The Phenomenology of Tics and Tic-Like Behavior in TikTok.
Pediatr Neurol
; 130: 14-20, 2022 05.
Article
in English
| MEDLINE | ID: covidwho-1700054
ABSTRACT
BACKGROUND:
Pediatricians and pediatric subspecialists worldwide have reported a marked increase in functional (conversion) disorders with tic-like behaviors during the COVID-19 pandemic. These patients often report frequent viewing of Tourette syndrome (TS) TikTok videos, suggesting disease modeling. We aimed to evaluate tic phenomenology in videos posted on TikTok.METHODS:
The 100 most-viewed videos under #tourettes in TikTok were randomly assigned to two of three primary reviewers (<2 years independent practice), all pediatric neurologists specializing in movement disorders, for extraction and classification of tic phenomenology. Initial disagreements were solved by consensus. If not resolved, one of five senior reviewers (>2 years independent pediatric movement disorder practice) served as a tiebreaker. In addition, two primary and one senior reviewer rated each video on a Likert scale from 1 = "All the tics are typical of TS" to 5 = "None of the tics are typical of TS". Median scores and Spearman correlation between primary and senior reviewers were calculated.RESULTS:
Six videos without tic-like behaviors were excluded. Most videos depicted coprophenomena (coprolalia 53.2%; copropraxia 20.2%), often with unusual characteristics. Frequently, videos demonstrated atypical phenomenology such as very strong influence by the environment (motor 54.3%; phonic 54.3%), aggression (19.1%), throwing objects (22.3%), self-injurious behaviors (27.7%), and long phrases (>3 words; 45.7%). Most videos portrayed atypical, nontic behaviors (median [IQR] Likert ratings 5 [4-5]). Primary vs. senior rater scores demonstrated moderate agreement (r = 0.46; P < 0.001).CONCLUSIONS:
TS symptom portrayals on highly viewed TikTok videos are predominantly not representative or typical of TS.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Tic Disorders
/
Tourette Syndrome
/
Tics
/
Social Media
/
COVID-19
Type of study:
Diagnostic study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Qualitative research
/
Randomized controlled trials
Topics:
Long Covid
Limits:
Child
/
Humans
Language:
English
Journal:
Pediatr Neurol
Journal subject:
Neurology
/
Pediatrics
Year:
2022
Document Type:
Article
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