First Department of Psychiatry, Eginition Hospital, National & Kapodistrian University of Athens, Athens, Greece.
Psychiatriki. 2021 Apr 19;32(1):79-82. doi: 10.22365/jpsych.2021.004. Epub 2021 Mar 8.
The COVID-19 outbreak has affected millions of people globally and it also has a huge psychological impact. The objective of this case report is to outline the possible effect of the COVID-19 pandemic to the content of delusions in patients with psychosis. Α 34-year-old male with no history of mental disorder, involuntarily hospitalized due to agitation and aggression towards others, experienced grandiose delusions, referential delusions and delusions of passivity. The content of all his delusions was related to the COVID-19 pandemic. His symptoms were not proven to be caused by any physical condition or substance use disorder. He was prescribed olanzapine 10mg bd and lorazepam 2,5mg td and demonstrated significant improvement with a complete subsidence of his symptoms within a week. He was discharged after a total of 13 days with an ICD-10 diagnosis of brief psychotic disorder. At his 6 months follow-up, he reported no psychiatric symptoms. Existing literature indicates a strong relationship between life experiences and the content of delusions. This case report highlights how the stressful life event of the COVID-19 outbreak affected the content of our patient's delusions.
新冠疫情已在全球范围内影响了数百万人，对人们的心理也造成了巨大影响。本病例报告旨在概述新冠大流行可能对精神病患者妄想内容产生的影响。一位 34 岁男性，无精神障碍史，因对他人产生激越和攻击行为而被非自愿住院，出现夸大妄想、关系妄想和被动妄想。他所有妄想的内容都与新冠疫情有关。他的症状并非由任何身体状况或物质使用障碍引起。他被开处奥氮平 10mg 每日两次和劳拉西泮 2.5mg 每日三次，一周内症状显著改善，完全消退。他总共住院 13 天后出院，ICD-10 诊断为短暂精神病性障碍。在 6 个月的随访中，他报告没有精神症状。现有文献表明，生活经历与妄想内容之间存在很强的关联。本病例报告强调了新冠疫情这一生活应激事件如何影响了我们患者妄想的内容。
