{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T04:41:44Z","timestamp":1787978504059,"version":"build-2784847793"},"reference-count":42,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T00:00:00Z","timestamp":1597276800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Catatonic stupor has been linked to extreme fear. Whether the underlying phenomenology of every catatonic dimension is intense anxiety or fear remains unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred and six patients aged \u226564\u2009years were assessed for catatonia and clinical variables during the first 24\u2009hours of admission. Two\u2010sample <jats:italic>t<\/jats:italic> test were used to test for group differences. A principal component analysis was developed. Analysis of variance was performed to assess for differences in the diagnostic groups. Correlation coefficients were used to examine the association between catatonic dimensions and psychopathological variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were statistically significant differences between catatonic and non\u2010catatonic patients in the Hamilton and NPI scores. The three factor\u2010model accounted for 52.23% of the variance. Factor 1 loaded on items concerned with \u201cexcitement,\u201d factor 2 on \u201cinhibition\u201d items, and factor 3 on \u201cparakinetic\u201d items. There was a significant effect for factor 1 (F [5.36] = 2.83, <jats:italic>P<\/jats:italic> = .02), and not significant for factor 2 and factor 3. Compared with patients with depression, patients with mania scored significantly higher on factor \u201cexcitement\u201d (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05). Factor 2 showed a moderate correlation with Hamilton total score (r = .346, <jats:italic>P<\/jats:italic> = .031) and Hamilton psychic score (r = .380, <jats:italic>P<\/jats:italic> = .017).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Catatonic patients experienced more anxiety and hyperactivity. A three\u2010factor solution provided best fit for catatonic symptoms. Patients with mania scored highest on Excitement, patients with depression on Inhibition, and patients with schizophrenia on Parakinetic. The main finding in this study was a positive moderate correlation between the Hamilton psychic score and the Inhibition factor score, meaning that not every catatonic dimension is associated to intense anxiety.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.5382","type":"journal-article","created":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T03:23:03Z","timestamp":1596511383000},"page":"1409-1417","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Catatonia in elderly psychiatric inpatients is not always associated with intense anxiety: Factor analysis and correlation with psychopathology"],"prefix":"10.1002","volume":"35","author":[{"given":"Jorge","family":"Cuevas\u2010Esteban","sequence":"first","affiliation":[{"name":"Servicio Psiquiatr\u00eda Hospital Universitari Germans Trias i Pujol  Badalona Spain"},{"name":"Departamento Psiquiatr\u00eda Universitat Aut\u00f2noma de Barcelona  Barcelona Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental (CIBERSAM)  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7794-1533","authenticated-orcid":false,"given":"Maria","family":"Iglesias\u2010Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Servicio Psiquiatr\u00eda Hospital Universitari Germans Trias i Pujol  Badalona Spain"},{"name":"Departamento Psiquiatr\u00eda Universitat Aut\u00f2noma de Barcelona  Barcelona Spain"},{"name":"Consorcio de Investigaci\u00f3n Biom\u00e9dica en Red de Epidemiolog\u00eda y Salud P\u00fablica (CIBERESP)  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1935-7109","authenticated-orcid":false,"given":"Jordi","family":"Serra\u2010Mestres","sequence":"additional","affiliation":[{"name":"Department of Old Age Psychiatry Central &amp; North West London NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Butjosa","sequence":"additional","affiliation":[{"name":"Sant Joan de D\u00e9u research foundation. 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