PhD Scientific Days 2017

Budapest, 11-12 April 2017

Poster Presentation: Mental Health

P14: Catatonia in gerontopsychiatric patients

Előadó neve

Dr. Takács, Rozália

Előadó munkahelye

Tóth Ilona Medical Service - Psychiatric Outpatient Service

Előadó telefonszáma

+36704508276

Előadó e-mail címe

paleocerebellum@yahoo.com

Az előadás címe

Catatonia in gerontopsychiatric patients

Szerző(k) neve és munkahelye

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

Szekció

Poster Presentation: Mental Health

Data of the presenter

Name of doctoral school: Mental Health Studies
Title of the Program: Psychiatry
Supervisor: Gábor Gazdag
E-mail: paleocerebellum@yahoo.com

Text of the abstract

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.

Azonosító

P14

Kind

Szabad

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

1183

Authors (legacy)

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