Symptom profile of catatonia in children and adolescents admitted to psychiatry inpatient unit

Grover, Sandeep; Chauhan, Nidhi; Sharma, Akhilesh; Chakrabarti, Subho

doi:10.1016/j.ajp.2017.04.016

Cited by 12 publications

(17 citation statements)

References 25 publications

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“…This diagnostic distribution has similarities with descriptions from prior pediatric catatonia literature. For instance, in a retrospective study of 52 child and adolescent psychiatric inpatients diagnosed with catatonia (mean age 16.8 years), psychotic disorders were diagnosed in 78.8%, affective disorders in 9.6%, and general medical illnesses (including epilepsy and systemic lupus erythematosus) in 15.4% (24). Similarly, a prospective series of 58 child and adolescent psychiatric inpatients diagnosed with catatonia (mean age 15.0) found schizophrenia as the main diagnosis in 55.2%, major depression in 31.0%, and mania in 10.3% of patients (17).…”

Section: Discussionmentioning

confidence: 99%

The Incidence of Catatonia Diagnosis Among Pediatric Patients Discharged From General Hospitals in the United States: A Kids' Inpatient Database Study

et al. 2022

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ObjectiveCatatonia is a neuropsychiatric condition occurring across the age spectrum and associated with great morbidity and mortality. While prospective cohorts have investigated catatonia incidence among psychiatric patients, no studies have comprehensively explored the incidence of catatonia in general hospitals. We examine the incidence of catatonia diagnosis, demographics of catatonia patients, comorbidities, and inpatient procedures utilized among pediatric patients hospitalized with catatonia in the United States.MethodsThe Kids' Inpatient Database, a national all-payors sample of pediatric hospitalizations in general hospitals, was examined for the year 2019. Hospitalizations with a discharge diagnosis of catatonia were included in the analysis. Hospitalizations with catatonia as the primary discharge diagnosis were compared to hospitalizations with catatonia as a secondary discharge diagnosis.ResultsA total of 900 (95% CI: 850–949) pediatric discharges (291 with catatonia as a primary diagnosis, 609 with catatonia as a secondary diagnosis) occurred during the study year. Mean age was 15.6 ± 2.6 years, and 9.9% were under age 13. Comorbidities were common among patients with catatonia, with psychotic disorders (165; 18.3%), major depressive disorder (69; 7.7%), bipolar disorder (39; 4.3%) and substance-related disorders (20; 2.2%) as the most common primary diagnoses. There was significant comorbidity with neurologic illness, developmental disorders, autism spectrum disorder, and inflammatory conditions. In total 390 catatonia discharges (43.3%) included at least one procedure during admission.Conclusionscatatonia is rarely diagnosed in pediatric patients in general hospitals but is associated with significant and severe psychiatric and medical comorbidities. Further research is needed into the optimal diagnosis, workup, and treatment of catatonia in pediatric patients.

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Section: Discussionmentioning

confidence: 99%

The Incidence of Catatonia Diagnosis Among Pediatric Patients Discharged From General Hospitals in the United States: A Kids' Inpatient Database Study

et al. 2022

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“…It is considered to be rare among children and young people, with prevalence among hospitalised patients estimated between 0.6% and 17%,8 but general population prevalence is unknown. Common symptoms of catatonia among children and young people include mutism (90.45%), immobility (75%), negativism (57.7%) and posturing (53.85) 9. Regression in functioning is also commonly seen.…”

Section: Clinical Progress On the Psychiatric Wardmentioning

confidence: 99%

Catatonic conundrum

Paterson-Brown

Scally

Imeson

et al. 2022

Arch Dis Child Educ Pract Ed

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Differentiating between physical and psychological causes of confusion and psychosis poses a significant challenge to clinicians across all disciplines of medicine. This case report explores the clinical presentation and diagnostic journey of an adolescent girl. She presented to the emergency department with acutely altered behaviour and went on to re-present on multiple occasions over the following months with symptoms suggestive of psychosis. The team faced diagnostic difficulty differentiating between organic and non-organic causes of altered behaviour and mental state. This article explores the challenge faced by the team during the assessment and diagnosis of this patient.

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“…disCussion Catatonia refers to a state of high inhibition of mental activity and always maintains a fixed posture. 2 It has unconscious disturbance and a variety of reflex preservation. Some scholars reported that the onset of catatonia may be related to neuronal dysfunction in the frontal lobe.…”

Section: General Psychiatrymentioning

confidence: 99%

Case of catatonia misdiagnosed with coma

Chen

Shaohua

2020

Gen Psych

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Catatonia is a state of high-degree psychomotor inhibition in which patients often maintain a constant fixed posture, and generally have unconscious obstacles and various reflex preservation. Patients suffering from severe catatonia will become stiff. Catatonia generally manifests unconsciousness while various reflexes are preserved. Patients show reticence, no food or drink intake, and immobility as signs of complete suppression of speech and movement, and even incontinence. Patients are often first diagnosed in non-psychiatric departments and are more likely to be misdiagnosed as having ‘coma’ or ‘epilepsy’, thus delaying treatment. This article reports a case of a 19-year-old female patient who was misdiagnosed with ‘catatonia’. A month ago, she was admitted to a general hospital of our city because of “intermittent attacks of nausea, vomiting, stupor for 15 years, with one week of exacerbation”. During her hospitalisation, she suddenly appeared was mute, had no food or drink intake, and showed immobility and incontinence, presenting a ‘coma state’. She was transferred to a general hospital in Wuhan to further investigate the cause of her “coma”. After 7 days in the hospital, no abnormal examination results were found and the symptoms were not alleviated. Later, she was transferred to the mental health centre for hospitalisation in this city. The patient was diagnosed as having (1) ‘epileptic psychosis’ and (2) ‘catatonic stupor’. After 3 days of treatment, the patient's recovered consciousness. She was clinically cured and discharged half a month later. We hereby report this case.

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Symptom profile of catatonia in children and adolescents admitted to psychiatry inpatient unit

Cited by 12 publications

References 25 publications

The Incidence of Catatonia Diagnosis Among Pediatric Patients Discharged From General Hospitals in the United States: A Kids' Inpatient Database Study

The Incidence of Catatonia Diagnosis Among Pediatric Patients Discharged From General Hospitals in the United States: A Kids' Inpatient Database Study

Catatonic conundrum

Case of catatonia misdiagnosed with coma

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