Prevalence and clinical correlations of catatonia in older adults referred to a liaison psychiatry service in a general hospital

Jaimes-Albornoz, Walter; Serra-Mestres, Jordi

doi:10.1016/j.genhosppsych.2013.04.009

Cited by 60 publications

(67 citation statements)

References 17 publications

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“…Catatonia is a neuropsychiatric syndrome characterized by abnormalities of movement, speech, functional skills and behavior and most commonly associated with mood disorders, psychotic disorders, ASD or other medical conditions, in the absence of psychiatric illness (34)(35)(36)(37). Its historical association with schizophrenia is now widely regarded as an erroneous tradition, and has been revised in the most recent version of the Diagnostic and Statistical Manual (DSM) for psychiatric disorders, 5 th edition (38).…”

Section: Discussionmentioning

confidence: 99%

Psychosis and catatonia in fragile X: Case report and literature review

Winarni

Schneider

Ghaziuddin

et al. 2015

IRDR

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Section: Discussionmentioning

confidence: 99%

Psychosis and catatonia in fragile X: Case report and literature review

Winarni

Schneider

Ghaziuddin

et al. 2015

IRDR

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“…The prevalence of catatonia is unknown. In acute medical settings, prevalence numbers range from 1.6% 14,15 to 6.3% 16 and although conditions associated with catatonia vary with the clinical setting, it is estimated that 1 in 4 patients with catatonia has it due to a general medical condition (Diagnostic and Statistical Manual of Mental Disorders-5 criteria). 17 The majority of medical catatonia appears to be due to neurological disease.…”

Section: Primary and Secondary Catatonia Epidemiologymentioning

confidence: 99%

Catatonia secondary to anti-N-methyl-D-aspartate receptor (NMDAr) encephalitis: a review

Macedo

Marques

2019

CNS Spectr.

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Anti-N-methyl-D-aspartate receptor (NMDAr) encephalitis is a relatively recent autoimmune entity, as it was first described in 2007. Given that it is a condition with neuropsychiatric symptoms, its initial symptom is frequently psychiatric in nature. Hence, psychiatrists are often the first physicians to assess these patients and, as so, must recognize this type of encephalitis as a possible cause. Catatonia may be inaugural or develop throughout the course of the disease. Management of patients with anti-NMDAr encephalitis is based on etiologic treatment with immunotherapy and removal of the associated tumor, if any. However, these catatonic patients may have variable responses to etiologic treatment, sometimes with refractory catatonic symptoms, which attests to the necessary urgency to know how to manage these patients. In the clinical setting, physicians appear to be using guidelines originally created to the management of catatonia due to primary psychiatric conditions. In this literature review, catatonia was historically contextualized and anti-NMDAr encephalitis overall described. Finally, catatonia secondary to this type of encephalitis was discussed.

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“…The authors suggested that catatonia may be a subtype of delirium . Further data from the literature in the form of case reports also suggest that delirium and catatonia may occur in the same patients concurrently or one may follow the other …”

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confidence: 99%

“…15 Further data from the literature in the form of case reports also suggest that delirium and catatonia may occur in the same patients concurrently or one may follow the other. [16][17][18][19][20] Major changes have been suggested for catatonia in DSM-5 to reduce under-recognition of this condition. According to the DSM-5 criteria, three out of the 12 criteria are required for the diagnosis of catatonia.…”

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confidence: 99%

Do patients of delirium have catatonic features? An exploratory study

Grover

Ghosh

Ghormode

2014

Psychiatry Clin Neurosci

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Aim The aim of this study was to determine the prevalence of catatonic symptoms, as per the Bush Francis Catatonia Rating Scale (BFCRS), in patients with delirium and to evaluate the prevalence of catatonia as defined by the Bush Francis Catatonia Screening Instrument and DSM‐5 criteria in patients with delirium. Method Two hundred five consecutive subjects with delirium were assessed on the Delirium Rating Scale‐Revised 98 version, the amended Delirium Motor Symptom Scale and the BFCRS. Results On the BFCRS, two‐fifths (n = 80; 39%) of the study participants had two or more catatonic symptoms. When the diagnosis of catatonic syndrome was considered, 32% and 12.7% were observed to have catatonia as per the Bush Francis Catatonia Screening Instrument and proposed DSM‐5 criteria, respectively. Delirium with catatonic syndrome was more common in women and in those who had onset of delirium prior to hospitalization. Amongst the delirium subtypes, hypoactive delirium was more commonly associated with catatonic syndrome. Conclusion The present study suggests that a substantial number of patients with delirium have catatonic symptoms and a significant proportion have catatonic syndrome. This high prevalence makes the concurrent diagnosis of delirium and catatonia plausible. The association of catatonia with a specific motor subtype of delirium could encourage the expansion or even modification of the existing subtypes of delirium.

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Prevalence and clinical correlations of catatonia in older adults referred to a liaison psychiatry service in a general hospital

Cited by 60 publications

References 17 publications

Psychosis and catatonia in fragile X: Case report and literature review

Psychosis and catatonia in fragile X: Case report and literature review

Catatonia secondary to anti-N-methyl-D-aspartate receptor (NMDAr) encephalitis: a review

Do patients of delirium have catatonic features? An exploratory study

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