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Covid -19 pandemic‘s impact on the clinical presentation of brief psychotic disorders

Published online by Cambridge University Press:  01 September 2022

S. Khouadja*
Affiliation:
University Hospital of Mahdia, Tunisia, Psychiatry, Mahdia, Tunisia
C. Najjar
Affiliation:
University Hospital of Mahdia, Tunisia, Psychiatry, Mahdia, Tunisia
Y. Brigui
Affiliation:
University Hospital of Mahdia, Tunisia, Psychiatry, Mahdia, Tunisia
A. Arbi
Affiliation:
University Hospital of Mahdia, Tunisia, Psychiatry, Mahdia, Tunisia
S. Younes
Affiliation:
University Hospital of Mahdia, Tunisia, Psychiatry, Mahdia, Tunisia
L. Zarrouk
Affiliation:
University Hospital of Mahdia, Tunisia, Psychiatry, Mahdia, Tunisia
*
*Corresponding author.

Abstract

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Introduction

A major increase in mental health issues was noted since the outbreak of the covid-19 pandemic even in patients with no history of mental health illness, specifically brief psychotic disorders.

Objectives

Establish the covid-19 pandemic circumstances as precipitating factors of psychosis independently from other stressors

Methods

This is a cross-sectional and descriptive study carried out in the psychiatric department of the University Hospital of Mahdia including two groups of patients over a period of 15 months: From October 2018 to December 2019 are pre-covid cases, and the second group consists of the ones admitted between June 2020 and August 2021. We have collected the data of patients diagnosed with brief psychotic disorder according to DSM-5. We have focused on two clinical characteristics of the psychotic episodes (theme of delusions, stressors).

Results

We have collected 19 patients, 12 among them during the pre-covid period. In our pre-covid period, brief psychotic disorder presented mostly with marked stressors (33.3%) whilst in the middle of the pandemic, marked stressors are present in only 14.3% of the cases. Which could suggest that this state of alarm can singlehandedly trigger psychosis. For the theme of delusions, in the pre-covid period, the religious theme appeared to be the most frequent (58.3%), whilst during the pandemic, persecution became the most prevalent (71.4%), showing how living in fear of contracting the virus could manifest itself in delusional content.

Conclusions

Living in a prolonged state of alarm is, in itself, a marked stressor, theoretically capable of increasing the psychosis rate and altering its characteristics.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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