Self-Inflicted Total Amputation of the External Genitalia as a Psychological Repercussion of the COVID-19 Pandemic: A Case Report

During the coronavirus disease 2019 (COVID-19) pandemic, mandatory quarantine has interrupted everyday social life, leaving many individuals feeling confined and lonely, with increased rates of suicide and suicidal behavior. Genital self-mutilation (GSM) is a rare phenomenon that typically occurs in the context of severe mental illness. The following case report describes the first case of total self-inflicted genital amputation in a healthy man who had no prior history of mental or medical conditions. This case poses challenges for psychiatric diagnosis and treatment. We report a case of a 52-year-old male with no significant medical and psychiatric history who was admitted to a tertiary care hospital after attempting suicide by self-inflecting a total amputation of his external genitalia due to fear of COVID-19 infection. The diathesis-stress linked with the tribulations of the current pandemic was highlighted as well as other possible contributory factors and psychopathology behind his clinical presentation.

The Parental and Children Report of the Prevalence of Depressive Symptoms in Children and Adolescents Amid the COVID-19 Pandemic: A Cross-Sectional Study From Oman.

Objective: Studies from the past decades have shown that mood disorders are common during childhood and adolescence. This study aimed to estimate the point prevalence of depression in Omani children and adolescents during social distancing and lockdown and identify the risk factors for developing depressive symptoms during the COVID-19 pandemic. Methods: This is an analytical cross-sectional study conducted in May 2020, in which all young Omani people attending a mainstream school aged 8-18 years old were eligible to participate. Parents were asked to complete the online survey, which consisted of the parent version of the Mood and Feelings Questionnaire (MFQ-Parent). In addition, the option of a self-reported version (MFQ-Self) was provided in cases where children preferred to fill out the survey themselves. Logistic regression was used to identify the contributing socio-demographic variables associated with depressive symptoms. Results: A total of 445 participants completed the MFQ, out of which 72.1% were parents, and 27.9% were children, adolescents and young people. 13.9% of children and adolescents exhibited depressive symptoms during the COVID-19 pandemic in Oman. The presence of depressive symptoms was associated with increased food intake (OR 1.81, 95% CI 1.00-3.29, p-value <0.05), longer use of smartphones (OR 2.72, 95% CI 1.56-4.73, p-value <0.001), whereas additional entertainment activities during lockdown were protective against depression (OR 0.35 95% CI 0.19-0.64, p-value <0.001). Conclusion: This study from Oman concurs with recent reports of depression being common during the COVID-19 pandemic. Concerted efforts are needed to mitigate this trend and identify high-risk groups during the lockdown period.

COVID-19 Induced New-onset Psychosis: A Case Report from Oman.

Neurobehavioral impairment associated with COVID-19 infection has been recently documented in the literature. COVID-19 infection has also been associated with an increased risk for developing psychiatric symptoms, including rare reports on psychosis. We report a case of a 46-year-old male with no significant medical, family, and psychiatric history admitted to the hospital with COVID-19-related psychosis. Possible contributory factors for his condition are discussed, including the relationship between infections and the brain circuitry, inadvertent iatrogenic effects of pharmaceuticals used to manage COVID-19, as well as diathesis-stress associated with the tribulation of the prevailing pandemic.

Psychological and sleep-related factors among quarantined Omani students returning from abroad

<bold>Background</bold>: One of the many repercussions from the COVID-19 pandemic has been stress. The death toll from the pandemic, as well as sleep loss, have been noted to be the root causes of COVID-19 related stress and distress among students in the Arabian Gulf countries. <bold>Aims:</bold> This study aimed to examine the relationship between self-reported sleeping problems and the socio-demographic, clinical and lifestyle factors among quarantined Omani students arriving from abroad <bold>Methods:</bold> This was a cross-sectional analytical study conducted during the COVID-19 pandemic, from April 1-10 2020. The participants were all Omani students who had arrived from abroad during the pandemic. The outcome measures consisted of the Athens Insomnia Scale (AIS) and the Generalized Anxiety Disorder -7 (GAD-7), as well as relevant socio-demographic, clinical, and lifestyle factors. <bold>Result:</bold> A total of 376 participants were included in this study with 49.5% (n = 186) noted to be suffering from insomnia. Multivariate logistic analysis suggested that female students were 2.4 times (odds ratio [OR] = 2.43;confidence interval [CI]: 1.50-3.93;<italic>P</italic> < .001) more likely to suffer from insomnia when compared to male students. <bold>Conclusion:</bold> Almost half of the participants self-reported sleeping problems, with a higher prevalence among female students. Further studies are needed to confirm these findings [ABSTRACT FROM AUTHOR] Copyright of Biological Rhythm Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)