Catatonia in the Structure of Affective and Schizoaffective Disorders of the Postpartum Period
https://doi.org/10.30629/2618-6667-2023-21-3-54-63
Abstract
Background: аt the present stage of psychiatry, within the framework of the dimensional paradigm, catatonia is considered as a transnosological entity that manifests within the clinical space of various affective and schizoaffective disorders. In the 21st century studies, devoted to the analysis of motor disorders that appear in the clinical space of postpartum affective and schizoaffective disorders, become increasingly relevant (J.Y. Lai, T.L. Huang, 2004; A. Nahar and et al., 2017; C. Kamau, 2017; L. Csihi and et al., 2022). However, research on this issue is very limited. The objective: the analysis of catatonic phenomenon, manifesting in the postpartum period, based on the observations of three clinical cases.
Patients and methods: 3 clinical cases of patients, undergoing treatment in the clinical department of the FSBSI “Mental Health Research Centre” with established diagnoses of bipolar affective disorder (ICD-10: F31.1; 1 case) and schizoaffective disorder (ICD-10: F25.2; 2 cases) with a predominance of motor disorders in the clinical picture of the disease. The main method was clinical with the use of psychological examination and data from instrumental (EEG) diagnostics.
Results: movement disorders registered in the structure of apathoanesthetic depressions within the exacerbation of bipolar affective disorder are represented by the phenomena of hypokinetic catatonia and act as an amplifier of affective disorders. Catatonic symptoms within the clinical space of schizoaffective disorders, are limited by manifestations of parakinetic catatonia, do not have a direct correlation with the structure and severity of affective disorders, and indicate an increase in the progredient endogenous process.
Conclusion: the analysis of clinical observations testifies in favor of the heterogeneity of affective-catatonic states not only in terms of the structure of motor phenomena, but also in terms of the psychopathological profile of affective disorders.
About the Authors
M. V. Piskarev
FSBSI “Mental Health Research Centre”
Russian Federation
Russian Federation
Mikhail V. Piskarev, Junior Researcher, Department for Studying of Borderline Mental Pathology and Psychosomatic Disorders
Moscow
V. m. Lobanova
FSBSI “Mental Health Research Centre”
Russian Federation
Russian Federation
Veronika M. Lobanova, Cand. of Sci. (Med.), Senior Researcher, Department for Studying of Borderline Mental Pathology and Psychosomatic Disorders
Moscow
E. B. Rumyantseva
FSBSI “Mental Health Research Centre”
Russian Federation
Russian Federation
Elena B. Rumyantseva, Junior Researcher, Department of Endogenous Mental Disorders and Affective Conditions
Moscow
References
1. Tissot S-A. Traité des Nerfs et de Leurs Maladies: De la Catalepsie, de l’Extase. Lausanne: Grasset; 1789.
2. Amard LVF. Traité analytique de la folie et des moyens de la guérir. Ballanche; 1807.
3. Esquirol J-É. Des Maladies Mentales, Considérées Sous les Rapports Médical, Hygiénique et Médico-Légal. Paris; London: J.-B. Ballière; 1838.
4. Ideler KW. Über die Vesania puerperalis. Ann Charité Krankenhaus; Berlin:1851;2:121–182.
5. MarcéLV. Traité de la folie des femmes enceintes, des nouvelles accouchées et des nourrices et considérations médico-légales qui se rattachent à ce sujet. J.B. Baillière et Fils. Paris: 1858.
6. Kraepelin E. Psychiatrie: Ein Lehrbuch fur Studierende und Ärzte. 6 Aufl. Leipzig: IA. Barth, 1899.
7. RungeW. Die Generationspsychosen des Weibes. Arch Psychiatr Nervenkr. 1911;48:545–690.
8. Meyer A. The problems of mental reaction-types, mental causes and diseases. Psychological Bulletin. 1908;5:245–261. doi: 10.1037/h0072906
9. Malinovskij PP. Pomeshatel’stvo. SPb.; 1855. (In Russ.).
10. Zhdanov ID. Psihozy poslerodovogo perioda s etiologicheskoj i sudebno-medicinskoj tochki zreniya. M.: Tipografiya Volchaninova; 1896:412 p. (In Russ.).
11. Molohov AN. Ocherki ginekologicheskoj psihiatrii. Kishenev: Kartya Moldovenyaske, 1962:317 p. (In Russ.).
12. Kahlbaum KL. Die Katatonie oder das Spannungsirresein. Eine klinische Form psychischer Krankheit. Berlin, 1874.
13. Snezhnevskij AV. V kn.: Nosos et pathos schizophrenias. Shizofreniya. Mul’tidisciplinarnoe issledovanie. Pod red. A.V. Snezhnevskogo. M.;1972;5–15. (In Russ.).
14. LaiJY, HuangTL. Catatonic features noted in patients with post-partum mental illness. Psychiatry Clin Neurosci. 2004;58(2):157–162. doi: 10.1111/j.1440-1819.2003.01210.x
15. Gervasoni N, Aubry JM. A catatonic syndrome in a postpartum major depressive episode with psychotic features. Schweiz Arch Neurol Psychiatr. 2008;159(6):394–396.
16. Csihi L, Ungvari GS, Caroff SN, Mann SC, Gazdag G. Catatonia during pregnancy and the postpartum period. Schizophr Res. 2022 Sep 3:S0920-9964(22)00305-X. doi:10.1016/j.schres.2022.08.003
17. Strain AK, Meltzer-Brody S, Bullard E, Gaynes BN. Postpartum catatonia treated with electroconvulsive therapy: a case report. Gen Hosp Psychiatry. 2012;34(4):436.e3–4. doi: 10.1016/j.genhosppsych.2011.11.010
18. Nahar A, Kondapuram N, Desai G, Chandra PS. Catatonia among women with postpartum psychosis in a Mother-Baby inpatient psychiatry unit. Gen Hosp Psychiatry. 2017;45:40–43. doi: 10.1016/j.genhosppsych.2016.12.010
19. Kamau C. Postpartum depression or psychosis and return to work. Lancet Psychiatry. 2017;4(2):96–97. doi: 10.1016/S2215-0366(16)30444-8
20. Rundgren S, Brus O, Båve U, Landén M, Lundberg J, Nordanskog P, Nordenskjöld A. Improvement of postpartum depression and psychosis after electroconvulsive therapy: A population-based study with a matched comparison group. J Affect Disord. 2018;235:258–264. doi: 10.1016/j.jad.2018.04.043
21. Pribytkov AA. Psihogennye poslerodovye depressii nepsihoticheskogo urovnya (klinicheskaya kartina i opyt terapii). Social’naya i klinicheskaya psihiatriya. 2011;21(1):9–13. (In Russ.).
22. Ragimova AA, Ivanov SV. Klinicheskoe issledovanie poslerodovyh depressij pri shizofrenii. Psihicheskie rasstrojstva v obshchej medicine. 2017;(01–02):4–11. (In Russ.).
23. Starkstein S, Berrios G. The ‘Preliminary Discourse’ to Methodical Nosology, by François Boissier de Sauvages (1772). Hist Psychiatry. 2015;26(4):477–491. doi: 10.1177/0957154X15602361
24. Serbskij VP. Formy psihicheskogo rasstrojstva, opisyvaemye pod imenem katatonii. M., 1890. (In Russ.).
25. World Health Organization. ICD-11: International classification of diseases (11th revision). 2022.
26. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR®). American Psychiatric Association; 2022:1120. doi: 10.1176/appi.books.9780890425787
27. Leonhard K. Aufteilung der endogenen Psychosen und ihre differenzierte Ätiologie. 4. Auf. Akademie Verlag, Berlin; 1968.
28. Urstein M. Katatonie Unter Dem Bilde Der Hysterie Und Psychopathie. Berlin: Karger; 1922.
29. Borisova PO, Lobanova VM. On the problem of hysterocatonia in the clinical space of schizophrenia and schizophrenic spectrum disorders. S.S.Korsakov Journal of Neurology and Psychiatry/Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova. 2022;122(7):81–87. (In Russ.). doi: 10.17116/jnevro202212207181
30. Smulevich AB, Klyushnik TP, Borisova PO, Lobanova VM, Voronova EI. Catatonia (Actual Problems of Psychopatology and Clinical Systematics). Psychiatry (Moscow) (Psikhiatriya). 2022;20(1):6–16. (In Russ.). doi: 10.30629/2618-6667-2022-20-1-6-16
31. Wilson JE, Niu K, Nicolson SE, Levine SZ, Heckers S. The diagnostic criteria and structure of catatonia. Schizophr Res. 2015;164(1–3):256–262. doi: 10.1016/j.schres.2014.12.036
Review
For citations:
Piskarev M.V., Lobanova V.m., Rumyantseva E.B. Catatonia in the Structure of Affective and Schizoaffective Disorders of the Postpartum Period. Psychiatry (Moscow) (Psikhiatriya). 2023;21(3):54-63. (In Russ.) https://doi.org/10.30629/2618-6667-2023-21-3-54-63
Views:
383
Email this article 
