Evidence map›Paper›PMID 35841077›Full record

ArticleBMC psychology2022

The psychological and subjective experience of catatonia: a qualitative study.

Zukiswa Zingela, Louise Stroud, Johan Cronje, Max Fink, Stephan van Wyk

Open access · goldAbstract read
In one paragraph

Article in BMC psychology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Frozen emotions, frozen bodies: a systematic review of limbic system alterations in catatonia.European archives of psychiatry and clinical neuroscience · 2026
    Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Literary case study of psychosis:World journal of psychiatry · 2025
    Review
  9. Review
  10. Article
  11. Catatonia.Nature reviews. Disease primers · 2024
    Review
  12. Article
  13. Orbitofrontal sulcal patterns in catatonia.European psychiatry : the journal of the Association of European Psychiatrists · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Zukiswa ZingelaExecutive Dean's Office, Nelson Mandela University, Gqeberha, South Africa. Zukiswa.Zingela@mandela.ac.za.
Louise StroudDepartment of Psychology, Nelson Mandela University, Gqeberha, South Africa.
Johan CronjeDepartment of Psychology, Nelson Mandela University, Gqeberha, South Africa.
Max FinkDepartment of Psychiatry, Stony Brook University, New York, USA.
Stephan van WykDepartment of Psychiatry and Human Behavioural Sciences, Walter Sisulu University, Mthatha, South Africa.
Nelson Mandela University · ZAStony Brook University · USWalter Sisulu University · ZA

Funding

Health and Welfare Sector Education and Training Authority 2018/2019HWSETA219986789South African Medical Research Council 2017SAMRC0SIR0000157977
6 · The paper itself

Abstract

backgroundCatatonia is a severe psychomotor disorder that presents as abnormality of movement which may also be excessive or severely slowed. It often inhibits communication when protracted or severe. In this study we investigated the emotive and cognitive experience of patients with catatonia during a prevalence study in an acute mental health unit from August 2020 to September 2021. The value of this study is the addition of the inner and often unexplored cognitive and emotive experience of patients in the description of the catatonic state, which lends an additional dimension to complement the medical and psychopathological descriptors that have been the focus of most studies on catatonia.

methodsEthical approval was received from the Nelson Mandela University Human Research Committee and convenience sampling was undertaken to recruit participants admitted into an acute mental health unit with catatonia, four to eight weeks after discharge, following admission. The BFCSI and BFCRS and a pre-designed data collection sheet were used to assess n = 241 participants, and collect data on descriptions of thoughts, feelings, and behaviours they experienced during the catatonic episode.

resultsForty-four (18.3%) of the total 241 participants who were assessed had catatonia. Thirty (68.2%) of the 44 participants with catatonia provided data on their experience of catatonia. Twenty-three were males (76.7% of 30) and seven were females (23.3% of 30). All were within the age range of 17 to 65 years. The dominant themes of thoughts, feelings, and behaviors described centered around yearning for or missing loved ones, heightened fear, intense anxiety, negative affect, aggression, obedience, and withdrawal.

conclusionsThe common themes that emerged from this study were overwhelming anxiety, fear, and depression. These were found to occur frequently in patients with catatonia when describing their psychological experience. These experiences may possibly relate to the flight, fight, freeze and fawn response, as described in prior studies on the subjective experience of catatonia.

trial registrationNot applicable.

Indexed as

CatatoniaAdolescentAdultAgedFemaleHumansMaleMiddle AgedYoung AdultAnxietyCatatoniaFearObediencePsychologicalSubjectiveWithdrawal

Identifiers

PMID35841077
PMCPMC9287913
OpenAlexW4285492858

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.