Coid Felix, Rogers Jonathan P, Saini Aman, Oldham Mark A
Central and North West London NHS Foundation Trust, London, United Kingdom.
Division of Psychiatry, University College London, United Kingdom; Department of Neuropsychiatry, National Hospital for Neurology & Neurosurgery, London, United Kingdom.
J Acad Consult Liaison Psychiatry. 2025 May 29. doi: 10.1016/j.jaclp.2025.05.008.
Catatonia is a serious neuropsychiatric disorder associated with considerable morbidity and mortality. Despite growing interest in the disorder and the field's advancing understanding, a gap between research and clinical practice persists. This is particularly problematic as prompt recognition is essential to optimal management and improving outcomes. We present an educational review of 10 common myths regarding the recognition, etiology, phenotype, and management of catatonia. We address each myth using an evidence-based approach. A few salient considerations include the broad age range affected by catatonia, the fact that patients with catatonia often have preserved awareness of their surroundings, and the importance of using a validated catatonia screening instrument for reliable identification. By addressing these 10 myths, we aim to reduce the gap between evidence and clinical practice to ultimately improve the care and clinical outcomes of people with catatonia.
紧张症是一种严重的神经精神障碍，与相当高的发病率和死亡率相关。尽管对该疾病的兴趣日益增加，且该领域的认识也在不断进步，但研究与临床实践之间的差距仍然存在。这一问题尤为突出，因为及时识别对于优化管理和改善预后至关重要。我们对关于紧张症的识别、病因、表型和管理的10个常见误区进行了教育性综述。我们采用循证方法来探讨每个误区。一些需要重点考虑的因素包括紧张症影响的年龄范围广泛、紧张症患者通常对周围环境仍有意识，以及使用经过验证的紧张症筛查工具进行可靠识别的重要性。通过解决这10个误区，我们旨在缩小证据与临床实践之间的差距，最终改善紧张症患者的护理和临床预后。
