The catatonia conundrum: Controversies and contradictions

被引:6
作者
Padhy, Susanta Kumar [1 ]
Parakh, Preeti [1 ]
Sridhar, M. [1 ]
机构
[1] PGIMER, Dept Psychiat, Chandigarh, India
关键词
Catatonia; Controversies; Classificatory system; Nosology; Periodic catatonia;
D O I
10.1016/j.ajp.2013.07.006
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Although catatonia is known to psychiatrists for more than a century, it is still poorly understood, often under recognized, have inspired debate and criticism about nosological status of the catatonic syndrome in recent times without reaching its conclusion. It can present with a number of psychiatric and medical illnesses and is easily treatable, though treatment response varies depending upon the underlying condition and can lead on to a multitude of complications, if not treated. Some issues are more than forty catatonic signs are available to scientific audience for diagnosis; threshold number for labelling varies according to the nosological system followed and the underlying condition; and mood stabilizers like carbamazepine and lithium are helpful in some cases of idiopathic periodic catatonia. Researchers have been asking for a separate diagnostic category for catatonia since long and the debate has gained pace over the last few years, with new editions of both DSM and ICD coming up. Therefore, this paper looks at the controversies associated with the diagnosis and classification of catatonia, the arguments and counter-arguments and future directions, in crisp. (C) 2013 Elsevier B.V. All rights reserved.
引用
收藏
页码:6 / 9
页数:4
相关论文
共 39 条
[1]  
ABRAMS R, 1976, ARCH GEN PSYCHIAT, V33, P579
[2]  
Ahuja N, 2000, Indian J Psychiatry, V42, P327
[3]  
American Psychiatric Association, 1952, DIAGN STAT MAN MENT, V1st
[4]  
American Psychiatric Association, 1968, DIAGN STAT MAN MENT, V2
[5]  
American Psychiatric Association, 2022, DIAGN STAT MAN MENT, V5th, DOI [10.1176/APPI.BOOKS.9780890425787, 10.1176/appi.books.9780890425787, DOI 10.1176/APPI.BOOKS.9780890425787]
[6]   THE SYNDROME OF KAHLBAUM,KARL,LUDWIG [J].
BARNES, MP ;
SAUNDERS, M ;
WALLS, TJ ;
SAUNDERS, I ;
KIRK, CA .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1986, 49 (09) :991-996
[7]   The Catatonia Rating Scale I -: Development, reliability, and use [J].
Bräunig, P ;
Krüger, S ;
Shugar, G ;
Höffler, J ;
Börner, I .
COMPREHENSIVE PSYCHIATRY, 2000, 41 (02) :147-158
[8]   Catatonia .2. Treatment with lorazepam and electroconvulsive therapy [J].
Bush, G ;
Fink, M ;
Petrides, G ;
Dowling, F ;
Francis, A .
ACTA PSYCHIATRICA SCANDINAVICA, 1996, 93 (02) :137-143
[9]   Catatonia .1. Rating scale and standardized examination [J].
Bush, G ;
Fink, M ;
Petrides, G ;
Dowling, F ;
Francis, A .
ACTA PSYCHIATRICA SCANDINAVICA, 1996, 93 (02) :129-136
[10]  
CARROLL BT, 1994, J NEUROPSYCH CLIN N, V6, P122