Poster Presentation: Mental Health
Dr. Takács, Rozália
Tóth Ilona Medical Service - Psychiatric Outpatient Service
+36704508276
paleocerebellum@yahoo.com
Catatonia in gerontopsychiatric patients
Rozalia Takacs 1, Gabor Gazdag , 2
1 Ilona Tóth Medical Service, Psychiatric Outpatient Service, Budapest, Hungary
2 Szent István and Szent László Hospitals, Budapest, Hungary
Poster Presentation: Mental Health
Name of doctoral school: Mental Health Studies
Title of the Program: Psychiatry
Supervisor: Gábor Gazdag
E-mail: paleocerebellum@yahoo.com
Introduction: Over the past years, an increasing attention has been focused on catatonia. This is also reflected in DSM-5, which broadened the concept of catatonia and decoupled it from schizophrenia. Most often affective disorders serve as a background for a catatonic syndrome, but several medical conditions could also cause catatonic signs and symptoms. Cases of „organic catatonia” are estimated to form 20-30% of all cases with catatonia, and are frequently observed in elderly patients.
Aims: In our study we aimed to determine the prevalence of catatonia in patients over 65 years, referred to a psychiatric centre of a general hospital.
Methods: We examined all patients over 65 years, admitted to the Centre for Psychiatry and Addiction Medicine (CPAM) of Szent István and Szent László Hospitals, in a four month period. We used Bush Francis Catatonia Screening Instrument (BFCSI) for the assessment of catatonic signs. In case of having 2 or more symptoms on BFCSI, the severity of catatonia was rated with Bush Francis Catatonia Rating Scale (BFCRS). The diagnosis was set up with the use of the Structured Clinical Interview for DSM–IV, Mini Mental State Examination and Clock Drawing Test.
Results: Ninety-eight (28.1%) of the 342 patients admitted to the psychiatric unit during the study period were above 65 years of age; 11 (11.22%) and 6 (6.12%) patients were classified as having catatonia according to the BFCRS and DSM-5 criteria, respectively. No significant difference was detected in the prevalence of neurocognitive disorder in patients with or without catatonia. The majority of the patients had catatonia due to a medical condition.
Conclusion: A significant minority of gerontopsychiatric inpatients present with catatonia. Major neurocognitive disorder was not a risk factor for catatonia. As catatonia has a specific therapy, it gives a special importance to the recognition of the syndrome.
P14
Szabad
nem rendelkezett róla
1183
Rozalia Takacs 1, Gabor Gazdag , 2
1 Ilona Tóth Medical Service, Psychiatric Outpatient Service, Budapest, Hungary
2 Szent István and Szent László Hospitals, Budapest, Hungary