Published online by Cambridge University Press: 26 July 2025
Epidemiological studies on catatonia encounter several methodological challenges, and as a result, the historical epoch and clinical context must be carefully considered when estimating its incidence and prevalence. Over the past 70 years, the reported incidence and prevalence of catatonia have significantly declined, influenced by several key historical developments, including the widespread use of antipsychotic medications, shifts in diagnostic criteria, advances in psychiatric care, and changes in the clinical recognition of the disorder. The reclassification of catatonic symptoms as antipsychotic-induced motor side effects, along with the decentralization of psychiatric care and shorter patient observation periods, contributed to this decline. This chapter explores the limitations of epidemiological research on catatonia, particularly regarding its prevalence across diverse patient populations. It provides a detailed analysis of catatonia’s incidence and prevalence in different epochs, various clinical settings, considering factors such as sex ratios, age distribution, ethnicity, and recurrence rates, supported by the most recent scientific evidence.
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