Catatonia: Etiopathological diagnoses and treatment response in a tertiary care setting: A clinical study.
OBJECTIVE
Catatonia is caused by a variety of psychiatric and organic conditions. The onset, clinical profile, and response to treatment may vary depending on the underlying cause. The study is an attempt to explore clinical profile, possible etiological correlates with neurotic/psychotic spectrum illnesses, and response to treatment and outcome in patients of catatonia.


METHODS
Retrospective chart analysis by using semistructured data sheet for the analysis of sociodemographic data, clinical profile, precipitating event, and response to treatment in patients with catatonic symptoms admitted to IHBAS (Institute of Human Behaviour and Allied Sciences, New Delhi, India) from January 2009 to December 2010 was undertaken.


RESULTS
Catatonia was commonly observed in patients with the following profile - late twenties, female, Hindu religion, urban background, and housewives. Psychotic spectrum disorder (57%, N=35) was the most commonly entertained diagnosis and affective disorder (18%, N=11) being the second common. Thirty four percent of the subjects responded to lorazepam treatment and rest required modified electroconvulsive therapy (MECT).


CONCLUSIONS
Catatonia is more likely to be associated with Schizophrenia and Other Psychotic Disorders in Indian settings. Majority of patients responded to therapy either by lorazepam alone or to its augmentation with modified ECT. The study being a retrospective one, the sample being representative of the treatment seeking group only, and unavailability of the follow up data were the limitations of the study.
Department of Psychiatry, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka, India.
Santosh
S
Ramdurg
Department of Psychiatry, Nalanda medical College, Patna, India.
Santosh
S
Kumar
Department of Psychiatry, IHBAS Institute of Human Behaviour and Allied Sciences, Delhi, India.
Mukesh
M
Kumar
Department of Psychiatry, IHBAS Institute of Human Behaviour and Allied Sciences, Delhi, India.
Vijender
V
Singh
Department of Psychiatry, IHBAS Institute of Human Behaviour and Allied Sciences, Delhi, India.
Deepak
D
Kumar
Department of Psychiatry, IHBAS Institute of Human Behaviour and Allied Sciences, Delhi, India.
Nimesh G
NG
Desai
Catatonia; etiopathogenesis; response to treatment