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Catatonia in older adults:A systematic review

World Journal of Psychiatry 2022年第2期12卷 348-367页

作者： Walter Jaimes-Albornoz Angel Ruiz de Pellon-Santamaria ayar nizama-vía Marco Isetta Ines Albajar Jordi Serra-Mestres Psychiatry Service Hospital Universitario DonostiaBasque Health Service-OsakidetzaSan Sebastian 20014GipuzkoaSpain Psychiatry Service“virgen del Cisne”Mental Health Community Center Regional Health DirectorateTumbes 24002Peru Library and Knowledge Services Central&North West London NHS Foundation TrustSt Charles’HospitalLondon W106DZUnited Kingdom Neurology Service Hospital Universitario DonostiaBasque Health Service-OsakidetzaSan Sebastian 20014GipuzkoaSpain Old Age Psychiatry Service Cardinal ClinicWindsor SL45ULUnited Kingdom

BACKGROUND Catatonia is a complex psychomotor syndrome that often goes unrecognized and untreated,even though its classification has evolved in recent *** and correct identification of catatonia allows for highly effective treatment and prevention of possible *** underrecognition of catatonia in older patients is also frequent,and research in this population is *** To conduct a systematic review of the literature on catatonia in older people to ascertain its clinical characteristics across *** Following the PRISMA guidelines,MEDLINE,EMBASE,and PsycINFO databases were searched from inception to December 2021,with a strategy aimed at identifying all articles published on catatonia in older *** and abstracts were scanned and selected independently by two *** investigating issues related to catatonia and/or catatonic symptoms in older people,with English abstracts available,were *** of selected articles were revised to identify other relevant *** In total,1355 articles were *** removing duplicates,879 *** the 879 identified abstracts,669 were excluded because they did not meet the inclusion criteria.A total of 210 articles underwent full text review,and 51 were eliminated for various *** more articles were selected from the ***,173 articles were reviewed:108 case reports,35 case series,11 prospective cohort studies,6 case-control studies,3 retrospective cohort studies and 10 *** found several particular aspects of catatonia in this *** in older patients is highly prevalent and tends to have a multifactorial *** patients,compared to younger patients,have a higher risk of developing catatonia with benzodiazepine(BZD)withdrawal,in bipolar disorder,and in the general ***,together with other risk factors,was significantly associated with the incidence of deep venous thrombosis,neuroleptic malig

关键词： Catatonia Older adults Etiology Phenomenology Prevalence Treatment

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