Prevalence and characteristics of catatonia on admission to an acute geriatric psychiatry ward

Cuevas‐Esteban, Jorge; Iglesias-González, María; Rubio-Valera, María; Serra-Mestres, Jordi; Serrano‐Blanco, Antoni; Baladón, Luisa

doi:10.1016/j.pnpbp.2017.05.013

Cited by 26 publications

(43 citation statements)

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“…The study population, prevalence, and characteristics of catatonia, and design have been described in detail elsewhere. 24 Ethics approval was obtained from the Sant Joan de Déu Foundation Ethics Board. Patients (or legal guardians in the case of legally incapacitated patients) signed a written informed consent.…”

Section: Aims Of the Studymentioning

confidence: 99%

Catatonia in elderly psychiatric inpatients is not always associated with intense anxiety: Factor analysis and correlation with psychopathology

Cuevas‐Esteban

Iglesias-González

Serra-Mestres

et al. 2020

Int J Geriat Psychiatry

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Objective: Catatonic stupor has been linked to extreme fear. Whether the underlying phenomenology of every catatonic dimension is intense anxiety or fear remains unknown. Methods: One hundred and six patients aged ≥64 years were assessed for catatonia and clinical variables during the first 24 hours of admission. Two-sample t test were used to test for group differences. A principal component analysis was developed. Analysis of variance was performed to assess for differences in the diagnostic groups. Correlation coefficients were used to examine the association between catatonic dimensions and psychopathological variables. Results: There were statistically significant differences between catatonic and noncatatonic patients in the Hamilton and NPI scores. The three factor-model accounted for 52.23% of the variance. Factor 1 loaded on items concerned with "excitement," factor 2 on "inhibition" items, and factor 3 on "parakinetic" items. There was a significant effect for factor 1 (F [5.36] = 2.83, P = .02), and not significant for factor 2 and factor 3. Compared with patients with depression, patients with mania scored significantly higher on factor "excitement" (P < .05). Factor 2 showed a moderate correlation with Hamilton total score (r = .346, P = .031) and Hamilton psychic score (r = .380, P = .017). Conclusions: Catatonic patients experienced more anxiety and hyperactivity. A three-factor solution provided best fit for catatonic symptoms. Patients with mania scored highest on Excitement, patients with depression on Inhibition, and patients with schizophrenia on Parakinetic. The main finding in this study was a positive moderate correlation between the Hamilton psychic score and the Inhibition factor score, meaning that not every catatonic dimension is associated to intense anxiety.

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Section: Aims Of the Studymentioning

confidence: 99%

Catatonia in elderly psychiatric inpatients is not always associated with intense anxiety: Factor analysis and correlation with psychopathology

Cuevas‐Esteban

Iglesias-González

Serra-Mestres

et al. 2020

Int J Geriat Psychiatry

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“…Although prevalent, potentially fatal, and often treatable, catatonia remains a “forgotten syndrome;” given the long standing historical association between catatonia and the “catatonic subtype” of schizophrenia—it may be particularly unappreciated in patients with mood disorders. The paucity of literature on speech catatonia means that catatonia is even more likely to be overlooked in patients presenting with verbal symptoms, despite the inclusion of verbigeration on most major catatonia scales, as well as recent work suggesting that verbigeration might be one of the most common presenting symptoms of catatonia in geriatric populations . The cause for this is manifold.…”

Section: Discussionmentioning

confidence: 99%

Verbigeration: An overlooked symptom of a “forgotten syndrome”?

et al. 2017

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“…В последние десятилетия отказ от трактовки проявлений кататонии исключительно в психопатологическом пространстве эндогенно-процессуальной патологии повлек за собой появление целого ряда публикаций [35][36][37], авторы которых полагают, что кататонические симптомокомплексы превалируют среди пациентов с аффективной патологией, в сравнении с больными шизофренией и расстройствами шизофренического спектра (РШС).…”

Section: кататония в психопатологическом пространстве аффективных нарunclassified

“…Кроме того, по мнению ряда авторов [37,43,[45][46][47][48], обсуждаемые противоречия в результатах исследований могут быть обусловлены различиями в используемых методах психометрической диагностики, дизайне исследований и возрастных особенностях клинической выборки.…”

Section: кататония в психопатологическом пространстве аффективных нарunclassified

“…Так, среди зарубежных авторов до сих пор не существует единого мнения относительно предпочтительного диагностического инструмента для верификации кататонических феноменов. К примеру, J. Cuevas-Esteban [37], исследовавший проявления кататонии у пожилых людей, обнаружил, что при обследовании пациентов на основании критериев шкалы Bush-Francis Catatonia Rating Scale (BFCRS) (14-факторная скрининговая шкала, определяющая наличие или отсутствие кататонических явлений) [49] кататония наиболее часто выявляется у пациентов с гипотимией и психическими расстройствами, протекающими с помрачением сознания (в частности, делириозным). Однако при использовании критериев, предложенных M. Fink и M. Taylor [43] 4 или указанных в DSM-5, результаты оказались иными -наиболее часто кататония сопровождала маниакальный синдром и делирий.…”

Section: кататония в психопатологическом пространстве аффективных нарunclassified

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Nosological Dilemma and Clinical Polymorphism of the Catatonia Phenomenon

Borisova

2020

Psychiatry

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Objective: to provide the description of researchers’ views evolution and provide the review of modern scientific literature on nosological affiliation and clinical features of catatonia. Material and methods: Scopus, PubMed, Cochrane Library, eLIBRARY databases were searched for literature (44 000 papers) using the keyword ‘catatonia‘. Based on the selection criteria, the search has been found the clinical cases, cohort and random studies, dedicated to psychopathologic description of catatonia, accompanied by affective disorders, autism and hysteria. 50 papers issued between 2000 and 2020 were selected for the analysis. Conclusions: catatonia, traditionally treated as a symptom of schizophrenia, currently is predominantly interpreted as a “transnosological syndrome”, which accompanies various (both mental and somatic) diseases. The clinical manifestations of catatonia in affective disorders, autism and hysteria have their own distinctive features, also the presence of catatonic symptoms is associated with a greater severity of the underlying disease, low quality of remissions, which explains why the experts are wary of the endogenic factors.

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Prevalence and characteristics of catatonia on admission to an acute geriatric psychiatry ward

Cited by 26 publications

References 38 publications

Catatonia in elderly psychiatric inpatients is not always associated with intense anxiety: Factor analysis and correlation with psychopathology

Catatonia in elderly psychiatric inpatients is not always associated with intense anxiety: Factor analysis and correlation with psychopathology

Verbigeration: An overlooked symptom of a “forgotten syndrome”?

Nosological Dilemma and Clinical Polymorphism of the Catatonia Phenomenon

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