Catatonia in a Psychiatric Intensive Care Facility: Incidence and Response to Benzodiazepines

Lee, Joseph; Schwartz, Darren; Hallmayer, Joachim

doi:10.3109/10401230009147094

Cited by 94 publications

(56 citation statements)

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“…18 Rosebush and Mazurek also reviewed other research of the prevalence of catatonia overall in psychiatric inpatients and reported that an estimated 9%-15% of patients admitted to a typical acute care psychiatric service meet diagnostic criteria for catatonia. 17 Other studies not included in the review, which also used standardized rating scales to report on the prevalence of catatonia in psychiatric hospitals, found prevalences within this same range.…”

Section: Discussionmentioning

confidence: 99%

Catatonic Schizophrenia: A Cohort Prospective Study

Kleinhaus

Harlap

Perrin

et al. 2010

Schizophrenia Bulletin

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Background: In the 20th century, catatonia was usually deemed a subtype of schizophrenia. Recently, the nature and classification of catatonia are being reconsidered. This study is the first to describe catatonia using prospectively collected data and to examine how catatonic schizophrenia differs from, or resembles, other types of schizophrenia. Methods: Data were analyzed in a cohort of 90 079 offspring followed from birth till ages 29-41 years. Proportional hazards models were used, calculating time to first psychiatric hospital admission, to compare risk factors for catatonic schizophrenia vs ''other schizophrenia.'' Results: Of 568 cases of schizophrenia, 43 (7.6%) had catatonic schizophrenia. The sexes were equally at risk for catatonic schizophrenia in contrast to other schizophrenia, for which the incidence was higher in males (1.70, 1.42-2.03, P < .0001). Advancing paternal age had no influence on the risk of catatonic schizophrenia in contrast to other schizophrenia, in which the risk to offspring of fathers age 351 was 1.27 (1.03-1.57, P 5 .03) compared with those of younger fathers. Those with catatonic schizophrenia were somewhat more likely to have older mothers (aged 351) (relative risk 5 2.14, 0.85-5.54) while maternal age was not related to other schizophrenia. Both were equally affected by parental history of schizophrenia. Patients with catatonia were significantly more likely to attempt suicide (P 5 .006). Conclusion: Patients with catatonic schizophrenia show a somewhat different profile of risk factors from those with other types of schizophrenia in this cohort and are more likely to attempt suicide. This lends some support to the hypothesis that catatonic schizophrenia may have a distinct etiology.

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Section: Discussionmentioning

confidence: 99%

Catatonic Schizophrenia: A Cohort Prospective Study

Kleinhaus

Harlap

Perrin

et al. 2010

Schizophrenia Bulletin

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“…Phencyclidine (PCP)-intoxicated patients have also been found to develop catatonia. 34 Two additional cases of drug-induced delirium 35 and inhalant-induced delirium 36 have also been reported, although not in detail.…”

Section: Substance-related Disordersmentioning

confidence: 99%

“…53 16/M Schizophrenia, catatonic type 'Loner', learning disability 28 Lee et al . 36 18/F Schizophreniform psychosis NR 29 Lee et al . 36 18/M Schizophrenia NR 30 Kritzinger and Jordaan 54 17/M Schizophrenia NR NR, nothing reported; PDD, pervasive developmental disorder; DCD, developmental coordination disorder.…”

Section: Schizophrenia and Other Psychotic Disordersmentioning

confidence: 99%

Catatonia in childhood and adolescence

Takaoka

Takata

2003

Psychiatry Clin Neurosci

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Child and adolescent catatonia has been poorly investigated. A literature review was undertaken to clarify phenomenology, diagnosis, etiology, and treatment as well as ethical problems of catatonia in childhood and adolescence. Although there are no accepted standardized criteria for catatonia in childhood and adolescence, catatonic features described by child psychiatrists are similar to Diagnostic and Statistical Manual of Mental Disorders (4th edn; DSM-IV) criteria for catatonia. With respect to etiology, the motor and behavioral symptoms that are part of catatonia bear some similarities with those seen in autism. Several case reports suggest an association between catatonia and general medical conditions. Certain drugs abused by youngsters as well as prescribed medicine can induce catatonia. Regarding catatonic cases originally diagnosed as schizophrenia, it is unclear whether all of these cases should be identified as schizophrenia or whether some of them are pervasive developmental disorders that develop psychic features in adolescence. Environmental changes preceding the onset of catatonia in patients with mood disorder play a possibly important role. Examples that suggest stress-induced catatonia, although rare, also exist. A few patients exhibit features of malignant catatonia, some without taking neuroleptics and others having taken them. Benzodiazepines and electroconvulsive therapy are considered to be effective treatments for catatonic youngsters.

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“… 9% (Lee, Schwartz, & Hallmayer 2000)  16% (Birnie & Natsuna 1988)  17% (Cornwall, Hassanyeh, & Horn 1996)  34% (Eaton & Ghannon 2000)  35% (Warneke 1986). …”

Section: Studies Of Approximately One Year In Durationmentioning

confidence: 99%