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

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 and methods: 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.

 Fuente: Revista de Psiquiatría y Salud Mental, 2020, 13(2), 90-94

 Editorial: Elsevier

 Año de publicación: 2020

 Nº de páginas: 5

 Tipo de publicación: Artículo de Revista

 DOI: 10.1016/j.rpsm.2020.04.009

 ISSN: 1888-9891,1989-4600

 Url de la publicación: https://doi.org/10.1016/j.rpsm.2020.04.009

Autoría

VALDÉS-FLORIDO, MARÍA JOSÉ

LÓPEZ-DÍAZ, ÁLVARO

PALERMO-ZEBALLOS, FERNANDA JAZMÍN

MARTÍNEZ-MOLINA, IVÁN

MARTÍN-GIL, VICTORIA EUGENIA

BENEDICTO CRESPO FACORRO

MIGUEL RUIZ VEGUILLA