Case Report: Catatonia Associated With Post-traumatic Stress Disorder

Ahmed, Gellan K.; Elbeh, Khaled; Karim, Ahmed A.; Khedr, Eman M.

doi:10.3389/fpsyt.2021.740436

Cited by 11 publications

(7 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Additionally, post-traumatic stress disorder was diagnosed in 58 patients in this sample (6.4%). Acute trauma has been linked to the development of catatonia (25), with one theory positing catatonia as an exaggerated form of fear response (1,26), but the nature and time course of trauma in these patients is not systematically captured by the KID. This sample likewise demonstrated a high proportion of medical illnesses, with 22.4% diagnosed with conditions including anti-NMDA receptor encephalitis, systemic lupus erythematosus, and epilepsy.…”

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

View full text Add to dashboard Cite

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.

show abstract

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

View full text Add to dashboard Cite

show abstract

“…Ätiologisch diskutiert wird, ob es sich insbesondere bei akinetischen katatonen Symptomen um einen evolutionären Reaktionsmechanismus auf Furchtstimuli handelt, im Sinne eines Erstarrens („Freeze“; [ 12 ]). In der Literatur finden sich ebenfalls Berichte über einen möglichen Zusammenhang zwischen Traumatisierung und dem Auftreten katatoner Symptome, im Sinne einer tonisch-immobilen pathologischen Reaktion auf traumatische Ereignisse [ 13 – 15 ].…”

Section: Einführungunclassified

German version of the Northoff scale for subjective experience in catatonia (NSSC-dv)

Brandt,

Fritze,

Krayem

et al. 2023

Nervenarzt

View full text Add to dashboard Cite

ZusammenfassungPatientInnen mit Katatonie zeigen oft starke motorische, affektive und verhaltensassoziierte Symptome, hinter welchen das subjektive Erleben häufig verborgen bleibt. In dieser Arbeit soll die eigene systematisch-empirische Untersuchung zum subjektiven Erleben katatoner PatientInnen einem deutschsprachigen Publikum vorgestellt werden. Auf Basis aktueller Evidenz und der klinischen Erfahrung der AutorInnen wurde die „Northoff Skala für subjektives Erleben bei Katatonie“ (NSSC) modifiziert, erweitert und validiert. Es handelt sich um einen einfach anwendbaren Selbstauskunftsfragebogen, bestehend aus 26 Items, die das subjektive Erleben der Katatonie in seiner gesamten klinischen Vielfalt erfassen. Insgesamt wurden 46 PatientInnen mit Katatonie gemäß Internationaler Klassifikation der Krankheiten (11. Revision, ICD-11) nach ihren subjektiven Erlebnissen während der akuten Krankheitsphase gefragt. Die NSSC zeigte eine hohe interne Konsistenz (Cronbach’s Alpha = 0,91). Der NSSC-Gesamtscore war signifikant mit der Northoff Catatonia Rating Scale (NCRS; r = 0,43; p < 0,01), dem Gesamtscore der Positive and Negative Syndrome Scale (PANSS; r = 0,30; p < 0,05), der Brief Psychiatric Rating Scale (BPRS; r = 0,33; p < 0,05) sowie mit Trait-Ängstlichkeit (STAI; r = 0,64; p < 0,01) assoziiert, was ihre Validität unterstützt. Eine vorläufige Validierung der NSSC ergab gute psychometrische Eigenschaften. Die NSSC ist ein nützliches Instrument für den klinischen Alltag zur Beurteilung des subjektiven Erlebens von PatientInnen mit Katatonie, um passende psychotherapeutische Interventionen bereitstellen zu können.

show abstract

“…Catatonia may have many different underlying etiologies including psychological or physical trauma. 40,41 Historically, fear was thought to be the primary psychological factor of catatonia. In the earliest descriptions of catatonia, the patients were thought to be in extreme fright.…”

Section: Casementioning

confidence: 99%

Diagnostic overshadowing clouding the efficient recognition of pediatric catatonia: a case series

Reinfeld

Gill

2022

CNS Spectr.

View full text Add to dashboard Cite

Catatonia is a neuropsychiatric condition that causes disruption of movement, emotion, and behaviors. Children and adults with underlying psychiatric conditions are particularly susceptible to developing catatonia, which may result in medical and psychiatric complications. Although catatonia research has been growing at a rapid rate in the last 20 years, it continues to be met with inefficiencies in its diagnosis and incertitude in its treatment. In the pediatric population, catatonia is plagued by diagnostic overshadowing, where the catatonia is erroneously attributed to existing pathologies that lead to a prolonged disease state. This paper describes three pediatric patients with catatonia that fell victim to diagnostic overshadowing. More rigorous training and education are imperative to improve the efficient recognition and treatment of children with catatonia.

show abstract

Case Report: Catatonia Associated With Post-traumatic Stress Disorder

Cited by 11 publications

References 20 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

German version of the Northoff scale for subjective experience in catatonia (NSSC-dv)

Diagnostic overshadowing clouding the efficient recognition of pediatric catatonia: a case series

Contact Info

Product

Resources

About