A Systematic Review of Interventions Used to Treat Catatonic Symptoms in People with Autistic Spectrum Disorders

@article{Dejong2014ASR,
  title={A Systematic Review of Interventions Used to Treat Catatonic Symptoms in People with Autistic Spectrum Disorders},
  author={Hannah Dejong and Penny Bunton and Dougal J. Hare},
  journal={Journal of Autism and Developmental Disorders},
  year={2014},
  volume={44},
  pages={2127-2136}
}
A systematic review was conducted to examine the efficacy of a range of treatments for autistic catatonia. The review identified 22 relevant papers, reporting a total of 28 cases including both adult and paediatric patients. Treatment methods included electroconvulsive therapy (ECT), medication, behavioural and sensory interventions. Quality assessment found the standard of the existing literature to be generally poor, with particular limitations in treatment description and outcome measurement… 

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Electroconvulsive Therapy for Patients with Catatonia: Current Perspectives

A review of the literature on ECT as a treatment for catatonia finds a large body of research guides evidence-based care and reveals where additional research is warranted, and proposes an algorithm for the treatment ofCatatonia with ECT.
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Electroconvulsive therapy is an effective, safe, and useful procedure in the treatment of catatonic youngsters as reported in 59 patients and ethical issues regarding the use of ECT are analyzed.

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2 patients with autism and mental retardation who developed catatonic symptoms at the onset of puberty are reported who were treated with electroconvulsive therapy resulting in a positive response and functional improvement.

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Case-reports support that stressful events often precede the development of catatonia in autistic people and that cat atonia in autism is a treatable syndrome, often requiring psychosocial interventions to reduce anxiety, and the use of benzodiazepines, electroconvulsive therapy, and maintenance electro Convulsive therapy for safe reversal.
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