Abrams R, Taylor M A
Am J Psychiatry. 1977 Jan;134(1):78-80. doi: 10.1176/ajp.134.1.78.
The authors investigated predictors of somatic treatment response in 55 patients with one or more of eight catatonic motor features. Responders more often had good prognostic signs, rapid or pressured speech, and diagnosable affective disorder or alcoholism. Nonresponders were younger at age of onset of first illness and were more frequently disoriented; they included all patients diagnosed as schizophrenic. The authors suggest that treatment response in catatonia is a function of primary diagnosis and that the syndrome is diagnostically nonspecific but occurs most often in patients with affective disorders.
作者对55例具有八种紧张性运动特征中一种或多种特征的患者进行了躯体治疗反应预测因素的研究。有反应者更常具有良好的预后体征、语速快或言语急促，以及可诊断的情感障碍或酒精中毒。无反应者首次发病时年龄较小，且更常出现定向障碍；其中包括所有被诊断为精神分裂症的患者。作者认为，紧张症的治疗反应是原发性诊断的一个函数，并且该综合征在诊断上是非特异性的，但最常发生在情感障碍患者中。
