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Psychotic relapse from COVID-19 pandemic: Clinical features

Published online by Cambridge University Press:  13 August 2021

L. Brahmi ,
H. Ben Ammar ,
E. Khelifa ,
G. Hamdi ,
R. Felhi  and
L. Mnif
L. Brahmi
Affiliation:
Psychiatry Department, Razi hospital, manouba, Tunisia
H. Ben Ammar
Affiliation:
Psychiatry Department, Razi hospital, manouba, Tunisia
E. Khelifa
Affiliation:
Psychiatry Department, Razi hospital, manouba, Tunisia
G. Hamdi
Affiliation:
Psychiatry Department, Razi hospital, manouba, Tunisia
R. Felhi*
Affiliation:
Psychiatry Department, Razi hospital, manouba, Tunisia
L. Mnif
Affiliation:
Psychiatry Department, Razi hospital, manouba, Tunisia
*
*Corresponding author.

Abstract

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Introduction

The COVID-19 pandemic affected today more than 76,000,000 worldwide, and more than half of humanity has been placed in quarantine. This pandemic affects mental health problems and influences the onset of symptoms.

Objectives

The aim of this review is to analyze the impact of the COVID-19 pandemic on psychotic disorders and its interaction with the various risk factors.

Methods

We undertook a review of the impact of COVID-19 pandemic on psychosis. We carried out a systematic review of electronic databases using the keywords “COVID-19”, “pandemics”, “psychotic disorders”, and “delusions”. Relevant literature was limited to articles conducted around the world and published between January and December 2020.

Results

We identified ten papers addressing incident cases of psychosis relapse linked to coronavirus pandemic. In multiple cases, psychotic symptoms were characterized by delusional thoughts about being infected by the coronavirus. The limited access to regular medications and psychosocial interventions was the main factor to psychotic relapse. This review included one cross-sectional clinical study comparing the impact of this pandemic on patients suffering from severe mental illness compared with healthy controls and they found that patients with mental disorders reacted to the pandemic and the lockdown restrictions with higher anxiety levels than the general public. Our study also revealed that elderly people suffering from psychosis and other chronic illness were the most vulnerable to relapse.

Conclusions

Psychotic disorders can relapse during stressful events like COVID-19 pandemic. Therefore, specific attention to these vulnerable subjects is crucial to prevent relapses in times of worldwide pandemic.

Disclosure

No significant relationships.

Keywords

COVID-19pandemicpsychosisdelusions
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S677
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), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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