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Factors Associated with Psychosis among Patients with Severe Acute Respiratory Syndrome: A Case-Control Study

Identifieur interne : 000B20 ( Ncbi/Merge ); précédent : 000B19; suivant : 000B21

Factors Associated with Psychosis among Patients with Severe Acute Respiratory Syndrome: A Case-Control Study

Auteurs : Dominic T. S. Lee [États-Unis] ; Y. K. Wing ; Henry C. M. Leung ; Joseph J. Y. Sung ; Y. K. Ng ; G. C. Yiu ; Ronald Y. L. Chen ; Helen F. K. Chiu

Source :

RBID : PMC:7107870

Abstract

Abstract

We observed that a number of patients with severe acute respiratory syndrome (SARS) developed affective psychosis during the acute phase of their illness. We reviewed all SARS-related psychiatric consultations in Hong Kong and investigated the risk factors for psychosis among patients with SARS in a matched case-control study. Patients with SARS-related psychosis received higher total doses of steroids and had higher rates of family history of psychiatric illness. The findings of the present study suggest that steroid toxicity, personal vulnerability, and, probably, psychosocial stressors jointly contributed to the development of psychosis in patients with SARS.


Url:
DOI: 10.1086/424016
PubMed: 15486852
PubMed Central: 7107870

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PMC:7107870

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<corresp id="cor1">Reprints or correspondence: Dr. Dominic T. S. Lee, c/o G/F Multi-Center, Taipo Hospital, NT, Hong Kong (
<email>tak_lee@hms.harvard.edu</email>
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<volume>39</volume>
<issue>8</issue>
<fpage>1247</fpage>
<lpage>1249</lpage>
<history>
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<day>9</day>
<month>3</month>
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<date date-type="accepted">
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<license-p>This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.</license-p>
</license>
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<abstract>
<title>Abstract</title>
<p>We observed that a number of patients with severe acute respiratory syndrome (SARS) developed affective psychosis during the acute phase of their illness. We reviewed all SARS-related psychiatric consultations in Hong Kong and investigated the risk factors for psychosis among patients with SARS in a matched case-control study. Patients with SARS-related psychosis received higher total doses of steroids and had higher rates of family history of psychiatric illness. The findings of the present study suggest that steroid toxicity, personal vulnerability, and, probably, psychosocial stressors jointly contributed to the development of psychosis in patients with SARS.</p>
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