Psychotic relapse from COVID-19 quarantine, a case report

Sánchez-Alonso, Sergio; Ovejero, Santiago; Barrigón, María Luisa; Baca‐García, Enrique

doi:10.1016/j.psychres.2020.113114

Cited by 14 publications

(14 citation statements)

References 4 publications

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“…Supplementary Table 1 available at provides a summary of characteristics of the included studies in this review. 2,4-50…”

Section: Resultsmentioning

confidence: 99%

“…31 Three studies reported a relapse of psychosis triggered by the stress of the pandemic 35,36 or quarantine. 37 In one of these cases, the patient had incorporated COVID-19 into their delusional system, and developed symptomatic COVID-19 infection during their hospital stay; 36 and in another case, the patient was found to have a positive COVID-19 test result. 37 The two remaining case reports were also about patients with pre-existing psychotic illness and COVID-19 infection: one presented with relapse of psychosis and delirium 39 and one presented with clozapine toxicity.…”

Section: Case Reportsmentioning

confidence: 99%

“…37 In one of these cases, the patient had incorporated COVID-19 into their delusional system, and developed symptomatic COVID-19 infection during their hospital stay; 36 and in another case, the patient was found to have a positive COVID-19 test result. 37 The two remaining case reports were also about patients with pre-existing psychotic illness and COVID-19 infection: one presented with relapse of psychosis and delirium 39 and one presented with clozapine toxicity. 40 In a Letter to the Editor, de Burgos-Berdud et al 24 reported on four studies that described reactive psychosis or psychotic symptoms triggered by the COVID-19 pandemic in a total of eight healthcare workers.…”

Section: Case Reportsmentioning

confidence: 99%

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Implications of the COVID-19 pandemic for patients with schizophrenia spectrum disorders: narrative review

Zhand

Joober

2021

BJPsych open

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Background COVID-19 was declared a pandemic in March 2020, by the World Health Organization. The pandemic has had unprecedented worldwide implications, in particular on marginalized populations. Aims The aim of this study is to review the impact of the pandemic on patients with schizophrenia spectrum disorders. Method A number of databases were searched for this review, including PubMed, EMBASE, PsycINFO and Google Scholar. Search terms included psychosis and COVID-19, schizophrenia and COVID-19, and severe mental illness and COVID-19. We included all English language papers and preprints. The final search was done on 15 July 2020. Results Forty-seven relevant studies were identified and included in this review. Studies were summarised into five main subcategories: potential impact of the COVID-19 pandemic on physical health outcomes of patients with schizophrenia spectrum disorders, impact on mental health outcomes, review of case reports and case series to date, treatment recommendation guidelines and risk of increased prevalence of psychosis. Conclusions Patients with schizophrenia spectrum disorders may be vulnerable to the effects of the COVID-19 pandemic. This patient population has a number of risk factors, including psychosocial adversities and illness related factors. Continuous monitoring and long-term studies of the impact of the pandemic on this patient population are required.

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“…Supplementary Table 1 available at provides a summary of characteristics of the included studies in this review. 2,4-50…”

Section: Resultsmentioning

confidence: 99%

Section: Case Reportsmentioning

confidence: 99%

Section: Case Reportsmentioning

confidence: 99%

See 1 more Smart Citation

Implications of the COVID-19 pandemic for patients with schizophrenia spectrum disorders: narrative review

Zhand

Joober

2021

BJPsych open

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“…However, it can also give rise to symptoms or disorders that make successful coping difficult [ 16 ]. The need for intervention programmes targeting the mental health of vulnerable populations, including health professionals, has been widely recognised ( [ 17 , 18 , 19 •, 20 – 22 ]).…”

Section: Introductionmentioning

confidence: 99%

Taking Care of Those Who Care: Attending Psychological Needs of Health Workers in a Hospital in Madrid (Spain) During the COVID-19 Pandemic

Jiménez-Giménez

Sánchez-Escribano

Figuero-Oltra

et al. 2021

Curr Psychiatry Rep

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Purpose of Review We aim to review evidence of the psychological impact of the COVID-19 pandemic on healthcare professionals and the effects of the psychological crisis interventions and measures implemented to manage stress. Recent Findings Mental health problems are frequently encountered in health professionals during emergencies and often prevail over the following years. Results show health professionals exhibited symptoms of depression, anxiety, emotional distress, burnout, post-traumatic stress and poor sleep quality. In response to acute responses to stress, it is crucial to provide psychoeducation, mindfulness and coping resources. These interventions can improve resilience and self-efficacy of professionals, as well as help to prevent anxiety, depression and quality of sleep. Summary The need for intervention programmes targeting the mental health of vulnerable populations has been widely acknowledged. We described a psychological support plan designed and implemented with the aim of providing mental health care for health professionals. Such programmes should be easily accessible to professionals, preferably in their own work environments.

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“… 9 Studies showed effects of containment measures (physical distancing and isolation) and lockdown 10 driven by COVID-19 on mental health of the general population. 11 Additionally, depression and probably anxiety, 12 suicidal thoughts, 13 intimate partner violence, 14 anxiety disorders, 15 depressive symptoms, 16 , 17 and psychotic relapse 18 during COVID-19 quarantine were reported. In particular, first psychotic episodes reactive to stress in both general population 19 and healthcare professionals 20 were also reported.…”

Section: Introductionmentioning

confidence: 99%

Could the Associations of Changes in Living Arrangement with Mental Disorders Be Moderated or Mediated During COVID-19 Pandemic?

Guan¹

2021

PRBM

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Purpose Changes in living arrangement was one of the most well-established risk factors for mental disorders, but little evidence came from moderating or mediating effect during COVID-19 pandemic. This study aimed to determine whether associations of changes in living arrangement with mental disorders could be moderated or mediated during COVID-19 pandemic. Methods Data were a cross-sectional and international population-based survey data collected as part of theCOVID-19 pandemic. Participants included nationally representative general population probability samples of adults (≥18 years) during COVID-19 pandemic (N=16,784). Main mental measures were reflected by loneliness assessed by UCLA Loneliness Scale Version 3, anxiety assessed by Generalised Anxiety Disorder 2-item, and depressed mood assessed by The Patient Health Questionnaire-2 in the survey. With control variables, all the mediation models were conducted by Stata mode. Potential influencing effects of social contact and social support as moderators were analyzed using Hayes’s PROCESS macro. Results Among the participants, prevalence of mental disorders was high. Logistic regression indicated that changes in living arrangement had significant associations with anxiety (AOR=1.127, 95% CI: 1.018–1.249) and depression (AOR =1.142, 95% CI: 1.027–1.269). Mediation models indicated that indirect, direct, and total effects of changes in living arrangement on mental disorders through COVID-symptoms; change in alcohol use; and social contact were significant. Indirect, direct, and total effects of changes in living arrangement on loneliness and depression through social support were significant. Moderation analysis indicated that moderation model 1 in AF Hayes Process procedure was accepted. Conclusion This study indicated that associations of changes in living arrangement with mental disorders could be mediated by COVID-symptoms, changes in alcohol use, social contact, and social support and moderated by social support during COVID-19 pandemic. The finding in this study might provide better understanding of the mechanisms by which social support might contribute to the resolving mental disorders.

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Psychotic relapse from COVID-19 quarantine, a case report

Cited by 14 publications

References 4 publications

Implications of the COVID-19 pandemic for patients with schizophrenia spectrum disorders: narrative review

Implications of the COVID-19 pandemic for patients with schizophrenia spectrum disorders: narrative review

Taking Care of Those Who Care: Attending Psychological Needs of Health Workers in a Hospital in Madrid (Spain) During the COVID-19 Pandemic

Could the Associations of Changes in Living Arrangement with Mental Disorders Be Moderated or Mediated During COVID-19 Pandemic?

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