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Volume 4, Issue 3 (Summer 2018)
JCCNC 2018, 4(3): 139-144 |
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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
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
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. ,
Abstract: (3306 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.
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.
● 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
Received: 2018/12/2 | Accepted: 2019/01/12 | Published: 2019/02/6
References
1. Bartolommei, N., et al., 2012. Catatonia: A critical review and therapeutic recommendations. Journal of Psychopathology, 18(3), pp. 234-46.
2. Bouza, C., Lápez Cuadrado, T. & Amate, J. M., 2010. 'Physical disease in schizophrenia: A population-based analysis in Spain', BMC Public Health. BioMed Central, 10(1), p. 745. [DOI:10.1186/1471-2458-10-745] [DOI:10.1186/1471-2458-10-745]
3. Daniels, J., 2009. Catatonia: Clinical aspects and correlates'. Journal of Neuropsychiatry, 21(4), pp. 371-80. [DOI:10.1176/jnp.2009.21.4.371] [PMID] [DOI:10.1176/jnp.2009.21.4.371]
4. England, M. L., et al., 2011. Catatonia in psychotic patients: Clinical features and treatment response. Journal of Neuropsychiatry, 23(2), pp. 223-26. [DOI:10.1176/appi.neuropsych.23.2.223] [DOI:10.1176/appi.neuropsych.23.2.223]
5. Fink, M., & Taylor, M. A., 2009. The catatonia syndrome. Archives of General Psychiatry, 66(11), pp. 1173-7. [DOI:10.1001/archgenpsychiatry.2009.141] [DOI:10.1001/archgenpsychiatry.2009.141]
6. Guggenheim, F. G. & Babigian, H. M., 1974. Catatonic schizophrenia: Epidemiology and clinical course: A 7-year register study of 798 cases. Journal of Nervous and Mental Disease, 158(4), pp. 291-305. [DOI:10.1097/00005053-197404000-00007] [DOI:10.1097/00005053-197404000-00007]
7. Kavak, F., 2018. Determination of adherence to treatment of schizophrenia patients in Turkey. Annals of Clinical and Laboratory Research, 6(2), pp. 7-11. [DOI:10.21767/2386-5180.100234] [DOI:10.21767/2386-5180.100234]
8. Leslie, D. L. & Rosenheck, R. A., 2004. Adherence of schizophrenia pharmacotherapy to published treatment recommendations: Patient, facility, and provider predictors. Schizophrenia Bulletin, 30(3), pp. 649-58. [DOI:10.1093/oxfordjournals.schbul.a007112] [DOI:10.1093/oxfordjournals.schbul.a007112]
9. Martényi, F. et al., 2001. An efficacy analysis of olanzapine treatment data in schizophrenia patients with catatonic signs and symptoms. Journal of Clinical Psychiatry, 62(Suppl.2), pp. 25-7. [PMID] [PMID]
10. Northoff, G., et al., 1999. Catatonia as a psychomotor syndrome: A rating scale and extrapyramidal motor symptoms. Movement Disorders, 14(3), pp. 404-16. [DOI:10.1002/1531-8257(199905)14:33.0.CO;2-5]
https://doi.org/10.1002/1531-8257(199905)14:3<404::AID-MDS1004>3.0.CO;2-5 [DOI:10.1002/1531-8257(199905)14:33.0.CO;2-5]
11. Quigley, J., Lommel, K. M. & Coffey, B., 2009. Catatonia in an adolescent with asperger's disorder. Journal of Child and Adolescent Psychopharmacology, 19(1), pp. 93-6. [DOI:10.1089/cap.2009.1913] [DOI:10.1089/cap.2009.1913]
12. Tandon, R., et al., 2013. Catatonia in DSM-5. Schizophrenia Research, 150(1), pp. 26-30. [DOI:10.1016/j.schres.2013.04.034] [DOI:10.1016/j.schres.2013.04.034]
13. Ungvari, G. S. et al., 2018. Schizophrenia with prominent catatonic features: A selective review. Schizophrenia Research, 200, pp. 77-84. [DOI:10.1016/j.schres.2017.08.008] [DOI:10.1016/j.schres.2017.08.008]
14. Usman, D. M. et al., 2011. Comparison of catatonia presentation in patients with schizophrenia and mood disorders in Lagos, Nigeria. Iranian Journal of Psychiatry, 6(1), pp. 7-11. [PMCID] [PMID] [PMCID]
15. Waris, P. et al., 2014. Catatonic features in adolescents with schizophrenia with and without a comorbid pervasive developmental disorder. Child and Adolescent Psychiatry and Mental Health, 8(1), pp. 1-7. [DOI:10.1186/1753-2000-8-16] [DOI:10.1186/1753-2000-8-16]
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