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COVID-19 大流行期间首发精神科表现的病例报告。

Case reports of first psychiatric presentations during CoViD-19 pandemic.

机构信息

South-West Yorkshire NHS Trust, Fieldhead Hospital, Wakefield, United Kingdom.

Essex Partnership University Foundation NHS Trust, The King's Wood Centre, Colchester, United Kingdom.

出版信息

Riv Psichiatr. 2020 Sep-Oct;55(5):319-321. doi: 10.1708/3457.34465.

Abstract

CoViD-19 pandemic has created a global concern in the whole population. The psychiatric and social impact of the viral infection is recorded differently by the community. However, more vulnerable individuals with negative psychiatric history are presenting to mental health hospitals for admission, assessment and treatment due to abnormal reactions to CoViD-19 pandemic. The current study reports six clinical cases of first psychiatric presentation that were characterised by sudden onset of symptoms, manic and psychotic symptoms, adverse response to stress, psychomotor agitation and behaviours out of character. The presentation was short-lived and responded to typical antipsychotics and antidepressants. The posed diagnoses were acute and transient psychotic disorder and acute stress reaction.

摘要

新冠疫情大流行在全人群中引发了全球性关注。社区对病毒感染的精神和社会影响的记录方式有所不同。然而,由于对新冠疫情的异常反应,更多有负面精神病史的弱势群体到精神卫生医院住院、评估和治疗。本研究报告了 6 例首发精神病的临床病例,其特征为症状突然发作、躁狂和精神病症状、对压力的不良反应、精神运动激越和异常行为。这些症状持续时间短,对抗精神病药和抗抑郁药有反应。提出的诊断是急性和短暂的精神病性障碍和急性应激反应。

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