Clinical relevance of chronic catatonic schizophrenia in children and adolescents:: Evidence from a prospective naturalistic study
Clinical relevance of chronic catatonic schizophrenia in children and adolescents:: Evidence from a prospective naturalistic study
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DOI：
10.1016/j.schres.2005.01.014
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发表时间：
2005-07-15
影响因子：
4.5
通讯作者：
Mazet, P
中科院分区：
文献类型：
--
作者：
Cohen, D;Nicolas, JD;Mazet, P
本文探讨了儿童和青少年紧张症的现象学，诊断和过程。从1993年至2003年，21名男孩和9名女孩，年龄在12至18岁之间，因紧张性综合征住院（占住院总人数的0.6%）。现象学和相关诊断与成人文献中报道的相似，但相对频率不同，精神分裂症是最常见的诊断。精神分裂症患者（n=17）与其他诊断的患者（n=13）的比较显示，两组在性别比例、发作类型和紧张性症状的现象学、住院时间和出院时的严重程度方面存在差异。使用判别函数分析，三个临床变量的组合-男性性别，紧张性发作的持续时间，和严重程度在出院-正确分类100%的情况下，在精神分裂症group.Catatonia是一种罕见的，但严重的情况下，在年轻人，通常与精神分裂症。有必要在青少年紧张性精神分裂症领域进行研究，因为它似乎是一个临床相关但研究不足的亚组。(c)2005 Elsevier B. V.保留所有权利。
The paper examines the phenomenology, diagnosis, and course of catatonia in children and adolescents. From 1993 to 2003, 21 boys and 9 girls, aged 12 to 18 years, were admitted for a catatonic syndrome (0.6% of the total inpatient population). Phenomenology and associated diagnoses were similar to those reported in the adult literature but relative frequency differed, with schizophrenia being the most frequent diagnosis. Comparison of patients with schizophrenia (n=17) to those with other diagnoses (n=13) showed that the two groups differed in terms of sex ratio, type of onset and phenomenology of catatonic symptoms, duration of hospitalization, and severity at discharge. Using discriminant function analysis, the combination of three clinical variables-male gender, duration of catatonic episode, and severity at discharge-correctly classified 100% of cases in the schizophrenia group.Catatonia is an infrequent but severe condition in young people, and is usually associated with schizophrenia. There is a need for research in the field of catatonic schizophrenia in adolescents as it appears to be a clinically relevant but understudied subgroup. (c) 2005 Elsevier B.V. All rights reserved.