Catatonia in adolescents: about a series of 12 inpatients
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Abstract
SUMMARY
Background: Catatonia is one of the most severe psychiatric syndromes that might be caused by many medical as well as psychiatric conditions. Catatonia in adolescents is rare and largely understudied.
Aims: This papers aims to examine cases of catatonia among adolescent psychiatric inpatients, and to scrutinize both the etiologies and the management options.
Methods: A retrospective descriptive study involving all cases of catatonia among adolescents admitted to the Department of Child and Adolescent Psychiatry in Razi Hospital – Manouba - Tunisia between January 2006 and December 2013. Catatonia was confirmed by Bush-Francis Catatonia Rating Scale. Medical records were examined for gender, age, clinical presentation, medical or psychiatric diagnosis as well as management. Psychiatric diagnoses were made according to the DSM-IV criteria.
Results: Our series consisted of 12 cases, aged between 12 and 16 with a sex ratio male/female of 0.5. Catatonia was due to a medical condition in three cases and to a psychiatric disorder in the other nine cases. Psychiatric diagnoses included: manic episode (n=3), major depressive episode (n=2), schizophrenia (n=2), pervasive developmental disorder (n=1) and conversion disorder (n=1).
Conclusion: Catatonia is rare yet life-threatening. Careful and thorough examination is needed to determine the etiological disorder, on which depend both treatment and prognosis.
Background: Catatonia is one of the most severe psychiatric syndromes that might be caused by many medical as well as psychiatric conditions. Catatonia in adolescents is rare and largely understudied.
Aims: This papers aims to examine cases of catatonia among adolescent psychiatric inpatients, and to scrutinize both the etiologies and the management options.
Methods: A retrospective descriptive study involving all cases of catatonia among adolescents admitted to the Department of Child and Adolescent Psychiatry in Razi Hospital – Manouba - Tunisia between January 2006 and December 2013. Catatonia was confirmed by Bush-Francis Catatonia Rating Scale. Medical records were examined for gender, age, clinical presentation, medical or psychiatric diagnosis as well as management. Psychiatric diagnoses were made according to the DSM-IV criteria.
Results: Our series consisted of 12 cases, aged between 12 and 16 with a sex ratio male/female of 0.5. Catatonia was due to a medical condition in three cases and to a psychiatric disorder in the other nine cases. Psychiatric diagnoses included: manic episode (n=3), major depressive episode (n=2), schizophrenia (n=2), pervasive developmental disorder (n=1) and conversion disorder (n=1).
Conclusion: Catatonia is rare yet life-threatening. Careful and thorough examination is needed to determine the etiological disorder, on which depend both treatment and prognosis.
Keywords:
Catatonia, Adolescent, Mood disorder.##plugins.themes.academic_pro.article.details##
References
- Dhossche DM, Wachtel LE. Catatonia is hidden in plain sight among different pediatric disorders: a review article. Pediatr Neurol 2010; 43(5):307-15.
- Sienaert P, Rooseleer J, De Fruyt J. Measuring catatonia: a systematic review of rating scales. J Affect Disord 2011; 135(1-3):1-9.
- Abrams R, Taylor MA. Catatonia. A prospective clinical study. Arch Gen Psychiatry 1976; 33(5):579-81.
- Consoli A, Raffin M, Laurent C, et al. Medical and developmental risk factors of catatonia in children and adolescents: a prospective case-control study. Schizophr Res 2012; 137(1-3):151-8.
- Consoli A, Benmiloud M, Wachtel L, Dhossche D, Cohen D, Bonnot O. Electroconvulsive therapy in adolescents with the catatonia syndrome: efficacy and ethics. J ECT 2010; 26(4):259-65.
- Cornic F, Consoli A, Tanguy ML, et al. Association of adolescent catatonia with increased mortality and morbidity: evidence from a prospective followup study. Schizophr Res 2009; 113(2-3):233-40.
- Bush G, Fink M, Petrides G, Dowling F, Francis A. Catatonia. I. Rating scale and standardized examination. Acta Psychiatr Scand 1996; 93(2):129-36.
- American Psychiatric Association. DSM-IV Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington DC, 1994.
- Cohen D, Nicolas JD, Flament MF, et al. Clinical relevance of chronic catatonic schizophrenia in children and adolescents: evidence from a prospective naturalistic study. Schizophr Res 2005; 76(2-3):301-8.
- Taylor MA, Fink M. Catatonia in psychiatric classification: a home of its own. Am J Psychiatry 2003; 160(7):1233-41.
- Limsuwan N. Clinical presentations of bipolar disorder in children and adolescents. J Med Assoc Thai 2014; 97(2):179-83.
- Kowatch RA, Youngstrom EA, Danielyan A, Findling RL. Review and metaanalysis of the phenomenology and clinical characteristics of mania in children and adolescents. Bipolar Disord 2005; 7(6):483-96.
- Fink M, Taylor MA, Ghaziuddin N. Catatonia in autistic spectrum disorders: a medical treatment algorithm. Int Rev Neurobiol 2006; 72:233-44.
- Lahutte B, Cornic F, Bonnot O, et al. Multidisciplinary approach of organic catatonia in children and adolescents may improve treatment decision making. Prog Neuropsychopharmacol Biol Psychiatry 2008; 32(6):1393-8.
- Okasha A, Okasha T. Somatoform Disorders—An Arab Perspective. In: Ono Y, editor. Somatoform disorders : a worldwide perspective, Tokyo, New York: Springer, 1999: 38-42.
- Wachtel LE, Dhossche DM, Kellner CH. When is electroconvulsive therapy appropriate for children and adolescents? Med Hypotheses 2011; 76(3):395-9.
- Van Den Eede F, Van Hecke J, Van Dalfsen A, Van den Bossche B, Cosyns P, Sabbe BG. The use of atypical antipsychotics in the treatment of catatonia. Eur Psychiatry 2005; 20(5-6):422-9.