Catatonia in older adults:A systematic review  

作　　者：Walter Jaimes-Albornoz Angel Ruiz de Pellon-Santamaria Ayar Nizama-Vía Marco Isetta Ines Albajar Jordi Serra-Mestres 

机构地区：[1]Psychiatry Service,Hospital Universitario Donostia,Basque Health Service-Osakidetza,San Sebastian 20014,Gipuzkoa,Spain [2]Psychiatry Service“Virgen del Cisne”Mental Health Community Center,Regional Health Directorate,Tumbes 24002,Peru [3]Library and Knowledge Services,Central&North West London NHS Foundation Trust,St Charles’Hospital,London W106DZ,United Kingdom [4]Neurology Service,Hospital Universitario Donostia,Basque Health Service-Osakidetza,San Sebastian 20014,Gipuzkoa,Spain [5]Old Age Psychiatry Service,Cardinal Clinic,Windsor SL45UL,United Kingdom

出　　处：《World Journal of Psychiatry》2022年第2期348-367,共20页世界精神病学杂志

摘　　要：BACKGROUND Catatonia is a complex psychomotor syndrome that often goes unrecognized and untreated,even though its classification has evolved in recent years.Prompt and correct identification of catatonia allows for highly effective treatment and prevention of possible complications.The underrecognition of catatonia in older patients is also frequent,and research in this population is scarce.AIM To conduct a systematic review of the literature on catatonia in older people to ascertain its clinical characteristics across settings.METHODS Following the PRISMA guidelines,MEDLINE,EMBASE,and PsycINFO databases were searched from inception to December 2021,with a strategy aimed at identifying all articles published on catatonia in older adults.Titles and abstracts were scanned and selected independently by two authors.Papers investigating issues related to catatonia and/or catatonic symptoms in older people,with English abstracts available,were included.References of selected articles were revised to identify other relevant studies.RESULTS In total,1355 articles were retrieved.After removing duplicates,879 remained.Of the 879 identified abstracts,669 were excluded because they did not meet the inclusion criteria.A total of 210 articles underwent full text review,and 51 were eliminated for various reasons.Fourteen more articles were selected from the references.Overall,173 articles were reviewed:108 case reports,35 case series,11 prospective cohort studies,6 case-control studies,3 retrospective cohort studies and 10 reviews.We found several particular aspects of catatonia in this population.Catatonia in older patients is highly prevalent and tends to have a multifactorial etiology.Older patients,compared to younger patients,have a higher risk of developing catatonia with benzodiazepine(BZD)withdrawal,in bipolar disorder,and in the general hospital.Age,together with other risk factors,was significantly associated with the incidence of deep venous thrombosis,neuroleptic malignant syndrome poor outcome,other complications a

关 键 词：CATATONIA Older adults ETIOLOGY PHENOMENOLOGY PREVALENCE TREATMENT 

分 类 号：R749[医药卫生—神经病学与精神病学]