Case Report

Catatonia in Older Adult Individuals with Intellectual Disabilities

Table 1

Timeline of important events in the history of the diagnosis of catatonia.

YearEventReference

1874Kahlbaum described catatonia as a distinct entity. [4, 5]

1919Kraepelin described catatonia as a subtype of schizophrenia (dementia praecox), although he also stated it could be found in mood disorders (manic-depressive illness). [6]

1974Gjessing published an article in English summarizing his long experience with periodic catatonia, which sometimes is a familial illness. [7]

1976Gelenberg published an influential review which suggested that catatonia is a syndrome instead of being a form of schizophrenia. [8]

1976Abram and Taylor published their influential prospective study suggesting that the most frequent cause of catatonia in their US hospital was mood disorders. [9]

1979Leonhard’s textbook fifth edition was translated into English. In his view, catatonic symptoms can be found in (1) motility psychoses (under cycloid psychoses); (2) familial periodic catatonia (under unsystematic schizophrenias); and (3) nongenetic forms of catatonic schizophrenia (under systematic schizophrenias). [10]

1980DSM-III included catatonia as a type of schizophrenia. [11]

1987DSM-IIIR, as in DSM-III, continues to describe catatonia as a type of schizophrenia. [12]

1990Taylor published a comprehensive review on catatonia. [1]

1991First article by Fink and Taylor proposing a separate DSM category for catatonia. [13]

1994DSM-IV included catatonia as a type of schizophrenia, a specifier for mood episode, and a disorder secondary to a medical condition. [14]

1997Peralta et al. studied 567 psychotic patients, identifying 45 catatonic patients, most of whom appear to fit in a separate group, as Leonhard proposed in the motility psychoses. [15]

2003Influential article by Taylor and Fink proposing that DSM create a category for catatonia. [16]

2004DSM-IV-TR, as did DSM-IV, included catatonia as a type of schizophrenia, a specifier for mood episode, and a disorder secondary to a medical condition. [17]

2006Taylor and Fink published an influential book in catatonia. [18]

2013DSM-5 described catatonia as separate syndrome.
DSM-5 required 3 of 12 catatonic symptoms to make the diagnosis of catatonia. The symptoms are
(1) stupor, (2) catalepsy, (3) waxy flexibility, (4) mutism, (5) negativism, (6) posturing, (7) mannerism, (8) stereotypy, (9) agitation not influenced by external stimuli, (10) grimacing, (11) echolalia, and (12) echopraxia.
[19]