Reactive psychoses in the context of the COVID-19 pandemic: Clinical perspectives from a case series.
Rev Psiquiatr Salud Ment (Engl Ed)
; 13(2): 90-94, 2020.
Article
in English, Spanish
| MEDLINE | ID: covidwho-125044
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 ANDMETHODS:
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 Rocío 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.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Psychotic Disorders
/
Stress, Psychological
/
Quarantine
/
Coronavirus Infections
/
Betacoronavirus
/
Psychological Distress
Type of study:
Case report
/
Cohort study
/
Diagnostic study
/
Observational study
/
Prognostic study
/
Qualitative research
Topics:
Long Covid
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Europa
Language:
English
/
Spanish
Journal:
Rev Psiquiatr Salud Ment (Engl Ed)
Year:
2020
Document Type:
Article
Affiliation country:
J.rpsm.2020.04.009
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