Keywords
Mídias sociais
Pandemia
Determinantes Sociais
How to Cite
Abstract
Introdução: Durante a pandemia de COVID-19, pediatras e profissionais de saúde mental infantil, em todo o mundo, relataram um aumento nos encaminhamentos de tiques não convencionais para clínicas de distúrbios do movimento. Nesse contexto, há registros de hospitais, em diferentes países, que contêm relatos de pacientes com distúrbios funcionais do tipo tique afirmando consumir vídeos na plataformas TikTok, que mostravam pessoas supostamente com Síndrome de Tourette (ST), antes de apresentarem o quadro inicial de tiques. Isso sugere uma possível associação entre o TikTok e o aumento de tiques. Objetivo: Analisar a relação e os fatores que podem ter colaborado para a influência da plataforma Tiktok no crescimento dos encaminhamentos de pacientes com comportamentos semelhantes a tiques. Método: Utilizou-se a revisão bibliográfica integrativa com buscas nas bases de dados: PubMed, Scielo, Lilacs e Medline. Resultado: Foram encontrados ao total 134 trabalhos, dos quais 104 pertencente à base PubMed, 8 ao Scielo, 9 ao Lilacs e 13 ao Medline. Após a aplicação dos critérios de inclusão e exclusão foram removidos 89 artigos, totalizando um total de 45 trabalhos, dos quais 30 pertenciam à base de dados PubMed, 03 artigos à Scielo, 07 artigos à Lilacs e 05 artigos à Medline. Conclusão: O número de estudos científicos ainda é escasso e inconsistente acerca do impacto da exposição do Tiktok na fenomenologia descrita. Em consonância com os dados elencados, deve ser priorizado a veiculação de conteúdos criados por profissionais de saúde mental e estabelecer um processo de verificação mais ordenado.
References
Jones KS, Ramphul K. Tourette Syndrome And Other Tic Disorders [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2021. Available from: https://pubmed.ncbi.nlm.nih.gov/29763133/
Frey J, Black KJ, Malaty IA. TikTok Tourette’s: Are We Witnessing a Rise in Functional Tic-Like Behavior Driven by Adolescent Social Media Use? Psychology Research and Behavior Management. 2022 Dec;Volume 15:3575–85. Available from: https://pubmed.ncbi.nlm.nih.gov/36505669/
Zea Vera A, Bruce A, Garris J, Tochen L, Bhatia P, Lehman RK, Lopez W, Wu WS, Gilbert DL. The Phenomenology of Tics and Tic-Like Behavior in TikTok. Pediatric Neurology [Internet]. 2022 May 1;130:14–20. Available from: https://pubmed.ncbi.nlm.nih.gov/35303587/
Heyman I, Liang H, Hedderly T. COVID-19 related increase in childhood tics and tic-like attacks. Archives of Disease in Childhood [Internet]. 2021 May 1;106(5):420–1. Available from: https://adc.bmj.com/content/106/5/420
Nagy P, Cserháti H, Rosdy B, Bodó T, Hegyi M, Szamosújvári J, Fogarasi DJ, Fogarasi A. TikTok and tics: the possible role of social media in the exacerbation of tics during the COVID lockdown. Ideggyogy Sz [Internet]. 2022 [cited 2023 Sep 3];211–6. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-35819338
Larsh TR, Wu SW, Gilbert DL. Comparison of Impairment in Functional Tic Disorders Versus Tourette Syndrome. Pediatr Neurol [Internet]. 2022 [cited 2023 Sep 3];83–4. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-35843129
Tourettes Disorder [Internet]. Johns Hopkins Medicine. 2020. Available from: https://www.hopkinsmedicine.org/health/conditions-and-diseases/tourettes-disorder
Paulus T, Bäumer T, Verrel J, Weissbach A, Roessner V, Beste C, Münchau A. Pandemic Tic‐like Behaviors Following Social Media Consumption. Movement Disorders. 2021 Sep 24. Available from: https://pubmed.ncbi.nlm.nih.gov/34558735/
Pringsheim T, Martino D. Rapid onset of functional tic‐like behaviours in young adults during the COVID‐19 pandemic. European Journal of Neurology. 2021 Aug 4;28(11):3805–8. Available from: https://pubmed.ncbi.nlm.nih.gov/34293224/
Buchholz K. Infographic: The Rapid Rise of TikTok [Internet]. Statista Infographics. 2022. Available from: https://www.statista.com/chart/28412/social-media-users-by-network-amo/
Sha P, Dong X. Research on Adolescents Regarding the Indirect Effect of Depression, Anxiety, and Stress between TikTok Use Disorder and Memory Loss. International Journal of Environmental Research and Public Health [Internet]. 2021 Aug 21;18(16):8820. Available from: https://pubmed.ncbi.nlm.nih.gov/34444569/
Harness J, Getzen H. TikTok’s Sick-Role Subculture and What to Do About It. Journal of the American Academy of Child & Adolescent Psychiatry. 2021 Sep;61(3). Available from: https://pubmed.ncbi.nlm.nih.gov/34534625/
Montag C, Yang H, Elhai JD. On the Psychology of TikTok Use: A First Glimpse From Empirical Findings. Frontiers in Public Health. 2021 Mar 16;9(1). Available from: https://pubmed.ncbi.nlm.nih.gov/33816425/
Andersen K, Jensen I, Okkels KB, Skov L, Debes NM. Clarifying the Differences between Patients with Organic Tics and Functional Tic-Like Behaviors. Healthcare (Basel, Switzerland) [Internet]. 2023 May 19;11(10):1481. Available from: https://pubmed.ncbi.nlm.nih.gov/37239767/
Müller-Vahl KR, Pisarenko A, Jakubovski E, Fremer C. Stop that! It’s not Tourette’s but a new type of mass sociogenic illness. Brain. 2021 Aug 23;145(2). Available from: https://pubmed.ncbi.nlm.nih.gov/34424292/
Ramteke A, Lamture Y. Tics and Tourette Syndrome: A Literature Review of Etiological, Clinical, and Pathophysiological Aspects. Cureus [Internet]. 2022 [cited 2023 Sep 3];e28575–5. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-36185878
Fremer C, Szejko N, Pisarenko A, Haas M, Laudenbach L, Wegener C, Müller-Vahl KR. What distinguishes patients with mass social media-induced illness presenting with Tourette-like behavior from those with Tourette syndrome? Results of a prospective cohort study. 2023 May 20. Available from: https://pubmed.ncbi.nlm.nih.gov/37209130/
Horner O, Hedderly T, Malik O. The changing landscape of childhood tic disorders following COVID-19. Paediatrics and Child Health. 2022 Aug. Available from: https://pubmed.ncbi.nlm.nih.gov/35967969/
Olvera C, Stebbins GT, Goetz CG, Kompoliti K. TikTok Tics: A Pandemic Within a Pandemic. Movement Disorders Clinical Practice. 2021 Aug 9;8(8). Available from: https://pubmed.ncbi.nlm.nih.gov/34765687/
Malaty IA, Anderson S, Bennett SN, Budman CL, Coffey BJ, Coffman KA, Greenberg E, McGuire JF, Müller-Vahl KR, Okun SM, Quezada J, Robichaux-Viehoever A, Black KJ. Diagnosis and Management of Functional Tic-Like Phenomena. Journal of Clinical Medicine. 2022 Oct 31;11(21):6470–0. Available from: https://pubmed.ncbi.nlm.nih.gov/36362696/
Rosenkilde AD, Tinggaard J, Posborg K, Klansø SM, Grejsen J, Aaslet L, Reenberg A, Sørenden CB, Skov L, Debes NM. [Significantly increased incidence of functional tics among children and adolescents]. Ugeskrift for Laeger [Internet]. 2022 Jan 31 [cited 2023 Sep 3];184(5):V06210479. Available from: https://pubmed.ncbi.nlm.nih.gov/35179124/
Berg L, Pringsheim TM, Martino D. Sudden Onset Tic and Tic-Like Presentations in Older Adolescents and Adults. Current Developmental Disorders Reports. 2022 Nov 16;9(4):146–55. Available from: https://pubmed.ncbi.nlm.nih.gov/36405978/
Baizabal-Carvallo JF, Alonso-Juarez M, Jankovic J. Dystonic motor and phonic tics in Tourette syndrome. Journal of Neurology. 2022 May 14. Available from: https://pubmed.ncbi.nlm.nih.gov/35567613/
Amorelli G, Martino D, Pringsheim T. Rapid Onset Functional Tic-Like Disorder Outbreak: A Challenging Differential Diagnosis in the COVID-19 Pandemic. Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal De l’Academie Canadienne De Psychiatrie De L’enfant Et De L’adolescent [Internet]. 2022 Aug 1 [cited 2023 Sep 3];31(3):144–51. Available from: https://pubmed.ncbi.nlm.nih.gov/35919901/
Set KK, Warner JN. Tourette syndrome in children: An update. Current Problems in Pediatric and Adolescent Health Care. 2021 Jul;51(7):101032. Available from: https://pubmed.ncbi.nlm.nih.gov/34305006/
Trau SP, Quehl L, Tsujimoto THM, Lin FC, Singer HS. Creating a Patient-Based Diagnostic Checklist for Functional Tics During the COVID-19 Pandemic. Neurology: Clinical Practice [Internet]. 2022 Oct 1 [cited 2023 Apr 25];12(5):365–76. Available from: https://pubmed.ncbi.nlm.nih.gov/36380888/
Okkels KB, Skov L, Klansø S, Aaslet L, Grejsen J, Reenberg A, Sørensen CB, Debes NMM. Increased Number of Functional Tics Seen in Danish Adolescents during the COVID-19 Pandemic. Neuropediatrics. 2022 Nov 23;54(02):113–9. Available from: https://pubmed.ncbi.nlm.nih.gov/36417931/
Han VX, Kozlowska K, Kothur K, Lorentzos M, Wong WK, Mohammad SS, Savage B, Chudleigh C, Dale RC. Rapid onset functional tic‐like behaviours in children and adolescents during COVID ‐19: Clinical features, assessment and biopsychosocial treatment approach. Journal of Paediatrics and Child Health. 2022 Mar 5; Available from: https://pubmed.ncbi.nlm.nih.gov/35247213/
Hull M, Parnes M. Tics and TikTok: Functional Tics Spread Through Social Media. Mov Disord Clin Pract [Internet]. 2021 [cited 2023 Sep 3];1248–52. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-34765689
Bozzola E, Spina G, Agostiniani R, Barni S, Russo R, Scarpato E, Mauro AD, Stefano AVD, Caruso C, Corsello G, Staiano A. The Use of Social Media in Children and Adolescents: Scoping Review on the Potential Risks. International Journal of Environmental Research and Public Health [Internet]. 2022 Aug 12;19(16):9960. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9407706/
Chochol MD, Gandhi K, Elmaghraby R, Croarkin PE. Harnessing Youth’s Engagement With Mental Health TikTok and Its Potential as a Public Health Tool. Journal of the American Academy of Child & Adolescent Psychiatry. 2023 Feb. Available from: https://pubmed.ncbi.nlm.nih.gov/36773699/
Pretorius C, McCashin D, Coyle D. Mental health professionals as influencers on TikTok and Instagram: What role do they play in mental health literacy and help-seeking? Internet Interventions. 2022 Nov;30:100591. Available from: https://pubmed.ncbi.nlm.nih.gov/36458161/
Gjoneska B, Potenza MN, Jones J, Corazza O, Hall N, Sales CMD, Grünblatt E, Martinotti G, Burkauskas J, Werling AN, Walitza S, Zohar J, Menchón JM, Király O, Chamberlain SR, Fineberg NA, Demetrovics Z. Problematic use of the internet during the COVID-19 pandemic: Good practices and mental health recommendations. Comprehensive Psychiatry. 2022 Jan;112:152279. Available from: https://pubmed.ncbi.nlm.nih.gov/34700188/
Firestone MJ, Holzbauer S, Conelea C, Danila R, Smith K, Bitsko RH, Klammer SM, Gingerich S, Lynfield R. Rapid onset of functional tic-like behaviors among adolescent girls-Minnesota, September-November 2021. Frontiers in Neurology [Internet]. 2022 [cited 2023 Sep 3];13:1063261. Available from: https://pubmed.ncbi.nlm.nih.gov/36742058/
Nesi J. The Impact of Social Media on Youth Mental Health: Challenges and Opportunities. North Carolina Medical Journal. 2020 Mar 1;81(2):116–21. Available from: https://pubmed.ncbi.nlm.nih.gov/32132255/
Martindale JM, Mink JW. The Rise of Functional Tic-Like Behaviors: What Do the COVID-19 Pandemic and Social Media Have to Do With It? A Narrative Review. Front Pediatr [Internet]. 2022 [cited 2023 Sep 3];863919–9. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-35899132
Forsyth RJ. Tics, TikTok and COVID-19. Arch dis child [Internet]. 2021 [cited 2023 Sep 3]; Available from: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-33712433
Ganos C. Tics and Tic‐like Phenomena—Old Questions on a Grand New Scale Invited Editorial on TikTok and Tics. Movement Disorders Clinical Practice. 2021 Nov;8(8):1198–9. Available from: https://pubmed.ncbi.nlm.nih.gov/34765686/
McCashin D, Murphy CM. Using TikTok for public and youth mental health - A systematic review and content analysis. Clin Child Psychol Psychiatry [Internet]. 2022 [cited 2023 Sep 3];13591045221106608–13591045221106608. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-35689365
Neto J de SP, Santos IM dos, Mota MP. TikTok: Qual o Impacto do Crescimento da Plataforma? [Internet]. sol.sbc.org.br. SBC; 2022. p. 56–62. Available from: https://sol.sbc.org.br/index.php/waihcws/article/view/22576
Orenstein GA, Lewis L. Eriksons Stages of Psychosocial Development [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2020. Available from: https://pubmed.ncbi.nlm.nih.gov/32310556/
Gunderman RB. Psychology and ethics: Erik Erikson. Pediatric Radiology. 2022 May 11;52(8). Available from: https://pubmed.ncbi.nlm.nih.gov/35543745/
Darling-Fisher CS. Application of the Modified Erikson Psychosocial Stage Inventory: 25 Years in Review. Western Journal of Nursing Research. 2019 Apr 20;41(3):431–58. Available from: https://pubmed.ncbi.nlm.nih.gov/29676219/
Nilles C, Pringsheim TM, Martino D. The recent surge of functional movement disorders: social distress or greater awareness? Current Opinion in Neurology. 2022 Jul 5;35(4):485–93. https://pubmed.ncbi.nlm.nih.gov/35787596/
Buts S, Duncan M, Owen T, Martino D, Pringsheim T, Byrne S, McWilliams A, Murphy T, Malik O, Liang H, Heyman I, Hedderly T. Paediatric tic-like presentations during the COVID-19 pandemic. Archives of Disease in Childhood. 2021 Nov 25;107(3):e17–7. Available from: https://adc.bmj.com/content/107/3/e17
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2025 Sarah Giovanna Rodrigues Gonçalves, Samara Gabryela Rodrigues Gonçalves, Nayara da Silva Galdino, Letícia Uinatanny Silva Bessa , Yasmin Cruvinel Vieira de Miranda , Bruna de Jesus Carneiro , Sophia Junqueira Araújo, Victorya Kathleen França Silva , Vitória Sales Ambrósio
