Catatonia and cognition: exploring the cognitive dimensions of catatonia as an overlooked aspect of schizophrenia. A systematic review.

IF 1 4区医学 Q4 PSYCHIATRY

Rivista di psichiatria Pub Date : 2025-07-01 DOI:10.1708/4548.45488

Vjekoslav Peitl, Frane Paleka, Dalibor Karlović

{"title":"Catatonia and cognition: exploring the cognitive dimensions of catatonia as an overlooked aspect of schizophrenia. A systematic review.","authors":"Vjekoslav Peitl, Frane Paleka, Dalibor Karlović","doi":"10.1708/4548.45488","DOIUrl":null,"url":null,"abstract":"Background and objectives: Catatonia, a complex neuropsychiatric condition, is frequently linked to psychiatric illnesses, especially schizophrenia. While its motor and behavioral signs are well-recognized, cognitive deficits in catatonia are insufficiently studied. This systematic review investigates whether catatonia involves impairments in attention, executive functioning, and other cognitive areas, particularly in psychiatric conditions like schizophrenia.Methods: We performed a systematic literature review following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework. We searched PubMed, Scopus, and BioMed Central using terms related to catatonia and DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) cognitive domains, including only studies that specifically assessed cognitive deficits in individuals with catatonia.Results: Thirty studies were included, consistently revealing cognitive deficits in catatonia, especially in schizophrenia patients, affecting memory, executive functioning, attention, and perceptual skills. These deficits may reflect mechanisms shared with broader schizophrenia-related cognitive challenges.Conclusions: Cognitive deficits in catatonia, often neglected, are significant in schizophrenia, emphasizing the necessity for regular cognitive evaluations and further neurobiological research to enhance diagnosis and therapeutic strategies.","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":"60 4","pages":"165-172"},"PeriodicalIF":1.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Rivista di psichiatria","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1708/4548.45488","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Background and objectives: Catatonia, a complex neuropsychiatric condition, is frequently linked to psychiatric illnesses, especially schizophrenia. While its motor and behavioral signs are well-recognized, cognitive deficits in catatonia are insufficiently studied. This systematic review investigates whether catatonia involves impairments in attention, executive functioning, and other cognitive areas, particularly in psychiatric conditions like schizophrenia.

Methods: We performed a systematic literature review following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework. We searched PubMed, Scopus, and BioMed Central using terms related to catatonia and DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) cognitive domains, including only studies that specifically assessed cognitive deficits in individuals with catatonia.

Results: Thirty studies were included, consistently revealing cognitive deficits in catatonia, especially in schizophrenia patients, affecting memory, executive functioning, attention, and perceptual skills. These deficits may reflect mechanisms shared with broader schizophrenia-related cognitive challenges.

Conclusions: Cognitive deficits in catatonia, often neglected, are significant in schizophrenia, emphasizing the necessity for regular cognitive evaluations and further neurobiological research to enhance diagnosis and therapeutic strategies.

查看原文本刊更多论文

紧张症和认知：探索作为精神分裂症忽视方面的紧张症的认知维度。系统回顾。

背景与目的：紧张症是一种复杂的神经精神疾病，常与精神疾病，尤其是精神分裂症有关。虽然它的运动和行为症状是公认的，但对紧张症的认知缺陷研究不足。这篇系统综述调查了紧张症是否涉及注意力、执行功能和其他认知领域的损伤，特别是精神分裂症等精神疾病。方法：我们按照PRISMA（系统评价和荟萃分析的首选报告项目）框架进行了系统的文献综述。我们使用与紧张症和DSM-5（精神疾病诊断与统计手册，第五版）认知领域相关的术语检索PubMed、Scopus和BioMed Central，仅包括专门评估紧张症患者认知缺陷的研究。结果：纳入了30项研究，一致地揭示了紧张症的认知缺陷，特别是精神分裂症患者，影响记忆、执行功能、注意力和感知技能。这些缺陷可能反映了与更广泛的精神分裂症相关的认知挑战共享的机制。结论：经常被忽视的紧张症认知缺陷在精神分裂症中具有重要意义，强调有必要定期进行认知评估和进一步的神经生物学研究，以提高诊断和治疗策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Rivista di psichiatria 医学-精神病学

CiteScore

5.00

自引率

3.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Gli interessi della rivista riguardano l’approfondimento delle interazioni tra mente e malattia, la validazione e la discussione dei nuovi strumenti e parametri di classificazione diagnostica, la verifica delle prospettive terapeutiche farmacologiche e non.