Catatonia in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition

作者：Andrew J.P. Francis, Max Fink, Francisco José Appiani, Aksel Bertelsen, Tom G. Bolwig, Peter Bräunig, Stanley N. Caroff, Brendan T. Carroll, Andrea E. Cavanna, David H. Cohen, Olivier Cottencin, Manuel J. Cuesta, Jessica E. Daniels, Dirk Marcel Dhossche, Gregory L. Fricchione, Gábor Gazdag, Neera Ghaziuddin, David Healy, Donald Klein, Stephanie Krüger, Joseph W. Y. Lee, Stephan C. Mann, Michael F. Mazurek, William Vaughn McCall, William W. McDaniel, Georg Northoff, Víctor Peralta, Georgios Petrides, Patricia I. Rosebush, Teresa A. Rummans, Edward Shorter, Kazumasa Suzuki, Pierre M. Thomas, Guillaume Vaïva, Lee Elizabeth Wachtel · 发表于：Journal of Ect · 年份：2010 · DOI：10.1097/yct.0b013e3181fe28bd · 被引用次数：87 · 研究领域：Electroconvulsive Therapy Studies、Treatment of Major Depression、Bipolar Disorder and Treatment

As international scholars of catatonia, we are concerned that the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) proposes to delete the codes 295.2 (schizophrenia, catatonic type) and 293.89 (catatonia secondary to a medical condition) and to substitute a noncoded "catatonia specifier" as the principal identifier. We believe that these changes will badly serve clinical practice and research. We advocate a unique and broadly defined code for catatonia in DSM-V. Catatonia is common among hospitalized psychiatric patients, including adults, adolescents, and occasionally children. In the 10 principal prospective studies from sites around the world, catatonia syndrome was identified in a mean (SEM) percentage of 9.8% (1.4%) of adult admissions (Table 1). These patients have multiple signs of catatonia (commonly >5); 68% (6%) are mute, and 62% (3%) are negativistic or withdrawn. Some are unable to eat, requiring parenteral nutrition and/or medication.TABLE 1: Prospective Studies of the Incidence of CatatoniaOnce catatonia is recognized, first-line treatment with benzodiazepines usually brings prompt relief, although high doses may be needed. If catatonia persists, electroconvulsive therapy is often rapidly beneficial. Every prospective study confirms that catatonia syndrome exists, occasionally becomes malignant, and requires prompt treatment. Under the proposed new guidelines for DSM-V, patients with catatonia syndrome will lack an informative diagnos...