Dwight Eisenhower Army Medical Center, Ft. Gordon.
J Nerv Ment Dis. 2021 May 1;209(5):320-323. doi: 10.1097/NMD.0000000000001300.
Although catatonia is related to several medical conditions, catatonia as a response to trauma and posttraumatic stress disorder (PTSD) is less clear. The aim of this review is to explore the small emerging body of preliminary evidence that suggests a possible correlation between psychological trauma and catatonia. Initial data suggests a correlation between episodes of intense fear associated with trauma and PTSD and some forms of catatonic responses. Although this relationship is still speculative to be causative, it can have important implications if confirmed. This is especially salient when it is examined alongside existing studies of the response to fear in animals and the phenomenon of tonic immobility, which bears a striking resemblance to catatonia in humans. If prospective studies further support the initial findings, it could change our conceptual understanding of the etiology of a subtype of catatonia substantially while pointing to likely targets of further research to understand the biological mechanisms that underlie the illness.
尽管紧张症与几种医学病症有关，但创伤和创伤后应激障碍（PTSD）引起的紧张症则不太明确。本综述的目的是探讨初步证据中一个较小的新兴领域，该领域表明心理创伤与紧张症之间可能存在关联。初步数据表明，与创伤和 PTSD 相关的强烈恐惧发作之间存在关联，并且与某些形式的紧张症反应存在关联。尽管这种关系仍然是推测性的，不能确定其为因果关系，但如果得到证实，这可能具有重要意义。当与动物对恐惧的反应以及与人类紧张症非常相似的强直不动现象的现有研究一起进行审查时，这一点尤其明显。如果前瞻性研究进一步支持最初的发现，这可能会极大地改变我们对紧张症亚类病因的概念性理解，同时指出可能的研究目标，以了解构成该疾病的生物学机制。
