Schizophrenia with prominent catatonic features: A selective review

Ungvári, Gábor S.; Gerevich, József; Takács, Rozália; Gazdag, Gábor

doi:10.1016/j.schres.2017.08.008

Cited by 12 publications

(8 citation statements)

References 80 publications

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“…Ad (3) Our finding that NCRS total scores are associated with PANSS-N scores in SSD patients suggests that catatonic signs are an intrinsic component of SSD pathophysiology. This finding is well in line with previous studies [14,[54][55][56]. This relationship reflects the daily clinical practice, because it is not always easy to distinguish between the different sensorimotor categories.…”

Section: Discussionsupporting

confidence: 92%

Characterizing the sensorimotor domain in schizophrenia spectrum disorders

Fritze

Sambataro

Kubera

et al. 2021

Eur Arch Psychiatry Clin Neurosci

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The rapidly evolving field of sensorimotor neuroscience reflects the scientific and clinical relevance of sensorimotor abnormalities as an intrinsic component of the disease process, e.g., in patients with schizophrenia spectrum disorders (SSD). Despite previous efforts, however, prevalence rates and relationships between different categories of sensorimotor abnormalities in SSD patients are still subject of ongoing debate. In this study, we examined five different categories of the sensorimotor domain (Neurological soft signs (NSS), parkinsonism, catatonia, akathisia, and tardive dyskinesia) according to well-established clinical ratings scales and the respective cut-off criteria in a sample of 131 SSD patients. We used a collection of statistical methods to better understand prevalence, overlap and heterogeneity, as well as psychopathological and cognitive correlates of sensorimotor abnormalities. 97.7% of the SSD patients considered by this study exhibited at least one categorically defined sensorimotor abnormality that tended to co-vary within three different sensorimotor subgroups (moderate, hyperkinetic and hypokinetic). Finally, hyperkinetic and hypokinetic groups differed significantly in their neurocognitive performance compared with the moderate group. The results suggest different patterns of clinical overlap, highlight the relationship between sensorimotor and cognitive domain and provide clues for further neurobiological studies.

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Section: Discussionsupporting

confidence: 92%

Characterizing the sensorimotor domain in schizophrenia spectrum disorders

Fritze

Sambataro

Kubera

et al. 2021

Eur Arch Psychiatry Clin Neurosci

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“…A report by Singh and Praharaj has also recorded lorazepam to be highly efficacious [15]; hence, there is no fixed rule about its administration in catatonic schizophrenia. Some researchers also suggest a difference in the treatment of acute and chronic types of catatonia [4]. However, Gaind GS et al reported that lorazepam worked efficiently in two mentally retarded brothers, where one suffered from acute catatonia and the other from chronic catatonia [16].…”

Section: Discussionmentioning

confidence: 99%

“…However, the diagnosis remains confined to the clinical assessment rather than being limited to the signs and symptoms mentioned above. Moreover, this variant of schizophrenia has been identified with poor prognosis, mainly due to the higher association with negative symptoms and young age onset [4].…”

Section: Introductionmentioning

confidence: 99%

Catatonic Schizophrenia: Cases with Possible Genetic Predisposition

Tariq

Afridi

Saleem

et al. 2019

Cureus

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Catatonic schizophrenia is defined by catatonia seen either with alternating phases of stupor and motor rigidity or the extreme phase of catatonic excitement. This variant of schizophrenia has been identified with poor prognosis, mainly due to the higher association with negative symptoms and young age onset. In this paper, we illustrate a similar clinical picture of catatonic schizophrenia in two brothers, with no genetic predisposition to schizophrenia and no proximal stressors apart from the aggressive/violent behavior of their elder brother. Case presentation 1 (Patient A): An 18-year-old male from a lower socio-economic class with no previous mental health issues presented to the emergency department with complete mutism, marked psychomotor retardation, posturing along with a refusal to drink or eat, and complete lack of self-care for about two months. The diagnosis of catatonic schizophrenia was made, and the patient was started orally on aripiprazole and lorazepam. On the third day of admission, noticeable changes were observed, and in the following days, he started eating and going to the toilet while still being completely mute. After two weeks on treatment, he started responding with one-word answers. Case presentation 2 (Patient B): The biological brother of patient A, a 30-year-old male, presented on the same day with an identical history of mutism, decreased psychomotor activity, posturing along with a refusal to drink or eat, and lack of self-care for the past few months. The diagnosis of catatonic schizophrenia was made. The patient was started orally on both, olanzapine and lorazepam. He showed a quicker response to treatment with the maintenance of eye contact on the second day of treatment and started giving short answers to questions on the fifth post-admission day. We here discuss a possible genetic predisposition to catatonic schizophrenia and its initial improvement with lorazepam and subsequent treatment with olanzapine proving to be more efficacious than aripiprazole.

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“…There are significantly more women than men in the catatonic cohort when compared to the register schizophrenics, the entire register population, or the Monroe County population (P<0.02) Given the experience of a combination of medical and psychiatric problems by most catatonic patients, it is recommended that psychiatrists and psychiatric nurses assess catatonia symptoms in either medical or psychiatric wards (Daniels 2009). Because of poor conditions of health care organizations and the need for long-term care of these patients, they experience many physical and psychological prob-lems (Ungvari 2018). Considering that adverse effects of physical and psychological problems can lower the quality of life in patients with schizophrenic catatonic disorders, with decreasing and controlling these symptoms their quality of life may somewhat improve.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Catatonic Schizophrenia Symptoms in a Psychiatric Hospital: A Retrospective Study

Setare

Karimian

Shoja

et al. 2019

JCCNC

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Background: Catatonia occurs as a complication of various medical and psychological illnesses that can be treated when diagnosed. Despite the high incidence of catatonia, the problem is poorly recognized. This study aimed at investigating the prevalence of catatonia and related factors in its diagnosis within a five year period in hospitalized patients of Zareh Psychiatric Center, Sari, Iran using computerized archive of records.Methods: It was a descriptive and retrospective study. The records of all patients with mental disorders admitted to Zareh Hospital between 2010 and 2014 were assessed. The data were collected using a demographic questionnaire and the Northoff Catatonia Scale (NCS). Then analyzed by statistical tests of multivariate logistic regression in SPSS-PC V. 20.Results: Only 0.26% (26 per 10000 population) of patients had experienced catatonic schizophrenia during a five year period, including 42.11 men and 57.89 women. The prevalence of catatonic schizophrenia was significantly correlated with gender and age (P<0.05). Of the patients, 68.42% had a history of medication therapy and or hospitalization and 21.5% had a history of physical disorders. There was no significant relationship between the mean score of movement, emotional and behavioral changes with sex, education and age groups (P<0.05). Conclusion:Because many catatonic patients had a combination of medical and psychiatric problems, psychiatrists and psychiatric nurses are suggested to assess catatonia symptoms in both internal and psychiatric wards.

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Schizophrenia with prominent catatonic features: A selective review

Cited by 12 publications

References 80 publications

Characterizing the sensorimotor domain in schizophrenia spectrum disorders

Characterizing the sensorimotor domain in schizophrenia spectrum disorders

Catatonic Schizophrenia: Cases with Possible Genetic Predisposition

Prevalence of Catatonic Schizophrenia Symptoms in a Psychiatric Hospital: A Retrospective Study

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