Systematic review of catatonia treatment

Anne CM Pelzer,1 Frank MMA van der Heijden,2 Erik den Boer3 1Department of Psychiatry, Reinier van Arkel, ‘s-Hertogenbosch, 2Department of Psychiatry, Vincent van Gogh Institute for Psychiatry, Venlo, 3Department of Psychiatry, GGzE, Eindhoven, the Netherlands Objective: To investigate t...

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Autores principales:	Pelzer ACM, van der Heijden FMMA, den Boer E
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	review [MeSH] catatonia [MeSH] therapeutics [MeSH] electroconvulsive therapy [MeSH] benzodiazepines [MeSH] Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/aec2006ed81b401c9735a6372a5793fa
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spelling	oai:doaj.org-article:aec2006ed81b401c9735a6372a5793fa2021-12-02T02:34:22ZSystematic review of catatonia treatment1178-2021https://doaj.org/article/aec2006ed81b401c9735a6372a5793fa2018-01-01T00:00:00Zhttps://www.dovepress.com/systematic-review-of-catatonia-treatment-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Anne CM Pelzer,1 Frank MMA van der Heijden,2 Erik den Boer3 1Department of Psychiatry, Reinier van Arkel, ‘s-Hertogenbosch, 2Department of Psychiatry, Vincent van Gogh Institute for Psychiatry, Venlo, 3Department of Psychiatry, GGzE, Eindhoven, the Netherlands Objective: To investigate the evidence-based treatment of catatonia in adults. The secondary aim is to develop a treatment protocol. Materials and methods: A systematic review of published treatment articles (case series, cohort or randomized controlled studies) which examined the effects of particular interventions for catatonia and/or catatonic symptoms in adult populations and used valid outcome measures was performed. The articles for this review were selected by searching the electronic databases of the Cochrane Library, MEDLINE, EMBASE and PSYCHINFO. Results: Thirty-one articles met the inclusion criteria. Lorazepam and electroconvulsive therapy (ECT) proved to be the most investigated treatment interventions. The response percentages in Western studies varied between 66% and 100% for studies with lorazepam, while in Asian and Indian studies, they were 0% and 100%. For ECT, the response percentages are 59%–100%. There does not seem to be evidence for the use of antipsychotics in catatonic patients without any underlying psychotic disorder. Conclusion: Lorazepam and ECT are effective treatments for which clinical evidence is found in the literature. It is not possible to develop a treatment protocol because the evidence for catatonia management on the basis of the articles reviewed is limited. Stringent treatment studies on catatonia are warranted. Keywords: review, catatonia, therapeutics, electroconvulsive therapy, benzodiazepines, lorazepam, ECTPelzer ACMvan der Heijden FMMAden Boer EDove Medical Pressarticlereview [MeSH]catatonia [MeSH]therapeutics [MeSH]electroconvulsive therapy [MeSH]benzodiazepines [MeSH]Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 317-326 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	review [MeSH] catatonia [MeSH] therapeutics [MeSH] electroconvulsive therapy [MeSH] benzodiazepines [MeSH] Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	review [MeSH] catatonia [MeSH] therapeutics [MeSH] electroconvulsive therapy [MeSH] benzodiazepines [MeSH] Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Pelzer ACM van der Heijden FMMA den Boer E Systematic review of catatonia treatment
description	Anne CM Pelzer,1 Frank MMA van der Heijden,2 Erik den Boer3 1Department of Psychiatry, Reinier van Arkel, ‘s-Hertogenbosch, 2Department of Psychiatry, Vincent van Gogh Institute for Psychiatry, Venlo, 3Department of Psychiatry, GGzE, Eindhoven, the Netherlands Objective: To investigate the evidence-based treatment of catatonia in adults. The secondary aim is to develop a treatment protocol. Materials and methods: A systematic review of published treatment articles (case series, cohort or randomized controlled studies) which examined the effects of particular interventions for catatonia and/or catatonic symptoms in adult populations and used valid outcome measures was performed. The articles for this review were selected by searching the electronic databases of the Cochrane Library, MEDLINE, EMBASE and PSYCHINFO. Results: Thirty-one articles met the inclusion criteria. Lorazepam and electroconvulsive therapy (ECT) proved to be the most investigated treatment interventions. The response percentages in Western studies varied between 66% and 100% for studies with lorazepam, while in Asian and Indian studies, they were 0% and 100%. For ECT, the response percentages are 59%–100%. There does not seem to be evidence for the use of antipsychotics in catatonic patients without any underlying psychotic disorder. Conclusion: Lorazepam and ECT are effective treatments for which clinical evidence is found in the literature. It is not possible to develop a treatment protocol because the evidence for catatonia management on the basis of the articles reviewed is limited. Stringent treatment studies on catatonia are warranted. Keywords: review, catatonia, therapeutics, electroconvulsive therapy, benzodiazepines, lorazepam, ECT
format	article
author	Pelzer ACM van der Heijden FMMA den Boer E
author_facet	Pelzer ACM van der Heijden FMMA den Boer E
author_sort	Pelzer ACM
title	Systematic review of catatonia treatment
title_short	Systematic review of catatonia treatment
title_full	Systematic review of catatonia treatment
title_fullStr	Systematic review of catatonia treatment
title_full_unstemmed	Systematic review of catatonia treatment
title_sort	systematic review of catatonia treatment
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/aec2006ed81b401c9735a6372a5793fa
work_keys_str_mv	AT pelzeracm systematicreviewofcatatoniatreatment AT vanderheijdenfmma systematicreviewofcatatoniatreatment AT denboere systematicreviewofcatatoniatreatment
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Systematic review of catatonia treatment

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