Abstract
Eighty six consecutively admitted unmedicated patients, with a current duration of illness of less than two years, who fulfilled ICD-10 criteria for mood disorder or schizophrenia were assessed for catatonic signs over a three week study period Thirty two of them could be rated as catatonic, most of them starting to exhibit the signs at the time of admission or a few days thereafter. While the percentage of manic patients showing catatonic signs was comparable to earlier studies, a significant proportion of patients belonging to the Schizophrenic and Acute and Transient Psychotic Disorder group also exhibited these signs. The reasons for obtaining such a high percentage of catatonias are discussed. It is contended that short lasting catatonic signs are a common feature of acute psychiatric admissions and are ignored when viewed within the framework of an affective or psychotic illness.
Keywords: catatonia, incidence, acute psychiatric admissions
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Selected References
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- Abrams R., Taylor M. A. Catatonia. A prospective clinical study. Arch Gen Psychiatry. 1976 May;33(5):579–581. doi: 10.1001/archpsyc.1976.01770050043006. [DOI] [PubMed] [Google Scholar]
- Barnes M. P., Saunders M., Walls T. J., Saunders I., Kirk C. A. The syndrome of Karl Ludwig Kahlbaum. J Neurol Neurosurg Psychiatry. 1986 Sep;49(9):991–996. doi: 10.1136/jnnp.49.9.991. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fink Max. Is Catatonia a Primary Indication for ECT? Convuls Ther. 1990;6(1):1–4. [PubMed] [Google Scholar]
- Johnson J. Catatonia: the tension insanity. Br J Psychiatry. 1993 Jun;162:733–738. doi: 10.1192/bjp.162.6.733. [DOI] [PubMed] [Google Scholar]
- Lund C. E., Mortimer A. M., Rogers D., McKenna P. J. Motor, volitional and behavioural disorders in schizophrenia. 1: Assessment using the Modified Rogers Scale. Br J Psychiatry. 1991 Mar;158:323-7, 333-6. doi: 10.1192/bjp.158.3.323. [DOI] [PubMed] [Google Scholar]
- Magrinat G., Danziger J. A., Lorenzo I. C., Flemenbaum A. A reassessment of catatonia. Compr Psychiatry. 1983 May-Jun;24(3):218–228. doi: 10.1016/0010-440x(83)90072-x. [DOI] [PubMed] [Google Scholar]
- Mahendra B. Where have all the catatonics gone? Psychol Med. 1981 Nov;11(4):669–671. doi: 10.1017/s0033291700041155. [DOI] [PubMed] [Google Scholar]
- Rosebush P. I., Hildebrand A. M., Furlong B. G., Mazurek M. F. Catatonic syndrome in a general psychiatric inpatient population: frequency, clinical presentation, and response to lorazepam. J Clin Psychiatry. 1990 Sep;51(9):357–362. [PubMed] [Google Scholar]
- Sartorius N., Jablensky A., Korten A., Ernberg G., Anker M., Cooper J. E., Day R. Early manifestations and first-contact incidence of schizophrenia in different cultures. A preliminary report on the initial evaluation phase of the WHO Collaborative Study on determinants of outcome of severe mental disorders. Psychol Med. 1986 Nov;16(4):909–928. doi: 10.1017/s0033291700011910. [DOI] [PubMed] [Google Scholar]
- Taylor M. A., Abrams R. Catatonia. Prevalence and importance in the manic phase of manic-depressive illness. Arch Gen Psychiatry. 1977 Oct;34(10):1223–1225. doi: 10.1001/archpsyc.1977.01770220105012. [DOI] [PubMed] [Google Scholar]
- Wilcox J. A., Nasrallah H. A. Organic factors in catatonia. Br J Psychiatry. 1986 Dec;149:782–784. doi: 10.1192/bjp.149.6.782. [DOI] [PubMed] [Google Scholar]