A clinical review of the treatment of catatonia

Pascal Sienaert, Dirk M. Dhossche, Davy Vancampfort, Marc De Hert, G. Gazdag

Research output: Contribution to journalArticle

78 Citations (Scopus)

Abstract

Catatonia is a severe motor syndrome with an estimated prevalence among psychiatric inpatients of about 10%. At times, it is life-threatening especially in its malignant form when complicated by fever and autonomic disturbances. Catatonia can accompany many different psychiatric illnesses and somatic diseases. In order to recognize the catatonic syndrome, apart from thorough and repeated observation, a clinical examination is needed. A screening instrument, such as the Bush-Francis Catatonia Rating Scale, can guide the clinician through the neuropsychiatric examination. Although severe and life-threatening, catatonia has a good prognosis. Research on the treatment of catatonia is scarce, but there is overwhelming clinical evidence of the efficacy of benzodiazepines, such as lorazepam, and electroconvulsive therapy.

Original languageEnglish
Article number181
JournalFrontiers in Psychiatry
Volume5
Issue numberNOV
DOIs
Publication statusPublished - 2014

Fingerprint

Catatonia
Psychiatry
Therapeutics
Lorazepam
Electroconvulsive Therapy
Benzodiazepines
Inpatients
Fever
Observation
Research

Keywords

  • Benzodiazepines
  • Catatonia
  • Electroconvulsive therapy
  • Glutamate antagonists
  • Transcranial magnetic stimulation
  • Zolpidem

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Sienaert, P., Dhossche, D. M., Vancampfort, D., De Hert, M., & Gazdag, G. (2014). A clinical review of the treatment of catatonia. Frontiers in Psychiatry, 5(NOV), [181]. https://doi.org/10.3389/fpsyt.2014.00181

A clinical review of the treatment of catatonia. / Sienaert, Pascal; Dhossche, Dirk M.; Vancampfort, Davy; De Hert, Marc; Gazdag, G.

In: Frontiers in Psychiatry, Vol. 5, No. NOV, 181, 2014.

Research output: Contribution to journalArticle

Sienaert, P, Dhossche, DM, Vancampfort, D, De Hert, M & Gazdag, G 2014, 'A clinical review of the treatment of catatonia', Frontiers in Psychiatry, vol. 5, no. NOV, 181. https://doi.org/10.3389/fpsyt.2014.00181
Sienaert, Pascal ; Dhossche, Dirk M. ; Vancampfort, Davy ; De Hert, Marc ; Gazdag, G. / A clinical review of the treatment of catatonia. In: Frontiers in Psychiatry. 2014 ; Vol. 5, No. NOV.
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