms and coercive behaviors towards caregivers, along with the caregivers’ mental health, relationship satisfaction, and burden, were assessed using standardized questionnaires. A majority of respondents endorsed a negative impact on their child’s friendships, relationships with extended family, hobbies, and Academic skills due to the pandemic. Children with suspected or diagnosed COVID-19 experienced new or worsened psychiatric symptoms, particularly mood lability, OCD, and anxiety. Telehealth care was the preferred treatment modality if the child had mild symptoms of PANS/PANDAS. A majority of caregivers reported high levels of relationship dissatisfaction and caregiver burden. As expected, these data suggest an overall negative impact of the COVID-19 pandemic on children with PANS/PANDAS and their caregivers.


Keywords:

Obsessive-compulsive disorder; PANDAS; PANS; Pediatric; Psychiatry; Tics.

References

    1. O’Connor RC, Wetherall K, Cleare S, McClelland H, Melson AJ, Niedzwiedz CL et al (2021) Mental health and well-being during the COVID-19 pandemic: longitudinal analyses of adults in the UK COVID-19 Mental Health & Wellbeing study. Br J Psychiatry 218:326–333



      DOI

    1. Benatti B, Albert U, Maina G, Fiorillo A, Celebre L, Giorone N et al (2020) What happened to patients with Obsessive Compulsive Disorder during the COVID-19 pandemic? A multicentre report from tertiary clinics in northern italy. Front Psychiatry 11:720



      DOI

    1. Nissen JB, Højgaard D, Thomsen PH (2020) The immediate effect of COVID-19 pandemic on children and adolescents with obsessive compulsive disorder. BMC Psychiatry 20:1–10



      DOI

    1. Tanir Y, Karayagmurlu A, Kaya I, Kaynar TB, Yürkmen G, Dambasan BN et al (2020) Exacerbation of obsessive compulsive disorder symptoms in children and adolescents during COVID-19 pandemic. Psychiatry Res 293:113363



      DOI

    1. Kompaniyets L, Agathis N, Nelson JM (2021) Underlying Medical Conditions Associated With Severe COVID-19 Illness Among Children. JAMA Netw Open 4:e2111182–e2111182



      DOI