Krüger Stephanie, Cooke Robert G, Spegg Cathy C, Bräunig Peter
Centre for Addiction and Mental Health, Clarke Institute of Psychiatry, Mood Disorders Program, University of Toronto, Toronto, Canada.
J Affect Disord. 2003 May;74(3):279-85. doi: 10.1016/s0165-0327(02)00088-5.
Catatonic symptoms have been associated with mixed mania in the older psychiatric literature, however, to date no systematic studies have been performed to assess their frequency in these patients.
Ninety-nine patients with bipolar disorder manic or mixed episode were assessed for the presence of catatonia.
Thirty-nine patients fulfilled criteria for mixed mania of whom 24 were catatonic. Among the patients with pure mania, only three were catatonic. Eighteen catatonic patients with mixed mania required admission to the acute care unit (ACU).
Our findings only apply to severely ill patients with mixed mania who require ACU admission. Nevertheless, it is important to know, that the likelihood of overlooking catatonia in less severely ill patients with mixed mania is low and that it does not need to be routinely assessed on a general ward.
Catatonia is frequent in mania and linked to the mixed episode. Catatonia in mixed mania is likely to be found among the severely ill group of patients with mixed mania, who require emergency treatment.
在早期精神科文献中，紧张症症状与混合性躁狂有关，然而，迄今为止，尚未进行系统研究来评估这些患者中紧张症的发生率。
对99例双相情感障碍躁狂或混合发作患者进行紧张症评估。
39例患者符合混合性躁狂标准，其中24例有紧张症。在单纯躁狂患者中，只有3例有紧张症。18例有紧张症的混合性躁狂患者需要入住急性护理病房（ACU）。
我们的研究结果仅适用于需要入住ACU的重症混合性躁狂患者。然而，重要的是要知道，在病情较轻的混合性躁狂患者中漏诊紧张症的可能性较低，且在普通病房无需常规评估。
紧张症在躁狂症中很常见，且与混合发作有关。混合性躁狂中的紧张症很可能出现在需要紧急治疗的重症混合性躁狂患者群体中。
