[Prevalence and clinical significance of catatonic symptoms in mania].
OBJECTIVE
The study investigates the prevalence, clinical characteristics and implications of catatonic symptoms in mania.


METHODS
Sixty-one in patients with DSM-III-R bipolar disorder, manic or mixed episode established by SCID were assessed for the presence of catatonia by a 21-item rating scale. Associated symptoms, comorbidity and severity of the manic episode were also systematically assessed.


RESULTS
Nineteen patients fulfilled criteria for catatonic mania exhibiting between 5 and 16 catatonic symptoms. Catatonic manics had more mixed episodes, more severe manic symptoms, more general psychopathology, a higher prevalence of comorbidity, longer hospitalization and lower GAF-scores than the non-catatonics.


CONCLUSIONS
The results indicate that catatonic symptoms are a marker of a more severe course and outcome in mania.
Bräunig
P
P
Klinik für Psychiatrie, Verhaltensmedizin und Psychosomatik, Klinikum Chemnitz, Akademisches Lehrkrankenhaus, Universität Leipzig.
Krüger
S
S
Shugar
G
G
D000328:Adult; D001714:Bipolar Disorder / Q000150:complications* / Q000523:psychology; D002389:Catatonia / Q000453:epidemiology* / Q000209:etiology*; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales
Prävalenz und klinische Bedeutung katatoner Symptome bei Manien.