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Do patients of delirium have catatonic features? An exploratory study
Author(s) -
Grover Sandeep,
Ghosh Abhishek,
Ghormode Deepak
Publication year - 2014
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1111/pcn.12168
Subject(s) - delirium , psychiatry , psychology , medicine , exploratory research , medline , political science , sociology , anthropology , law
Aim The aim of this study was to determine the prevalence of catatonic symptoms, as per the B ush F rancis C atatonia R ating S cale ( BFCRS ), in patients with delirium and to evaluate the prevalence of catatonia as defined by the B ush F rancis C atatonia S creening I nstrument and DSM ‐5 criteria in patients with delirium. Method Two hundred five consecutive subjects with delirium were assessed on the Delirium Rating Scale‐Revised 98 version, the amended D elirium M otor S ymptom S cale and the BFCRS . Results On the BFCRS , two‐fifths ( n = 80; 39%) of the study participants had two or more catatonic symptoms. When the diagnosis of catatonic syndrome was considered, 32% and 12.7% were observed to have catatonia as per the B ush F rancis C atatonia S creening Instrument and proposed DSM ‐5 criteria, respectively. Delirium with catatonic syndrome was more common in women and in those who had onset of delirium prior to hospitalization. Amongst the delirium subtypes, hypoactive delirium was more commonly associated with catatonic syndrome. Conclusion The present study suggests that a substantial number of patients with delirium have catatonic symptoms and a significant proportion have catatonic syndrome. This high prevalence makes the concurrent diagnosis of delirium and catatonia plausible. The association of catatonia with a specific motor subtype of delirium could encourage the expansion or even modification of the existing subtypes of delirium.