Abrams R, Taylor M A
Arch Gen Psychiatry. 1976 May;33(5):579-81. doi: 10.1001/archpsyc.1976.01770050043006.
We studied 55 patients admitted during 14 months to two inpatient psychiatric units of a municipal hospital who exhibited one or more of the catatonic signs of mutism, stereotypy, posturing, catalepsy, automatic obedience, negativism, echolalia/echopraxia, or stupor. Only four of the 55 patients satisfied our research criteria for schizophrenia, whereas over two thirds had diagnosable affective disorders, usually mania. The eight catatonic motor signs were nonspecific and homogeneously distributed among the various research diagnostic groups, with the number and type of individual signs unrelated to short-term treatment outcome. A favorable treatment response was shown for the entire catatonic sample, with two thirds markedly improved or in remission at the time of discharge. These findings are consistent with those of other investigators of the catatonic syndrome for the past 100 years.
我们研究了在14个月期间入住一家市立医院两个住院精神科病房的55名患者，这些患者表现出一种或多种紧张症体征，如缄默、刻板动作、姿势、僵住症、自动服从、违拗症、模仿言语/模仿动作或木僵状态。55名患者中只有4名符合我们对精神分裂症的研究标准，而超过三分之二的患者患有可诊断的情感障碍，通常是躁狂症。这八种紧张症运动体征是非特异性的，并且在各个研究诊断组中均匀分布，个体体征的数量和类型与短期治疗结果无关。整个紧张症样本显示出良好的治疗反应，三分之二的患者在出院时明显改善或缓解。这些发现与过去100年中其他对紧张症综合征进行研究的人员的发现一致。
