Psychosis in a patient with anxiety related to COVID-19: A case report

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%

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

Zhand

Joober

2021

BJPsych open

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“…Illusive physical symptoms, observed even among the public during COVID-19 ( 7 , 8 ), could be magnified among those with IA mediated partially by sleep disruptions ( 64 , 65 ) and importantly, Internet addicts seemingly expressed depression as somatic manifestations ( 66 , 67 ). Multiple brief psychotic cases of previously healthy individuals and absent psychiatric history had been reported as well in relation to COVID-19 ( 68 , 69 ), that might be attributed to “coronaphobia” ( 70 ), the irrational fear and impression of helplessness and impending death due to exaggerated misinformation of COVID-19 ( 6 , 71 ). Biologically, psychotic episodes had also been associated in people with seroreactivity to previous coronaviruses with possibility of neurotropism ( 72 ) or inflammatory damage ( 8 ).…”

Section: Discussionmentioning

confidence: 99%

The Impact of Physical Distancing and Associated Factors Towards Internet Addiction Among Adults in Indonesia During COVID-19 Pandemic: A Nationwide Web-Based Study

et al. 2020

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Introduction Physical distancing has encouraged the public to utilize the Internet for virtually all daily activities during the COVID-19 pandemic. This study aimed to assess the impact of COVID-19 on Internet addiction (IA) prevalence and analyzed the correlated factors during quarantine and pandemic. Methods An online survey was generated, comprising of a sociodemographic section, Internet Addiction Diagnostic Questionnaire (KDAI), Symptoms Checklist-90, and Pittsburgh Sleep Quality Index. The hyperlink was disseminated through social media, companies, and universities. Overall, 4,734 adults, (mean age 31.84 ± 7.73 years old and 55.2% males) representing all 34 provinces of Indonesia, gave valid responses. Results Point prevalence of IA during the COVID-19 pandemic was 14.4% in Indonesian adults. Online duration increased by 52% compared to before the pandemic. Physical distancing was not established as a risk of IA. Increased daily online duration, specific motivations, types of application, and having confirmed/suspected COVID-19 cases within the household were predictive of IA. All subscales of SCL-90 and PSQI were higher in the group with positive/suspect cases of COVID-19 within households and were correlated to higher scores of IA. Discussion Physical distancing alone was not associated with an increased risk of IA. The prevalence of IA during COVID-19 was higher than the previously proposed rate among Indonesian adults, which might be related to digital activities associated with COVID-19 and the popularity of virtual socializing. Furthermore, psychopathologies and sleep disruptions were related to IA occurrences and especially prevalent in groups with proximity to COVID-19. Fear of COVID-19 contraction and rampant misinformation of COVID-19 probably contributed to these factors, which potentially harbor long-term consequences. Conclusion The current study demonstrated a high point prevalence of IA and identified several preventable factors predictive of IA during home-quarantine and COVID-19, especially in adults with confirmed/suspected COVID-19 cases within the household. However, physical distancing did not increase the odds of IA. Public health agencies should maintain physical distancing advisory while providing adaptive psychiatric education and service.

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“…Patients with psychosis could be some of the most vulnerable known to services and stressful times like the present do call for close attention. Case reports like ours are certainly identifying the potential effect COVID‐19 can and is having on some psychotic patients 5,7,8 . As we try to work out the epidemiology and details of this novel virus, it is also time to keep an eye on the effects it has on psychotic patients and on the incidence of psychosis with more quantitative data.…”

Section: Discussionmentioning

confidence: 82%

COVID‐19 and the psychopathology of patients in an EIP service: a case series

Booth

Chakraborty

2020

Prog Neurol Psychiatry

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Patients with psychosis are a particularly vulnerable group where the widespread, unpredictable changes in the COVID‐19 situation surrounding the pandemic and subsequent lockdown are very likely to have a significant impact. Here, the authors discuss a number of patients who presented to the early intervention in psychosis team and included COVID‐19 in their psychopathology. They also consider the main clinical patterns and management messages.

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Psychosis in a patient with anxiety related to COVID-19: A case report

Cited by 64 publications

References 5 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

The Impact of Physical Distancing and Associated Factors Towards Internet Addiction Among Adults in Indonesia During COVID-19 Pandemic: A Nationwide Web-Based Study

COVID‐19 and the psychopathology of patients in an EIP service: a case series

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