tetano
Editor, Senior Moderator
Rev Psiquiatr Salud Ment. 2020 Apr 27. pii: S1888-9891(20)30034-3. doi: 10.1016/j.rpsm.2020.04.009. [Epub ahead of print]
Reactive psychoses in the context of the COVID-19 pandemic: Clinical perspectives from a case series.
[Article in English, Spanish]
Vald?s-Florido MJ[SUP]1[/SUP], L?pez-D?az ?[SUP]2[/SUP], Palermo-Zeballos FJ[SUP]1[/SUP], Mart?nez-Molina I[SUP]3[/SUP], Mart?n-Gil VE[SUP]3[/SUP], Crespo-Facorro B[SUP]4[/SUP], Ruiz-Veguilla M[SUP]4[/SUP].
Author information
Abstract
INTRODUCTION:
The world is currently undergoing an extremely stressful scenario due to the COVID-19 pandemic. This unexpected and dramatic situation could increase the incidence of mental health problems, among them, psychotic disorders. The aim of this paper was to describe a case series of brief reactive psychosis due to the psychological distress from the current coronavirus pandemic.
MATERIALS AND METHODS:
We report on a case series including all the patients with reactive psychoses in the context of the COVID-19 crisis who were admitted to the Virgen del Roc?o and Virgen Macarena University Hospitals (Seville, Spain) during the first two weeks of compulsory nationwide quarantine.
RESULTS:
In that short period, four patients met the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for a brief reactive psychotic disorder. All of the episodes were directly triggered by stress derived from the COVID-19 pandemic and half of the patients presented severe suicidal behavior at admission.
CONCLUSIONS:
We may now be witnessing an increasing number of brief reactive psychotic disorders as a result of the COVID-19 pandemic. This type of psychosis has a high risk of suicidal behavior and, although short-lived, has a high rate of psychotic recurrence and low diagnostic stability over time. Therefore, we advocate close monitoring in both the acute phase and long-term follow-up of these patients.
Copyright ? 2020 SEP y SEPB. Publicado por Elsevier Espa?a, S.L.U. All rights reserved.
KEYWORDS:
COVID-19; Coronavirus; Psychotic disorders; SARS-CoV-2; Suicide; Suicidio; Trastornos psic?ticos
PMID:32389516DOI:10.1016/j.rpsm.2020.04.009
Reactive psychoses in the context of the COVID-19 pandemic: Clinical perspectives from a case series.
[Article in English, Spanish]
Vald?s-Florido MJ[SUP]1[/SUP], L?pez-D?az ?[SUP]2[/SUP], Palermo-Zeballos FJ[SUP]1[/SUP], Mart?nez-Molina I[SUP]3[/SUP], Mart?n-Gil VE[SUP]3[/SUP], Crespo-Facorro B[SUP]4[/SUP], Ruiz-Veguilla M[SUP]4[/SUP].
Author information
Abstract
INTRODUCTION:
The world is currently undergoing an extremely stressful scenario due to the COVID-19 pandemic. This unexpected and dramatic situation could increase the incidence of mental health problems, among them, psychotic disorders. The aim of this paper was to describe a case series of brief reactive psychosis due to the psychological distress from the current coronavirus pandemic.
MATERIALS AND METHODS:
We report on a case series including all the patients with reactive psychoses in the context of the COVID-19 crisis who were admitted to the Virgen del Roc?o and Virgen Macarena University Hospitals (Seville, Spain) during the first two weeks of compulsory nationwide quarantine.
RESULTS:
In that short period, four patients met the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for a brief reactive psychotic disorder. All of the episodes were directly triggered by stress derived from the COVID-19 pandemic and half of the patients presented severe suicidal behavior at admission.
CONCLUSIONS:
We may now be witnessing an increasing number of brief reactive psychotic disorders as a result of the COVID-19 pandemic. This type of psychosis has a high risk of suicidal behavior and, although short-lived, has a high rate of psychotic recurrence and low diagnostic stability over time. Therefore, we advocate close monitoring in both the acute phase and long-term follow-up of these patients.
Copyright ? 2020 SEP y SEPB. Publicado por Elsevier Espa?a, S.L.U. All rights reserved.
KEYWORDS:
COVID-19; Coronavirus; Psychotic disorders; SARS-CoV-2; Suicide; Suicidio; Trastornos psic?ticos
PMID:32389516DOI:10.1016/j.rpsm.2020.04.009