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Reactive psychoses in the context of the COVID-19 pandemic: Clinical perspectives from a case series

Authors: Valdés-Florido, María José; López-Díaz, Álvaro; Palermo-Zeballos, Fernanda Jazmín; Martínez-Molina, Iván; Martín-Gil, Victoria Eugenia; Crespo-Facorro, Benedicto; Ruiz-Veguilla, Miguel;

Reactive psychoses in the context of the COVID-19 pandemic: Clinical perspectives from a case series

Abstract

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.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.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.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

Adult, Male, Trastornos psicóticos, Pneumonia, Viral, Psychological Distress, Salud mental, Betacoronavirus, Risk Factors, Original Breve, Humans, Suicidio, Pandemics, Pandemias, Psychiatric Status Rating Scales, Psychotic disorders, SARS-CoV-2, COVID-19, Middle Aged, Coronavirus, Psychiatry and Mental health, Suicide, Psychotic Disorders, Spain, Distrés psicológico, Quarantine, Female, Incidencia, Coronavirus Infections, Stress, Psychological

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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