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Setare J, Karimian A, Shoja M, Bakhshian F, Saadatmehr S R. Prevalence of Catatonic Schizophrenia Symptoms in a Psychiatric Hospital: A Retrospective Study. JCCNC 2018; 4 (3) :139-144
URL: http://jccnc.iums.ac.ir/article-1-184-en.html
1- Psychiatry and Behavioral Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
2- Department of Emergency Medical Sciences, School of Paramedical Sciences, Kurdistan University of Medical Sciences, Sanandaj, Iran.
3- Department of Nursing, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran.
4- Department of Psychology, Faculty of Social Science, Razi University, Kermanshah, Iran.
5- Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. , R_saadatmehr@yahoo.com
Abstract:   (2798 Views)
Background: Catatonia occurs as a complication of various medical and psychological illnesses that can be treated when diagnosed. Despite the high incidence of catatonia, the problem is poorly recognized. This study aimed at investigating the prevalence of catatonia and related factors in its diagnosis within a five year period in hospitalized patients of Zareh Psychiatric Center, Sari, Iran using computerized archive of records.
Methods: It was a descriptive and retrospective study. The records of all patients with mental disorders admitted to Zareh Hospital between 2010 and 2014 were assessed. The data were collected using a demographic questionnaire and the Northoff Catatonia Scale (NCS). Then analyzed by statistical tests of multivariate logistic regression in SPSS-PC V. 20. 
Results: Only 0.26% (26 per 10000 population) of patients had experienced catatonic schizophrenia during a five year period, including 42.11 men and 57.89 women. The prevalence of catatonic schizophrenia was significantly correlated with gender and age (P<0.05). Of the patients, 68.42% had a history of medication therapy and or hospitalization and 21.5% had a history of physical disorders. There was no significant relationship between the mean score of movement, emotional and behavioral changes with sex, education and age groups (P<0.05).
Conclusion: Because many catatonic patients had a combination of medical and psychiatric problems, psychiatrists and psychiatric nurses are suggested to assess catatonia symptoms in both internal and psychiatric wards. 
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● The prevalence of catatonic symptoms in men was lower than that in women.
● The prevalence of catatonic schizophrenia symptoms is higher at younger ages.
● Reducing the duration of admission can greatly help in lowering the cost of treatment of catatonia symptoms.
Plain Language Summary
Catatonia is a complex neuropsychological disorder which refers to a number of abnormalities in movement, volition, speech, and behavior. Historically, the term catatonia has been associated with schizophrenia and psychoses, but it can occur with a wide range of conditions. Catatonia is potentially life threatening. The results obtained in the present study have shown that only 0.26% of mental disorder patients who were hospitalized during past five years, were catatonic schizophrenia, also gender and age are associated with the prevalence of catatonic schizophrenia.

Type of Study: Research | Subject: Special
Received: 2018/12/2 | Accepted: 2019/01/12 | Published: 2019/02/6

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