Prevalence of the catatonic syndrome in an acute inpatient sample.
Prevalence of the catatonic syndrome in an acute inpatient sample.
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DOI：
10.3389/fpsyt.2014.00174
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发表时间：
2014
影响因子：
4.7
通讯作者：
Morrens M
中科院分区：
文献类型：
--
作者：
Stuivenga M;Morrens M
目的：在这项探索性开放标签研究中，我们调查了急性精神科住院患者群体中紧张症的患病率。此外，还调查了根据潜在的精神疾病而导致的紧张症症状表现的差异。方法：对 130 名患者进行了布什-弗朗西斯紧张症评定量表 (BFCRS)、阳性和阴性综合征量表、年轻躁狂评定量表和辛普森-安格斯量表的评估。进行因子分析以产生六种紧张症症状群。计算基于该主成分分析的综合分数。结果：当关注 BFCRS 的前 14 项时，101 名患者（77.7%）至少有 1 项症状评分为 1 或更高，而 66 名患者（50.8%）至少有 2 项症状。有趣的是，当关注 DSM-5 紧张症标准时，22 名患者 (16.9%) 可以考虑进行此诊断。此外，根据潜在的精神病理学，发现了不同的症状特征。精神病症状学与兴奋症状学密切相关（r = 0.528，p < 0.001），并在较小程度上与刻板/行为习惯症状群（r = 0.289；p = 0.001）和回声/坚持症状群（r = 0.185；p = 0.001）相关。 p = 0.035）。同样，躁狂症状与兴奋症状群密切相关（r = 0.596；p < 0.001），并在较小程度上与刻板/行为习惯症状群相关（r = 0.277；p = 0.001）。结论：紧张症症状的患病率很高。根据所使用的标准，我们注意到确切患病率存在重要差异，这清楚地表明我们需要明确的标准。另一个重要的发现是，紧张性紧张症的表现可能会根据潜在的病理学而有所不同，尽管无法在这些紧张性紧张症表现之间做出明确的划分。未来的研究需要确定与临床相关的紧张症诊断标准。
Objective: In this exploratory open label study, we investigated the prevalence of catatonia in an acute psychiatric inpatient population. In addition, differences in symptom presentation of catatonia depending on the underlying psychiatric illness were investigated. Methods: One hundred thirty patients were assessed with the Bush–Francis Catatonia Rating Scale (BFCRS), the Positive and Negative Syndrome Scale, the Young Mania Rating Scale, and the Simpson–Angus Scale. A factor analysis was conducted in order to generate six catatonic symptom clusters. Composite scores based on this principal component analysis were calculated. Results: When focusing on the first 14 items of the BFCRS, 101 patients (77.7%) had at least 1 symptom scoring 1 or higher, whereas, 66 patients (50.8%) had at least 2 symptoms. Interestingly, when focusing on the DSM-5 criteria of catatonia, 22 patients (16.9%) could be considered for this diagnosis. Furthermore, different symptom profiles were found, depending on the underlying psychopathology. Psychotic symptomatology correlated strongly with excitement symptomatology (r = 0.528, p < 0.001) and to a lesser degree with the stereotypy/mannerisms symptom cluster (r = 0.289; p = 0.001) and the echo/perseveration symptom cluster (r = 0.185; p = 0.035). Similarly, manic symptomatology correlated strongly with the excitement symptom cluster (r = 0.596; p < 0.001) and to a lesser extent with the stereotypy/mannerisms symptom cluster (r = 0.277; p = 0.001). Conclusion: There was a high prevalence of catatonic symptomatology. Depending on the criteria being used, we noticed an important difference in exact prevalence, which makes it clear that we need clear-cut criteria. Another important finding is the fact that the catatonic presentation may vary depending on the underlying pathology, although an unambiguous delineation between these catatonic presentations cannot be made. Future research is needed to determine diagnostical criteria of catatonia, which are clinically relevant.
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作者：
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通讯作者：
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