Catatonia in neurodevelopmental disorders: assessing catatonic deterioration from baseline

被引:24
|
作者
Hauptman, Aaron J. [1 ,2 ]
Cohen, David [3 ,5 ]
Dhossche, Dirk [4 ]
Raffin, Marie [5 ]
Wachtel, Lee [1 ,2 ]
Ferrafiat, Vladimir [6 ,7 ]
机构
[1] Kennedy Krieger Inst, Dept Psychiat, Neurobehav Unit, Baltimore, MD USA
[2] Johns Hopkins Sch Med, Dept Psychiat, Baltimore, MD USA
[3] Sorbonne Univ, Inst Intelligence Syst & Robot, Paris, France
[4] Inland Northwest Behav Hlth, Spokane, WA USA
[5] Hop La Pitie Salpetriere, Publ Assistance Paris Hosp, Inst Child & Adolescent Dev Pathol, Paris, France
[6] La Timone Univ Hosp, Publ Assistance Marseille Hosp, Reference Ctr Inborn Errors Metab, F-13005 Marseille, France
[7] La Timone Univ Hosp, Publ Assistance Marseille Hosp, Reference Ctr Intellectual Disabil Rare Causes, F-13005 Marseille, France
来源
LANCET PSYCHIATRY | 2023年 / 10卷 / 03期
关键词
AUTISM SPECTRUM DISORDERS; PHELAN-MCDERMID SYNDROME; ELECTROCONVULSIVE-THERAPY; PSYCHIATRIC-DISORDERS; DOWN-SYNDROME; RATING-SCALE; CASE SERIES; CHILDREN; ADOLESCENTS; PSYCHOPATHOLOGY;
D O I
10.1016/S2215-0366(22)00436-9
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Despite the inclusion of catatonia as a specifier of autism spectrum disorder in DSM-5, we-a team of child and adolescent neuropsychiatrists who specialise in paediatric catatonia and neurodevelopmental disorders-have identified a number of issues with the diagnosis and clinical management of catatonia in our patients. In this Personal View, we summarise the literature regarding catatonia in people with neurodevelopmental disorders, including autism spectrum disorder, describe our concerns, and offer a novel approach to addressing important issues with current diagnostic and treatment paradigms. We emphasise the need for a measure to diagnose and monitor people with catatonia and their history of neurodevelopmental disorders. This measure should consider previous complex and underlying motor, medical, functional, and neurobehavioural symptoms. We propose two concepts for understanding catatonia that relate to the baseline status of an individual: the personalised score at baseline, an estimate of premorbid neurobehavioral and motor symptoms, and the catatonic deterioration from baseline, an estimate of current features that are due to catatonia rather than an underlying neurodevelopmental disorder. We hope this measure will provide a practical tool for clinicians and researchers working with this underserved and high -risk population.
引用
收藏
页码:228 / 234
页数:7
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