Post

New research · Internal Medicine
The Journal of neuropsychiatry and clinical neurosciences · 23h
Cross-sectionalThe Journal of neuropsychiatry and clinical neurosciences · 2026

Prospective Study of Different Diagnostic Criteria for Catatonia and Delirium in Internal Medicine and Neurology Admissions.

Natalia Gutiérrez Ochoa, Juan Diego Corzo Casadiego, Gabriela Castresana Zúñiga … José G Franco
Read paper
Internal MedicineCross-sectional

Catatonia was present in 10% of geriatric inpatients using Bush-Francis Catatonia Rating Scale criteria.

Prospective Study of Different Diagnostic Criteria for Catatonia and Delirium in Internal Medicine and Neurology Admissions.

Natalia Gutiérrez Ochoa et al. · The Journal of neuropsychiatry and clinical neurosciences · 2026
Purpose

The authors prospectively examined the relationship between catatonia and delirium in consecutive hospital admissions.

Methods

In this cross-sectional study of 223 geriatric inpatients with or without delirium, the authors rated symptoms with Bush-Francis Catatonia Rating Scale (BFCRS) items to diagnose catatonia according to the BFCRS, DSM-5-TR , and Research Diagnostic Criteria for Catatonia (RDCC).

Results
catatonia was found in older hospitalized patients when checked with specific guidelines
More results

EFA identified three BFCRS factors, with immobility/stupor, mutism, and staring loading together onto the first factor.

However, EFA explained only 48% of the variance, possibly attributable to catatonia symptom overlap with other conditions.

EFA supported akinesia as a core catatonia feature.

More results

Few correlations were observed between BFCRS and DRS-R-98 items, notably excitement with psychosis and motor agitation, as well as mitgehen with items representing the three core delirium domains and psychosis.

“
Conclusion · 1 of 2

Comorbidity of catatonia with delirium was rare or absent when using DSM-5-TR criteria or the RDCC. The BFCRS criteria yielded a 10% catatonia rate, but BFCRS items were confounded by other conditions.

Conclusion · 2 of 2

Rigorous differential diagnosis of catatonia is needed among geriatric patients.

Read paper
0 comments

No comments yet. Be the first.

Related papers

LatestFoundational
Guideline
“Hyperuricemia should be recognized as a relevant cardiovascular and renal risk factor rather than a benign biochemical finding.”
Study
more than 3.4 billion people
the global count of people living with brain and nerve conditions
Study
95%
most specialized training program leaders were open to a unified date for job offers
Case Report
81%
patients experienced lower nightmare frequency when taking once-nightly pregabalin
Cross-sectional
RR=1.72 (1.35-2.08)
Risk of Lewy body dementia diagnosis was 1.72 times higher in North East England.
Cohort Study
71.8%
children with D/EE-SWAS achieved freedom from seizures after taking ethosuximide
Cross-sectional
2.5%
Only 2.5% of physicians knew Advance Directives for over a quarter of their patients.
Cross-sectional
median +1 on 9-point scale
clinicians felt more comfortable prescribing kidney disease medications with the support tool