Association between COVID-19 and catatonia manifestation in two adolescents in Central Asia: Incidental findings or cause for alarm?

Kopishinskaia, Svetlana; Cumming, Paul; Karpukhina, Svetlana; Velichko, I. A.; Raskulova, Galiya; Zheksembaeva, Nazerke; Tlemisova, Dina; Morozov, Petr; Fountoulakis, Konstantinos Ν.; Smirnova, Daria

doi:10.1016/j.ajp.2021.102761

Cited by 10 publications

(9 citation statements)

References 14 publications

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“…The complex clinical picture and frequency of psychiatric syndromes in patients with current SARS-CoV-2 infection remain poorly understood ( 15 , 16 ). A few studies present case reports of rare psychiatric conditions ( 17 , 18 ). Some data were published about the existence of neurological disturbances in hospitalized patients with COVID-19 ( 19 – 21 ).…”

Section: Introductionmentioning

confidence: 99%

Mental State of Inpatients With COVID-19: A Computational Psychiatry Approach

et al. 2022

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BackgroundThe overload of healthcare systems around the world and the danger of infection have limited the ability of researchers to obtain sufficient and reliable data on psychopathology in hospitalized patients with coronavirus disease 2019 (COVID-19). The relationship between severe acute respiratory syndrome with the coronavirus 2 (SARS-CoV-2) infection and specific mental disturbances remains poorly understood.AimTo reveal the possibility of identifying the typology and frequency of psychiatric syndromes associated with acute COVID-19 using cluster analysis of discrete psychopathological phenomena.Materials and MethodsDescriptive data on the mental state of 55 inpatients with COVID-19 were obtained by young-career physicians. Classification of observed clinical phenomena was performed with k-means cluster analysis of variables coded from the main psychopathological symptoms. Dispersion analysis with p level 0.05 was used to reveal the clusters differences in demography, parameters of inflammation, and respiration function collected on the basis of the original medical records.ResultsThree resulting clusters of patients were identified: (1) persons with anxiety; disorders of fluency and tempo of thinking, mood, attention, and motor-volitional sphere; reduced insight; and pessimistic plans for the future (n = 11); (2) persons without psychopathology (n = 37); and (3) persons with disorientation; disorders of memory, attention, fluency, and tempo of thinking; and reduced insight (n = 7). The development of a certain type of impaired mental state was specifically associated with the following: age, lung lesions according to computed tomography, saturation, respiratory rate, C-reactive protein level, and platelet count.ConclusionAnxiety and/or mood disturbances with psychomotor retardation as well as symptoms of impaired consciousness, memory, and insight may be considered as neuropsychiatric manifestations of COVID-19 and should be used for clinical risk assessment.

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Section: Introductionmentioning

confidence: 99%

Mental State of Inpatients With COVID-19: A Computational Psychiatry Approach

et al. 2022

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“…W pierwszej kolejności należy rozpatrywać COVID-19. W piśmiennictwie udało się znaleźć 12 pozycji opisujących współwystępowanie zakażenia wirusem SARS--CoV-2 oraz zespołu katatonicznego [12][13][14][15][16][17][18][19][20][21][22][23]. Niemniej jednak większość opisuje osoby powyżej 40. roku życia [12,13,[15][16][17][18][19][21][22][23] z wcześniejszą historią hospitalizacji psychiatrycznych, najczęściej z już zdiagnozowaną chorobą psychiczną lub niepełnosprawnością intelektualną [13, 17-19, 21, 22].…”

Section: Dyskusjaunclassified

“…Symptomy z zakresu zespołu katatonicznego rozwinęły się podczas tejże hospitalizacji. Autorzy pomijają jednak konieczność leczenia pacjenta lekami z grupy benzodiazepin, a także nie dokonali oceny występujących objawów w jakiejkolwiek skali, która mogłaby potwierdzić katatonię [20].…”

Section: Dyskusjaunclassified

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Catatonic syndrome during COVID-19 - a case study

Florek¹,

Sołtys²,

Bielówka³

et al. 2023

Psychiatr Pol

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Katatonia jest stanem neuropsychiatrycznym obejmującym jakościowe zaburzenia psychomotoryczne i wolicjonalne. Jako jednostka nozologiczna została ujęta w międzynarodowych klasyfikacjach chorób - ICD-10 i DSM-5, jednak kryteria diagnostyczne znacznie różnią się pomiędzy tymi klasyfikacjami. COVID-19 jest chorobą zakaźną obejmującą przede wszystkim układ oddechowy, czasami również inne narządy. W literaturze istnieją pojedyncze doniesienia dotyczące współistnienia COVID-19 z katatonią. Opisywany przypadek dotyczy młodego mężczyzny, który trafił do szpitala z objawami ostrego zaburzenia psychotycznego. W trakcie diagnostyki rozpoznano zakażenie wirusem SARS-CoV-2, a następnie rozwinęła się u niego pełnoobjawowa katatonia. Etiologia tych zaburzeń pozostaje niejasna do dnia dzisiejszego. Leczenie natomiast było wysoce skomplikowane z uwagi na konieczność stosowania dużych dawek leków z grupy benzodiazepin działających depresyjnie na ośrodek oddechowy i mogących tym samym pogorszyć przebieg COVID-19. Przypadek ten skłania do rozważań nad umieszczeniem zespołu katatonicznego w międzynarodowych klasyfikacjach, potencjalnymi przyczynami jego wystąpienia u omawianego pacjenta oraz prawidłowego i bezpiecznego leczenia zaburzeń katatonicznych współwystępujących z infekcją COVID-19.

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“…Furthermore, the general population experienced exacerbated anxiety, with additional symptoms of depression, psychosis, panic attacks, trauma and suicidal ideation that seemed to exceed the experience in the previous SARS and MERS outbreaks ( 27 ). There were case reports of unusual neuropsychiatric manifestations like catatonia ( 28 ), but results regarding the rates of suicide behavior, attempts, ideation, and self-harm during the COVID-19 pandemic have varied and have been inconclusive ( 18 , 29 ). The dramatic societal changes, serious environmental incidents, and a rise in family violence have been registered among the most influential factors highly correlated with the suicide risks during the period and after the COVID-19 total lockdown ( 30 – 32 ).…”

Section: Introductionmentioning

confidence: 99%

Suicidality Related to the COVID-19 Lockdown in Romania: Structural Equation Modeling

Panfil¹,

Lungeanu

Tamasan³

et al. 2022

Front. Psychiatry

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BackgroundSuicidality is a serious public health concern at a global scale. Suicide itself is considered to be preventable death; worldwide, suicide rates and their trends are under constant scrutiny. As part of the international COMET-G cross-sectional study, we conducted a national level investigation to examine the individual disturbances (such as anxiety, depression, or history of life-threatening attempts) and contextual factors (such as adherence to conspiracy theories or Internet use) associated with suicidality related to the COVID-19 lockdown in a lot of Romanian adults.Participants and MethodsOne thousand four hundred and forty-six adults responded to an anonymous on-line questionnaire, with mean age ± standard deviation of 47.03 ± 14.21 years (1,142 females, 292 males, 12 identified themselves as non-binary). Data were analyzed using descriptive statistics and structural equation modeling (SEM).ResultsUnivariate analysis showed strong significant correlation between anxiety and depression scorings among the respondents (Spearman R = 0.776, p < 0.001). Both the suicidality scorings and the Internet use correlated fairly with anxiety and depression, with two-by-two Spearman coefficients between R = 0.334 and R = 0.370 (p < 0.001 for each). SEM analysis substantiated the emotional disturbances, previous life-threatening attempts, and younger age as significant predictors for suicidality. The patterns of reality reading (including religious inquiries, Internet use, and beliefs in conspiracy theories) did not reach the statistical significance as influential factors in the suicidality of these respondents. There was no covariance between the Internet use and belief in conspiracy theories.ConclusionThe study confirmed the suicidality risk initially hypothesized as being associated with the history of life-threatening attempts, increased depression within the younger population, and higher anxiety during the first year of the COVID-19 pandemic and its related lockdown. National strategies for effective interventions at various levels of the healthcare system should be developed.

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Association between COVID-19 and catatonia manifestation in two adolescents in Central Asia: Incidental findings or cause for alarm?

Cited by 10 publications

References 14 publications

Mental State of Inpatients With COVID-19: A Computational Psychiatry Approach

Mental State of Inpatients With COVID-19: A Computational Psychiatry Approach

Catatonic syndrome during COVID-19 - a case study

Suicidality Related to the COVID-19 Lockdown in Romania: Structural Equation Modeling

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