Clinical characterization of brief psychotic disorders triggered by the COVID-19 pandemic: a multicenter observational study.
COVID-19
Psychoses
Schizophrenia
Stress
Suicide
Journal
European archives of psychiatry and clinical neuroscience
ISSN: 1433-8491
Titre abrégé: Eur Arch Psychiatry Clin Neurosci
Pays: Germany
ID NLM: 9103030
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
received:
27
10
2020
accepted:
16
03
2021
pubmed:
4
4
2021
medline:
19
2
2022
entrez:
3
4
2021
Statut:
ppublish
Résumé
This study aimed to characterize the clinical profile of patients with brief psychotic disorders (BPD) triggered by the psychosocial distress derived from the COVID-19 crisis. A multicenter study was conducted from March 14 to May 14, 2020 (the peak weeks of the pandemic in Europe). All consecutive patients presenting non-affective psychotic episodes with a duration of untreated psychosis of less than 1 month and whose onset was related to the COVID-19 crisis were recruited, but only those patients meeting Diagnostic Statistical Manual 5th edition (DSM-5) criteria for "BPD with marked stressors" (DSM-5 code: 298.8) during follow-up were finally included. Patients' sociodemographic and clinical characteristics were collected at baseline and summarized with descriptive statistics. During the study period, 57 individuals with short-lived psychotic episodes related to the emotional stress of the COVID-19 pandemic were identified, of whom 33 met DSM-5 criteria for "BPD with marked stressors". The mean age was 42.33 ± 14.04 years, the gender distribution was almost the same, and the majority were rated as having good premorbid adjustment. About a quarter of the patients exhibited suicidal symptoms and almost half presented first-rank schizophrenia symptoms. None of them were COVID-19 positive, but in more than half of the cases, the topic of their psychotic features was COVID-19-related. The coronavirus pandemic is triggering a significant number of BPD cases. Their risk of suicidal behavior, their high relapse rate, and their low temporal stability make it necessary to closely monitor these patients over time.
Identifiants
pubmed: 33811552
doi: 10.1007/s00406-021-01256-w
pii: 10.1007/s00406-021-01256-w
pmc: PMC8019303
doi:
Types de publication
Journal Article
Multicenter Study
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
5-15Informations de copyright
© 2021. Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Psychiatry Res. 2020 Jul;289:113052
pubmed: 32388178
Psychiatry Res. 2020 Jun;288:113001
pubmed: 32315884
Lancet. 2007 Oct 20;370(9596):1453-7
pubmed: 18064739
Soc Psychiatry Psychiatr Epidemiol. 2013 Dec;48(12):1917-22
pubmed: 23783414
Schizophr Bull. 2021 Jan 23;47(1):15-22
pubmed: 32761196
Psychiatr Prax. 2020 May;47(4):218-220
pubmed: 32340051
Psychiatr Serv. 2011 Sep;62(9):1007-12
pubmed: 21885577
Psychiatry Res. 2020 Aug;290:113136
pubmed: 32502827
Eur Arch Psychiatry Clin Neurosci. 2020 Apr;270(3):291-299
pubmed: 31062078
Eur J Neurol. 2020 Sep;27(9):e43-e44
pubmed: 32383343
Acta Psychiatr Scand. 2013 Jun;127(6):442-54
pubmed: 23298325
Rev Psiquiatr Salud Ment (Engl Ed). 2020 Apr - Jun;13(2):90-94
pubmed: 32389516
Eur Psychiatry. 2017 Sep;45:104-113
pubmed: 28756108
Rev Psiquiatr Salud Ment (Engl Ed). 2020 Apr - Jun;13(2):105-110
pubmed: 32376131
Aust N Z J Psychiatry. 2013 Jan;47(1):59-64
pubmed: 23028179
Curr Psychiatry Rep. 2019 Nov 4;21(11):113
pubmed: 31686264
Aust N Z J Psychiatry. 2015 Jun;49(6):578
pubmed: 25648142
Psychother Psychosom. 2021;90(1):67-68
pubmed: 32594089
Acta Psychiatr Scand. 2019 Dec;140(6):574-585
pubmed: 31436311
Psychol Med. 2002 Apr;32(3):525-33
pubmed: 11989997
Eur Arch Psychiatry Clin Neurosci. 2016 Oct;266(7):619-28
pubmed: 26769121
Aust N Z J Psychiatry. 2007 Jun;41(6):495-500
pubmed: 17508319
Brain Behav Immun Health. 2020 May;5:100073
pubmed: 32313886
Eur Psychiatry. 2018 Aug;52:126-133
pubmed: 29787962
Nord J Psychiatry. 2017 Feb;71(2):139-144
pubmed: 27834101
Eur Psychiatry. 2019 Apr;57:26-32
pubmed: 30658277
Schizophr Res. 2005 Dec 1;80(1):117-30
pubmed: 15978778
EClinicalMedicine. 2020 Oct 07;28:100578
pubmed: 33294806
Schizophr Res. 2020 Aug;222:541-542
pubmed: 32404258
Eur Arch Psychiatry Clin Neurosci. 2021 Mar;271(2):377-379
pubmed: 32519205
Lancet Glob Health. 2020 Jun;8(6):e758-e759
pubmed: 32278363
Schizophr Res. 2020 Aug;222:79-87
pubmed: 32389615
Cochrane Database Syst Rev. 2015 Jan 25;1:CD010653
pubmed: 25879096
Psychiatry Res. 2003 Mar 25;117(3):199-209
pubmed: 12686363
Lancet Psychiatry. 2020 Oct;7(10):875-882
pubmed: 32593341
Schizophr Bull. 2017 Jan;43(1):48-56
pubmed: 28053130
Schizophr Res. 2012 Mar;135(1-3):128-33
pubmed: 22281102
Psychiatry Res. 2020 Aug;290:113097
pubmed: 32480119
Schizophr Bull. 2019 Oct 24;45(6):1170-1183
pubmed: 31150555
Schizophr Res. 2018 Mar;193:461-462
pubmed: 28739289
Psychopathology. 2014;47(3):202-6
pubmed: 24481421
Lancet Psychiatry. 2020 Jul;7(7):611-627
pubmed: 32437679
Br J Psychiatry. 1974 May;124(0):460-9
pubmed: 4836376
Aust N Z J Psychiatry. 2011 Dec;45(12):1061-8
pubmed: 22026404
Compr Psychiatry. 2008 May-Jun;49(3):255-61
pubmed: 18396184
Asian J Psychiatr. 2020 Oct;53:102188
pubmed: 32512530
Suicide Life Threat Behav. 2007 Jun;37(3):264-77
pubmed: 17579539
Br J Psychiatry. 2014;204:299-305
pubmed: 24357576
Psychiatry Res. 2018 Nov;269:414-418
pubmed: 30173049
Epidemiol Psychiatr Sci. 2019 Jun 07;29:e39
pubmed: 31172899
JAMA Psychiatry. 2016 Mar;73(3):211-20
pubmed: 26764163
Nord J Psychiatry. 2014 Jan;68(1):24-9
pubmed: 23383651
Psychiatry Res. 2020 Sep;291:113291
pubmed: 32763551
Eur Arch Psychiatry Clin Neurosci. 2003 Aug;253(4):167-74
pubmed: 12910347
Psychol Med. 2018 Sep;48(12):1925-1936
pubmed: 29334044
BMJ. 2009 Jul 21;339:b2535
pubmed: 19622551
Curr Psychiatry Rep. 2001 Aug;3(4):338-41
pubmed: 11470042
Asian J Psychiatr. 2020 Jun;51:102114
pubmed: 32334406
Prim Care Companion CNS Disord. 2020 May 14;22(3):
pubmed: 32408399
Schizophr Bull. 2016 Nov;42(6):1395-1406
pubmed: 26980142
Psychol Med. 2016 Jul;46(9):2011-3
pubmed: 27181416
Suicide Life Threat Behav. 2007 Jun;37(3):248-63
pubmed: 17579538
Acta Psychiatr Scand. 2002 Feb;105(2):104-9
pubmed: 11939959
Int J Soc Psychiatry. 2020 Jun;66(4):317-320
pubmed: 32233719
Soc Psychiatry Psychiatr Epidemiol. 1995 Nov;30(6):274-8
pubmed: 8560329
J Affect Disord. 2020 Oct 1;275:48-57
pubmed: 32658823
Rev Psiquiatr Salud Ment (Engl Ed). 2020 Oct - Dec;13(4):228-229
pubmed: 32912670
Gen Hosp Psychiatry. 2021 Mar-Apr;69:111-112
pubmed: 32646621
Epidemiol Psychiatr Sci. 2019 Nov 19;29:e67
pubmed: 31739812