Electroconvulsive therapy for catatonia: treatment characteristics and outcomes in 27 patients

The Journal of ECT
Jeroen A van WaardeRose C van der Mast

Abstract

Electroconvulsive therapy (ECT) has been described as an effective treatment option for catatonia in retrospective case series. We aimed to investigate treatment characteristics and outcomes of patients with catatonia who were treated with ECT. The medical records of 27 patients with catatonia treated with ECT (between 1991 and 2009) were scrutinized for clinical and treatment characteristics. Outcomes were measured using the Clinical Global Impression-Improvement (CGI-I) scale. Patients who improved (defined as CGI-I score "very much" or "much improved") were compared with those who did not improve (defined as a CGI-I score "no change" or "very much worse"). Mean age of all patients was 49 ± 19 years, of whom 15 (56%) were women. Of all patients, 13 (48%) had a diagnosis of a mood disorder and 12 (44%) of a psychotic disorder. Electroconvulsive therapy was mostly started after ineffective pharmacotherapy (n=23; 85%) within 2 to 3 months after catatonia had been diagnosed. In total, 16 (59%) patients improved. Improvement was significantly associated with younger age (P=0.05), presence of autonomic dysregulation at baseline (P=0.02), especially higher body temperature (P=0.02), daily ECT during the first treatment week (n=15 [5...Continue Reading

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Citations

Dec 31, 2011·European Archives of Psychiatry and Clinical Neuroscience·Dhanya RaveendranathanSenthil V Reddi
Nov 19, 2014·Journal of Psychiatric Practice·Michelle MagidDavid A Kahn
Nov 21, 2014·Journal of Neurology, Neurosurgery, and Psychiatry·Subhashie Wijemanne, Joseph Jankovic
Dec 30, 2014·Frontiers in Psychiatry·Pascal SienaertGábor Gazdag
Oct 29, 2011·Neurologic Clinics·Trevor A Hurwitz
Aug 20, 2016·International Journal of Psychiatry in Clinical Practice·Takahito UchidaMasaru Mimura
Oct 13, 2016·Schizophrenia Bulletin·Sebastian WaltherKatharina Stegmayer
Jun 24, 2017·European Archives of Psychiatry and Clinical Neuroscience·Arnaud LeroyAli Amad
Nov 18, 2018·Clinical Practice and Cases in Emergency Medicine·Ichiro HirayamaNaoto Morimura
Oct 31, 2020·The Australian and New Zealand Journal of Psychiatry·Hari Hara SuchandraKrishna Prasad Muliyala
Aug 13, 2021·International Journal of Psychiatry in Clinical Practice·Beniamino TripodiGiulio Perugi
Aug 15, 2021·Journal of Medical Case Reports·Emma BeanJay Amin

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Catatonic Schizophrenia

Catatonia is a psychomotor symptom in which patients present with stupor, although catatonic excitement may also present at the other end of the spectrum. Catatonia has been historically associated with schizophrenia although it is also associated with other neuropsychiatric disorders. Find the latest research on catatonic schizophrenia here.

Catatonia

Catatonia is a psychomotor syndrome with motor and behavioral symptoms, and can occur in both patients with or without psychiatric illness. Discover the latest research on Catatonia here.