Narrative Review of Catatonia in Psychosis and Eating Disorders: Common Intersections and Treatment Considerations

IF 2.3 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2026-06-23 DOI:10.1111/eip.70187

Rosiel Elwyn

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引用次数: 0

Abstract

Background

Eating disorders (ED) and psychosis/psychotic-spectrum disorders (PSD) have overlapping symptoms and may co-occur in a variety of presentations. Due to its debilitating and life-threatening risk, it is important for clinicians to be aware of how catatonia may present within these co-occurrences.

Method

A narrative review was conducted of catatonic presentations in individuals with co-occurring EDs and psychosis, using the databases Google Scholar, ScienceDirect, PubMed, ProQuest and PsychInfo.

Results

This article reviews and summarises the 10 cases found in the literature, and explores critical considerations within ED-psychosis co-occurrence, including the author's lived experience insight into experiencing catatonia within co-occurring ED-psychosis. In 9 out of 10 cases, catatonia occurred during adolescence (ages 13–24). Fifty percent of cases involved stressful or traumatic events as a precipitant to catatonia emergence. Autistic individuals with EDs may be particularly vulnerable to catatonic symptoms. In most cases, catatonic symptoms responded to lorazepam treatment or a combination of lorazepam and other medications such as antipsychotics, although tube-feeding was also required in some cases.

Conclusion

This review discusses key factors and intersections that are highly relevant to individuals vulnerable to EDs and psychosis (i.e., malnutrition, trauma, autism, bipolar disorder, OCD). Catatonic symptoms may be mistaken for ED symptoms, delaying early treatment in individuals with ED. Consideration of catatonic presentations and trauma-informed and neurodivergent-affirming treatment practices are recommended.

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精神疾病和饮食失调中紧张症的叙事回顾：常见交叉点和治疗考虑。

背景：进食障碍（ED）和精神病/精神谱系障碍（PSD）具有重叠的症状，并可能以多种表现共同发生。由于其衰弱和危及生命的风险，重要的是临床医生要意识到如何紧张症可能出现在这些共同发生。方法：使用谷歌Scholar、ScienceDirect、PubMed、ProQuest和PsychInfo数据库，对合并ed和精神病患者的紧张性精神分裂症表现进行叙述性回顾。结果：本文回顾和总结了文献中发现的10例病例，并探讨了ed -精神病共发的关键因素，包括作者对ed -精神病共发中的紧张症的生活经验见解。10例中有9例紧张症发生在青春期（13-24岁）。50%的病例涉及压力或创伤事件，作为紧张症出现的诱因。患有ed的自闭症患者可能特别容易出现紧张性症状。在大多数情况下，紧张症状对劳拉西泮治疗或劳拉西泮与抗精神病药物等其他药物联合治疗有反应，尽管在某些情况下也需要管饲。结论：本文讨论了与易患ed和精神病（即营养不良、创伤、自闭症、双相情感障碍、强迫症）的个体高度相关的关键因素和交叉点。紧张性症状可能被误认为是ED症状，延误了ED患者的早期治疗。建议考虑紧张性症状的表现以及创伤信息和神经分化确认的治疗方法。

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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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.