[Thrombodynamic correlates of catatonia severity in children with autism]

O S Brusov1, N V Simashkova1, N S Karpova1

  • 1Mental Health Research Center, Moscow, Russia.

Insights

Children with autism spectrum disorder (ASD) and catatonia show hypercoagulation. Increased clot growth rates and reduced spontaneous clot formation time correlate with catatonia severity, suggesting hemostasis normalization is key for treatment.

Area of Science:

  • Pediatric Neurology
  • Hematology
  • Psychiatry

Background:

  • Infantile psychosis and catatonia are associated with autism spectrum disorder (ASD).
  • Hypercoagulation, an abnormal increase in blood clotting, may play a role in ASD-related catatonia.

Purpose of the Study:

  • To investigate the correlation between thrombodynamics parameters and catatonia severity in children with ASD.
  • To assess hypercoagulation markers in children diagnosed with infantile psychosis within ASD.

Main Methods:

  • Twenty-four children (ages 3-13) with ASD and catatonia were studied.
  • Catatonia severity was assessed using the Bush-Francis Catatonia Rating Scale (BFCRS).
  • Thrombodynamic tests were performed on platelet-free plasma to measure clot growth parameters.

Main Results:

  • Thrombodynamic parameters indicated hypercoagulation, with significantly higher clot growth rates (V, Vi, Vst) and reduced time to spontaneous clot formation (Tsp).
  • Catatonia severity positively correlated with initial clot growth rate (Vi) and negatively with Tsp.
  • Longer Tsp, indicating decreased procoagulant activity, was associated with reduced catatonia severity.

Conclusions:

  • The findings suggest a link between plasma and platelet hemostasis abnormalities and catatonia in children with ASD.
  • Normalizing hemostasis may be a crucial therapeutic target for improving treatment outcomes in these patients.
Abstract

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