Amit Banerjee, MD., Senior Resident, Professor of Psychiatry, Central Institute of Psychiatry, Ranchi 834 006.
Indian J Psychiatry. 1995 Jan;37(1):35-9.
Eighty six consecutively admitted unmedicated patients, with a current duration of illness of less than two years, who fulfilled ICD-10 criteria for mood disorder or schizophrenia were assessed for catatonic signs over a three week study period Thirty two of them could be rated as catatonic, most of them starting to exhibit the signs at the time of admission or a few days thereafter. While the percentage of manic patients showing catatonic signs was comparable to earlier studies, a significant proportion of patients belonging to the Schizophrenic and Acute and Transient Psychotic Disorder group also exhibited these signs. The reasons for obtaining such a high percentage of catatonias are discussed. It is contended that short lasting catatonic signs are a common feature of acute psychiatric admissions and are ignored when viewed within the framework of an affective or psychotic illness.
86 例连续入院未经药物治疗的患者，目前疾病持续时间少于两年，符合 ICD-10 心境障碍或精神分裂症标准，在为期 3 周的研究期间评估了紧张症体征。其中 32 例可被评定为紧张症，其中大多数在入院时或入院后几天开始出现这些症状。虽然表现出紧张症体征的躁狂症患者的比例与早期研究相似，但属于精神分裂症和急性和短暂性精神病障碍组的患者也表现出这些症状。讨论了获得如此高比例紧张症的原因。有人认为，短暂的紧张症体征是急性精神病入院的常见特征，在情感或精神病疾病的框架内被忽视。
