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2017 AmericanNeuropsychiatricAssociation AnnualMeeting Abstracts 2017 год

2017 American Neuropsychiatric Association Annual Meeting Abstracts
статья из журнала

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Аннотация: Background: The concept of catatonia has evolved from its DSM-1 description as a schizophrenia subtype.In the DSM-5, catatonia is described as either due to another mental condition, a medical condition, or as unspecified (Tandon et al. 2013).While this description allows for catatonia to be associated with any psychiatric illness and acknowledges subclinical presentations, most clinicians view catatonia as a categorical diagnosis associated with psychotic disorders, mood disorders or secondary to a general medical condition.We present a case series that raises the possibility of a dimensional approach to catatonic behavior allowing focus on individual catatonic symptoms in a range of neuropsychiatric conditions.Cases: Our cases include 7 men, ages 20 to 61-years-old, and 2 women, ages 44 to 92-years-old.These 9 patients had individual components of the catatonic syndrome and could be considered as having unspecified catatonia.Their symptoms occurred in a variety of neuropsychiatric conditions including Cerebellar Cognitive Affective Syndrome, dissociative states, nonepileptic seizures, severe anxiety, panic disorder, PTSD, obsessive compulsive disorders, ADHD, dementia and delirium.Core symptoms included stupor, mutism, stereotyped speech and agitation, but not other major catatonic symptoms such as posturing, negativism, catalepsy, and mannerisms.Conclusions: A dimensional rather than categorical approach to catatonia may help elucidate mechanisms in common to many disorders, including dysfunction within thalamocortical (Carroll et al. 2007; Daniels 2009) and corticocerebellar circuits.A dimensional approach may also allow clinicians to consider individual catatonia components as treatment targets in diverse conditions.
Год издания: 2017
Издательство: American Psychiatric Association Publishing
Источник: Journal of Neuropsychiatry
Ключевые слова: Attention Deficit Hyperactivity Disorder, Health, Environment, Cognitive Aging, Neurology and Historical Studies
Другие ссылки: Journal of Neuropsychiatry (PDF)
Journal of Neuropsychiatry (HTML)
PubMed (HTML)