Mantas Christos, Papatheodorou Evgenia, Tsagkaropoulou Maria-Elisavet, Kourti Anna, Georgiou Georgios, Petrikis Petros, Hyphantis Thomas
Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, Greece.
Psychiatriki. 2022 Dec 7;33(4):328-332. doi: 10.22365/jpsych.2022.088. Epub 2022 Jul 19.
We briefly present a case series of six patients hospitalized in the Department of Psychiatry, University General Hospital of Ioannina, between the first (starting March 23, 2020) and the second (starting November 7, 2020) lockdown in Greece who presented with COVID-19 - related delusional ideas. All patients had negative PCR prior to admission and no history of COVID-19 infection.The first three of our cases were admitted during the first lockdown, between March 23 and May 4, one involuntary and the other two voluntary. The first one was diagnosed with acute and transient psychosis (F23 - First Episode Psychosis) and the other two with psychotic depression (F32.3). Three additional patients were admitted voluntary after the end of the first lockdown. One was diagnosed with acute and transient psychosis (F23-First Episode Psychosis) and the other two were relapses of a known psychiatric disorder (Bipolar disorder F31.5 and Psychotic depression F32.3). At follow-up six months after discharge all patients were in remission following antipsychotic medication, among other medicines. These cases reveal that COVID-19 pandemic may have an impact on the delusional content of new or preexisting psychotic disorders during the COVID-19 pandemic.
我们简要介绍了希腊约阿尼纳大学总医院精神病科收治的6例患者的病例系列。这些患者在希腊第一次（从2020年3月23日开始）和第二次（从2020年11月7日开始）封锁期间出现了与COVID-19相关的妄想观念。所有患者入院前PCR检测均为阴性，且无COVID-19感染史。我们的前三个病例在第一次封锁期间（3月23日至5月4日）入院，其中一例为非自愿入院，另外两例为自愿入院。第一例被诊断为急性短暂性精神病（F23 - 首发精神病），另外两例被诊断为精神病性抑郁（F32.3）。在第一次封锁结束后，又有三名患者自愿入院。一例被诊断为急性短暂性精神病（F23 - 首发精神病），另外两例是已知精神障碍（双相情感障碍F31.5和精神病性抑郁F32.3）的复发。出院后六个月的随访显示，在服用抗精神病药物及其他药物后，所有患者均病情缓解。这些病例表明，COVID-19大流行可能会对COVID-19大流行期间新发或既往存在的精神障碍的妄想内容产生影响。
