학술논문

Impact of movie and video game elements on tic manifestation in children.
Document Type
Academic Journal
Author
Raz G; Steve Tisch School of Film and Television, Faculty of the Arts, Tel Aviv University, Tel Aviv, Israel.; Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.; Sagol Brain Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.; Davidovitch S; Sagol Brain Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.; Halevi M; Sagol Brain Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.; Zuckerman M; David and Yolanda Katz Faculty of the Arts, Tel Aviv University, Tel Aviv, Israel.; Ben-Haim Y; School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel.; Koryto Y; Sagol Brain Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.; Steinberg T; Matta and Harry Freund Neuropsychiatric Tourette Clinic, Department of Child and Adolescent Psychiatry, Schneider Children's Medical Center of Israel, Petach Tikva, Israel.; Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.; Leitner Y; Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.; Child Development Institute, Dana-Dwek Children's Hospital, Tel Aviv Medical Center, Tel Aviv, Israel.; Pediatric Neurology Unit, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.; Rotstein MS; Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.; Child Development Institute, Dana-Dwek Children's Hospital, Tel Aviv Medical Center, Tel Aviv, Israel.; Pediatric Neurology Unit, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Source
Publisher: Wiley Country of Publication: England NLM ID: 9506311 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1468-1331 (Electronic) Linking ISSN: 13515101 NLM ISO Abbreviation: Eur J Neurol Subsets: MEDLINE
Subject
Language
English
Abstract
Background and Purpose: Children in developed countries spend a significant portion of their waking hours engaging with audiovisual content and video games. The impact of media consumption on children's health and well-being has been widely studied, including its effects on tic disorders. Previous studies have shown that tic frequency can both increase and decrease during activities like gaming and television watching, resulting in mixed findings.
Methods: To better understand the impact of audiovisual media on tics, we conducted a fine-grained tic manifestation analysis. We focused on the effects of the impact of a movie scene with suspensful elements and a video game designed to heighten anticipation, thought to stimulate phasic and striatal dopamine release. We closely monitored tic frequency throuhghout these experiences based on moment-to-moment tic annotation. The study included 20 participants (19 males aged 7-16) diagnosed with tic disorders (Yale Global Tic Severity Scale≥8), and we tested the replicability of our findings with an independent group of 36 children (15 females, aged 7-15) with tic disorders.
Results: During film viewing, we observed significant synchronization in the temporal tic patterns of various individuals despite diversity in their tic profiles. Furthermore, employing a video game developed for our study, we found that tic frequency increases during anticipation of a pending reward. This finding was replicated in a second experiment with an independent cohort.
Conclusions: Our results indicate that tic frequency is affected by media elements in the short-term, and call for further investigation of the long-term impacts of exposure to such tic triggers.
(© 2023 The Authors. European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology.)