Spysschaert Y, Dhossche D, Sienaert P
Tijdschr Psychiatr. 2016;58(5):371-9.
Catatonia in children and adolescents is the same as it is for adults; in other words it is a recognisable psychomotor syndrome that follows a characteristic course and responds favourably to treatment with benzodiazepines and/or ect. Therefore, one would not expect to encumber many obstacles to diagnosis and treatment. In fact, the obstacles are fairly numerous.
To explore the obstacles that can hinder a simple approach to diagnosis and treatment and to provide support for the clinicians involved.
We studied the literature systematically using Limo and keywords.
For several decades, particularly in the literature, catatonia was defined as a subtype of schizophrenia. This exclusive link to schizophrenia led to the under-diagnosis of catatonia in patients with other psychiatric conditions and to delays in the administration of the correct treatment. Not only this historical error but also other important problems are complicating the approach to catatonia even today. Among other factors hindering diagnosis and treatment are the belief that catatonia is a rare illness, often denied by family members and some clinicians, the use of neuroleptics and the stigmatisation of benzodiazepines and/or ect.
Controversy about catatonia continues. Although diagnosis and treatment are clearly defined, catatonia is still putting professionals to the test. In our essay we offer some practical guidance and advice.
儿童和青少年的紧张症与成人的紧张症相同；换句话说，它是一种可识别的精神运动综合征，遵循特定病程，对苯二氮䓬类药物和/或ECT治疗反应良好。因此，人们预计在诊断和治疗方面不会遇到太多障碍。事实上，障碍相当多。
探讨可能阻碍简单诊断和治疗方法的障碍，并为相关临床医生提供支持。
我们使用Limo和关键词系统地研究了文献。
几十年来，尤其是在文献中，紧张症被定义为精神分裂症的一种亚型。这种与精神分裂症的排他性联系导致了其他精神疾病患者中紧张症的诊断不足，以及正确治疗的延迟。即使在今天，不仅这种历史错误，还有其他重要问题也使紧张症的诊断和治疗变得复杂。阻碍诊断和治疗的其他因素包括认为紧张症是一种罕见疾病，常被家庭成员和一些临床医生否认，使用抗精神病药物以及对苯二氮䓬类药物和/或ECT的污名化。
关于紧张症的争议仍在继续。尽管诊断和治疗有明确的定义，但紧张症仍在考验着专业人员。在我们的文章中，我们提供了一些实用的指导和建议。
