{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T17:56:18Z","timestamp":1703786178118},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pharmacopsychiatry"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\nObjective Malignant catatonia (MC) is an extremely rare, life-threatening disorder. It is characterized by catatonic symptoms accompanied by autonomic instability, hyperthermia, and changes in laboratory values. In many cases, MC is not recognized as such. Evidence-based guidelines are essential to ensure quality of treatment, but what do current national and international guidelines recommend?<\/jats:p><jats:p>\nMethod Online search for international guidelines from English-, French-, Italian-, and German-speaking countries whose medical care meets high standards addressing the treatment of MC. These were analyzed and compared regarding statements on MC, recommendations, and strength of scientific evidence.<\/jats:p><jats:p>\nResults Fifteen of the identified guidelines were included. Only 5 of 15 comment on the treatment of MC. As for other rare diseases, no detailed recommendations are available. Suggested therapies are limited to benzodiazepines and electroconvulsive therapy. Levels of evidence and grades of recommendation are predominantly low.<\/jats:p><jats:p>\nConclusion Many international guidelines do not mention MC. It is not possible to derive a clear algorithm for the treatment of MC from most current guidelines. A thorough update of most guidelines appears to be necessary. Lack of awareness and knowledge of MC among physicians and medical professionals might lead to inadequate or delayed care, worsened outcome, or death.<\/jats:p>","DOI":"10.1055\/a-1007-1949","type":"journal-article","created":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T03:20:35Z","timestamp":1569554435000},"page":"14-20","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of International Therapy Guidelines with Regard to the Treatment of Malignant Catatonia"],"prefix":"10.1055","volume":"53","author":[{"given":"Carlos","family":"Sch\u00f6nfeldt-Lecuona","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy III, University Clinic Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian","family":"Cronemeyer","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy III, University Clinic Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilli","family":"Hiesener","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy III, University Clinic Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard J.","family":"Connemann","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy III, University Clinic Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian","family":"Gahr","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy III, University Clinic Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Sartorius","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, Central Institute of Mental Health (CIMH), Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viktoria","family":"M\u00fchlbauer","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy III, University Clinic Ulm, Germany"},{"name":"Geriatric Universitary Clinic Ulm, Agaplesion Bethesda, Geriatric Center Ulm\/Alb-Donau, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,9,26]]},"container-title":["Pharmacopsychiatry"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1007-1949.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,9]],"date-time":"2020-01-09T23:31:17Z","timestamp":1578612677000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1007-1949"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,26]]},"references-count":0,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2020,1,9]]},"published-print":{"date-parts":[[2020,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1007-1949","relation":{},"ISSN":["0176-3679","1439-0795"],"issn-type":[{"value":"0176-3679","type":"print"},{"value":"1439-0795","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9,26]]}}}