Characteristics of catatonia in schizophrenia and mood disorders

Catatonia is a psychomotor symptom cluster that co-occurs with schizophrenia and with mood disorders. The characterisation and the differentiation of psychomotor symptom clusters can contribute to a more accurate diagnosis and a better understanding of underlying neurobiological processes. To compar...

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Bibliographic Details
Published inTijdschrift voor psychiatrie Vol. 57; no. 2; p. 94
Main Authors van den Ameele, S, Sabbe, B, Morrens, M
Format Journal Article
LanguageDutch
Published Netherlands 2015
Subjects
Benzodiazepines - therapeutic use
Catatonia - diagnosis
Catatonia - epidemiology
Catatonia - therapy
Comorbidity
Electroconvulsive Therapy
Humans
Mood Disorders - diagnosis
Mood Disorders - epidemiology
Mood Disorders - therapy
Schizophrenia - diagnosis
Schizophrenia - epidemiology
Schizophrenia - therapy
Treatment Outcome
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Summary:Catatonia is a psychomotor symptom cluster that co-occurs with schizophrenia and with mood disorders. The characterisation and the differentiation of psychomotor symptom clusters can contribute to a more accurate diagnosis and a better understanding of underlying neurobiological processes. To compare epidemiology, clinical presentation and treatment of catatonia in schizophrenia and in mood disorders. We reviewed the literature using PubMed. Catatonia is highly prevalent in both schizophrenia and mood disorders, but is slightly more prevalent in the latter. In spite of a considerable overlap, there are differentiating trends in the catatonic symptom profile of schizophrenia and mood disorders. In both of these disorders catatonia is a marker for increasing severity of the course of the illness. Compared to catatonia in mood disorders, catatonia in schizophrenia has a poorer response to benzodiazepines and ECT. Catatonia in schizophrenia and mood disorders is characterized by a distinctive profile. Comparative research on clinical presentation and neurobiological processes is warranted in order to arrive at a more accurate characterisation of these psychomotor symptom clusters.
ISSN:0303-7339