Evaluation of Catatonia with Different Assessment Scales in Psychiatry and Neurology.

İbrahim Mert Erdoğan, Aslı Aytulun, Kezban Burcu Avanoğlu, Özge Türkoğlu, Nilgün Oktar Erdoğan, Ş Can Gürel, Sevilay Karahan, Brendan T Carroll, M Kâzım Yazici, A Elif Anil Yağcioğlu
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Abstract

Objective: Catatonia is a syndrome that can be missed in clinical settings. Diagnosis of catatonia is important because the condition can be reversible and is associated with severe complications. This study aims to screen patients with catatonia admitted to a university hospital's psychiatry and neurology services, examine their characteristics, and compare the coverage of different catatonia scales.

Method: During a consecutive 20 months study period, the Turkish adaptations of the Bush-Francis Catatonia Rating and the KANNER scales were administered in psychiatry and neurology inpatient units and patients on the waiting list for psychiatric hospitalization. The participants were also evaluated with DSM-5 criteria. In addition, the sociodemographic and clinical characteristics of the patients in the psychiatric group were compared.

Results: A total of 214 patients were evaluated. Twenty-eight (13.1%) screened positive for catatonia, and 23 (82.1%) were diagnosed with catatonia according to DSM-5 criteria. KANNER and Bush- Francis identified the same patients as having catatonia. In addition to schizophrenia and mood disorders; neurodevelopmental disorder, encephalitis, postpartum psychosis, obsessive-compulsive disorder, delirium, cerebrovascular disease, functional neurological symptom disorder have also been found to be associated with catatonia. The most common complication was urinary tract infection. Life-threatening complications were also observed.

Conclusion: Overlooking catatonia may have dire consequences. Adhering solely to the DSM-5 criteria may miss some patients with catatonia. Widely and efficiently using standardized catatonia scales can improve detection capacity and enhance the management of morbidity and mortality.

用精神病学和神经病学的不同评估量表评估紧张症。
目的:紧张症是一种在临床环境中容易被遗漏的综合征。紧张症的诊断非常重要,因为这种病症可以逆转,而且会引起严重的并发症。本研究旨在筛查一家大学医院精神科和神经内科收治的紧张症患者,研究他们的特征,并比较不同紧张症量表的覆盖范围:方法:在连续 20 个月的研究期间,对精神病学和神经病学住院病房以及精神病学住院候诊名单上的患者实施布什-弗朗西斯紧张症评定量表和 KANNER 量表的土耳其语改编版。此外,还根据 DSM-5 标准对参与者进行了评估。此外,还比较了精神病组患者的社会人口学特征和临床特征:结果:共有 214 名患者接受了评估。结果:共有 214 名患者接受了评估,其中 28 人(13.1%)的紧张症筛查结果呈阳性,23 人(82.1%)根据 DSM-5 标准被诊断为紧张症。坎纳和布什-弗朗西斯将同样的患者确定为紧张症患者。除精神分裂症和情绪障碍外,神经发育障碍、脑炎、产后精神病、强迫症、谵妄、脑血管疾病、功能性神经症状障碍也与紧张症有关。最常见的并发症是尿路感染。结论:结论:忽视紧张症可能会导致严重后果。仅遵循 DSM-5 标准可能会遗漏一些紧张症患者。广泛而有效地使用标准化的紧张症量表可以提高检测能力,加强对发病率和死亡率的管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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