Revue narrative de la catatonie dans la psychose et les troubles des conduites alimentaires : intersections communes et considérations thérapeutiques

Titre original en anglais : Narrative Review of Catatonia in Psychosis and Eating Disorders: Common Intersections and Treatment Considerations

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Elwyn, R. (2026). Narrative Review of Catatonia in Psychosis and Eating Disorders: Common Intersections and Treatment Considerations. Early Intervention in Psychiatry, 20(7), e70187-e70187. https://doi.org/10.1111/eip.70187

Date de publication: 23/06/2026 Ajout dans AutiHub: 29/09/2026 Type: Article Langue de l’article: Anglais
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  1. Rosiel Elwyn *

Résumé

RÉSUMÉ Contexte Les troubles des conduites alimentaires (TCA) et les troubles de la psychose/du spectre psychotique (TSP) présentent des symptômes qui se chevauchent et peuvent coexister sous diverses formes cliniques. En raison de son risque invalidant et potentiellement mortel, il est important que les cliniciens sachent comment la catatonie peut se manifester dans ces coexistences. Méthode Une revue narrative des présentations catatoniques chez des personnes présentant des TCA et une psychose coexistants a été menée à l'aide des bases de données Google Scholar, ScienceDirect, PubMed, ProQuest et PsychInfo. Résultats Cet article examine et résume les 10 cas trouvés dans la littérature, et explore des considérations critiques dans la coexistence TCA-psychose, y compris l'éclairage apporté par l'expérience vécue de l'auteur concernant l'expérience de la catatonie dans le cadre de la coexistence TCA-psychose. Dans 9 cas sur 10, la catatonie est survenue pendant l'adolescence (âges de 13 à 24 ans). Cinquante pour cent des cas impliquaient des événements stressants ou traumatiques comme facteur précipitant l'apparition de la catatonie. Les personnes autistes atteintes de TCA peuvent être particulièrement vulnérables aux symptômes catatoniques. Dans la plupart des cas, les symptômes catatoniques ont répondu au traitement par lorazépam ou à une association de lorazépam et d'autres médicaments tels que les antipsychotiques, bien qu'une alimentation par sonde ait également été nécessaire dans certains cas. Conclusion Cette revue examine les facteurs clés et les intersections qui sont très pertinents pour les personnes vulnérables aux TCA et à la psychose (c'est-à-dire la malnutrition, les traumatismes, l'autisme, le trouble bipolaire, le TOC). Les symptômes catatoniques peuvent être confondus avec des symptômes de TCA, retardant un traitement précoce chez les personnes atteintes de TCA. La prise en compte des présentations catatoniques ainsi que des pratiques thérapeutiques tenant compte des traumatismes et affirmant la neurodivergence est recommandée.

ABSTRACT Background Eating disorders (ED) and psychosis/psychotic‐spectrum disorders (PSD) have overlapping symptoms and may co‐occur in a variety of presentations. Due to its debilitating and life‐threatening risk, it is important for clinicians to be aware of how catatonia may present within these co‐occurrences. Method A narrative review was conducted of catatonic presentations in individuals with co‐occurring EDs and psychosis, using the databases Google Scholar, ScienceDirect, PubMed, ProQuest and PsychInfo. Results This article reviews and summarises the 10 cases found in the literature, and explores critical considerations within ED‐psychosis co‐occurrence, including the author's lived experience insight into experiencing catatonia within co‐occurring ED‐psychosis. In 9 out of 10 cases, catatonia occurred during adolescence (ages 13–24). Fifty percent of cases involved stressful or traumatic events as a precipitant to catatonia emergence. Autistic individuals with EDs may be particularly vulnerable to catatonic symptoms. In most cases, catatonic symptoms responded to lorazepam treatment or a combination of lorazepam and other medications such as antipsychotics, although tube‐feeding was also required in some cases. Conclusion This review discusses key factors and intersections that are highly relevant to individuals vulnerable to EDs and psychosis (i.e., malnutrition, trauma, autism, bipolar disorder, OCD). Catatonic symptoms may be mistaken for ED symptoms, delaying early treatment in individuals with ED. Consideration of catatonic presentations and trauma‐informed and neurodivergent‐affirming treatment practices are recommended.

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Références citées
214
Avec un DOI
186
Sans DOI, à partir du texte brut de la bibliographie
28
13 / 214 (6,1 %) références citées comprennent au moins une personne identifiée comme autiste.
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8 / 214 (3,7 %)
Références avec noms d’auteurices détectés
206 / 214 (96,3 %)
Sans nom d’auteurice détecté
8
Sans titre structuré
8
Sans identifiant stable
28
Références avec noms bruts d’auteurices restant à vérifier
6
Références avec problème de récupération des métadonnées externes
0
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Noms d’auteurices détectés dans la bibliographie citée
961
À partir du DOI ou de métadonnées externes
961
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
6
74 / 961 (7,7 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 887 / 961 (92,3 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
19 / 961 (2,0 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 19 / 74 (25,7 %). Personnes distinctes identifiées comme autistes : 9 / 841 (1,1 %).
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