Sudden Behavioral Changes in the Classroom: What Educators Need to Know about PANDAS and PANS

Doran, Patricia Rice

doi:10.1177/107429561502400106

Cited by 4 publications

(6 citation statements)

References 13 publications

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“…Various OCD symptoms may arise after GAS infection 12 , and PANDAS may account for up to 25% of all pediatric OCD cases 13 . A 10-year-old boy presented with decreasing school performance 14 . The present case had manifestations of loud shouting and obsessions with contamination and religion.…”

Section: Discussionmentioning

confidence: 99%

A Possible Variant of PANDAS: Dystonic Subtype

Bayazıt¹,

Kılıçaslan²

2018

MMJ

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Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) is characterized as exacerbation of obsessive-compulsive disorder and/or tic disorder secondary to streptococcal infections. Recently accumulated data suggest that PANDAS have some variants such as myoclonic type, adult onset type, infantile-onset type and dystonic type. In this report, we present a 17 year-old patient who was treated with antidepressant and antipsychotic medicine for a long time until the diagnosis of late-onset PANDAS dystonic variant was made.

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Section: Discussionmentioning

confidence: 99%

A Possible Variant of PANDAS: Dystonic Subtype

Bayazıt¹,

Kılıçaslan²

2018

MMJ

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“…In response to the multidimensional needs that students with PANDAS and PANS often exhibit, a number of interdisciplinary centers of excellence have been established at universities around the country, including Stanford (Lucille Packard Hospital), Harvard (Massachusetts General), and University of Arizona (Steele Center). The multifaceted medical needs of students with PANDAS and PANS often have significant impact on attendance, service delivery, and academic performance in the school setting (Hoppin, 2016;Rice Doran, 2016a), as is discussed more fully in the following sections.…”

Section: Impact On the Student And Outcomesmentioning

confidence: 99%

“…PANDAS and PANS may affect the child's peer relationships and result in decreased socialization due to reduced school attendance (Rice Doran & O'Hanlon, 2015). Additionally, peers may not be aware of, or understand, the child's diagnosis or needs (Rice Doran, 2016b). Children with PANDAS/PANS may experience depression and/or emotional lability, causing exaggerated changes in their mood and expressions of intense emotions or feelings (e.g., uncontrollable laughing or crying, heightened irritability or temper), often at inappropriate times (Swedo et al, 2012).…”

Section: Social-emotional and Behavioralmentioning

confidence: 99%

“…School personnel should work to create safe, supportive, and responsive classroom environments where expectations are clear, and flexible options are provided for assignments and activities (Hoppin, 2016). Parents of students with PANDAS/PANS have reported their children benefit from extended time for in-class assignments as well as flexible deadlines (including reduction or elimination of homework during symptomatic periods), writing accommodations (keyboard, laptop, specially designed writing tools, scribe or speech-to-text software, graphic organizers), math accommodations (calculator, manipulatives), frequent breaks, sensory supports (special seating, lighting, fidget tools), adapted or modified tasks, and advanced planning and supports during health-related absences (Candelaria Greene, 2016;Rice Doran, 2016a;Rice Doran & O'Hanlon, 2015).…”

Section: Cognitive/academicmentioning

confidence: 99%

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Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome.

Hoppin¹,

Doran²

2023

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I n the mid-1990s, researchers at the National Institute of Mental Health (NIMH) identified a link between recent streptococcal infection and the development of neuropsychiatric symptoms such as separation anxiety, tics, behavioral regression, rage, restricted eating, and obsessive-compulsive disorder (OCD;Swedo et al., 1998). ETIOLOGYResearch has found that in pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) and pediatric acute-onset neuropsychiatric syndrome (PANS), exposure to an infection or other agent that activates the immune system creates an immune response that goes awry, causing autoantibodies (or immune cells) to attack brain cells instead (Chang et al., 2015;Platt et al., 2017). The resulting inflammation causes obsessions, compulsions, hallucinations, restricted eating, motor difficulties and tics, behavioral challenges, and other symptoms. PANDAS and PANS typically have a distinct onset (Chang et al., 2015); however, if symptoms are mild at first, parents and clinicians may initially overlook the change in behavior as part of typical development (Rice Doran, 2016b).

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“…The collaboration between the school nurse, guidance counselor, psychologists, and principals is integral for the academic success and health of students (Fleming & Willgerodt, 2017;Stone & Charles, 2018;Tuttle et al, 2018). Doran (2015) discussed the impact that PANDAS has in the educational setting. Caring for students with PANDAS requires knowledge of the condition and identification of behaviors consistent with PANDAS.…”

mentioning

confidence: 99%

Interdisciplinary Collaboration to Care for Students Diagnosed with PANDAS: An Education and Referral Intervention

Boyd

Moyer

Lambert

2022

The Journal of School Nursing

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Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) is an autoimmune disorder associated with sudden onset of behavior changes. The prevalence of PANDAS is increasing in schools and interdisciplinary collaboration, knowledge, and the use of referrals to the school nurse are important for supporting students. This project sought to provide education on PANDAS to the interdisciplinary school team and implement a referral process for students exhibiting behavior changes. A self-directed online educational intervention was employed. A pretest-posttest design was utilized to assess knowledge before, immediately after, and six-weeks after the educational intervention. A referral log was implemented to track the number of referrals to the school nurse. The final sample size included 19 participants. Mean scores increased from pretest to posttest, and the implementation of a referral system produced 12 new school nurse referrals. Further strategies are needed to enhance interdisciplinary collaboration and support students experiencing health-related issues.

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Sudden Behavioral Changes in the Classroom: What Educators Need to Know about PANDAS and PANS

Cited by 4 publications

References 13 publications

A Possible Variant of PANDAS: Dystonic Subtype

A Possible Variant of PANDAS: Dystonic Subtype

Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome.

Interdisciplinary Collaboration to Care for Students Diagnosed with PANDAS: An Education and Referral Intervention

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