Factors Associated with Psychosis among Patients with Severe Acute Respiratory Syndrome: A Case-Control Study
Identifieur interne : 001663 ( Pmc/Checkpoint ); précédent : 001662; suivant : 001664Factors 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. ChiuSource :
- Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America [ 1058-4838 ] ; 2004.
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.
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DOI: 10.1086/424016
PubMed: 15486852
PubMed Central: 7107870
Affiliations:
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<front><div type="abstract" xml:lang="en"><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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<title-group><article-title>Factors Associated with Psychosis among Patients with Severe Acute Respiratory Syndrome: A Case-Control Study</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Lee</surname>
<given-names>Dominic T. S.</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="aff" rid="aff4">4</xref>
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<pmc-comment>tak_lee@hms.harvard.edu </pmc-comment>
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<contrib contrib-type="author"><name><surname>Wing</surname>
<given-names>Y. K.</given-names>
</name>
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<contrib contrib-type="author"><name><surname>Leung</surname>
<given-names>Henry C. M.</given-names>
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<contrib contrib-type="author"><name><surname>Sung</surname>
<given-names>Joseph J. Y.</given-names>
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<given-names>G. C.</given-names>
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<contrib contrib-type="author"><name><surname>Chen</surname>
<given-names>Ronald Y. L.</given-names>
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<xref ref-type="aff" rid="aff3">3</xref>
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<contrib contrib-type="author"><name><surname>Chiu</surname>
<given-names>Helen F. K.</given-names>
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<aff id="aff1"><label>1</label>
<institution>Department of Psychiatry, The Chinese University of Hong Kong</institution>
,<addr-line>Hong Kong</addr-line>
</aff>
<aff id="aff2"><label>2</label>
<institution>Department of Medicine and Therapeutics, The Chinese University of Hong Kong</institution>
,<addr-line>Hong Kong</addr-line>
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<aff id="aff3"><label>3</label>
<institution>Department of Psychiatry, Hong Kong University</institution>
,<addr-line>Hong Kong</addr-line>
</aff>
<aff id="aff4"><label>4</label>
<institution>Department of Social Medicine, Harvard Medical School</institution>
,<addr-line>Boston, Massachusetts</addr-line>
</aff>
<author-notes><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>
).</corresp>
</author-notes>
<pub-date pub-type="ppub"><day>15</day>
<month>10</month>
<year>2004</year>
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<month>10</month>
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<pub-date pub-type="pmc-release"><day>15</day>
<month>10</month>
<year>2004</year>
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<pmc-comment> PMC Release delay is 0 months and 0 days and was based on the . </pmc-comment>
<volume>39</volume>
<issue>8</issue>
<fpage>1247</fpage>
<lpage>1249</lpage>
<history><date date-type="received"><day>9</day>
<month>3</month>
<year>2004</year>
</date>
<date date-type="accepted"><day>20</day>
<month>5</month>
<year>2004</year>
</date>
</history>
<permissions><copyright-statement>© 2004 by the Infectious Diseases Society of America</copyright-statement>
<copyright-year>2004</copyright-year>
<license><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>
</permissions>
<self-uri xlink:href="39-8-1247.pdf"></self-uri>
<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>
</abstract>
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<affiliations><list><country><li>États-Unis</li>
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<name sortKey="Chiu, Helen F K" sort="Chiu, Helen F K" uniqKey="Chiu H" first="Helen F. K." last="Chiu">Helen F. K. Chiu</name>
<name sortKey="Leung, Henry C M" sort="Leung, Henry C M" uniqKey="Leung H" first="Henry C. M." last="Leung">Henry C. M. Leung</name>
<name sortKey="Ng, Y K" sort="Ng, Y K" uniqKey="Ng Y" first="Y. K." last="Ng">Y. K. Ng</name>
<name sortKey="Sung, Joseph J Y" sort="Sung, Joseph J Y" uniqKey="Sung J" first="Joseph J. Y." last="Sung">Joseph J. Y. Sung</name>
<name sortKey="Wing, Y K" sort="Wing, Y K" uniqKey="Wing Y" first="Y. K." last="Wing">Y. K. Wing</name>
<name sortKey="Yiu, G C" sort="Yiu, G C" uniqKey="Yiu G" first="G. C." last="Yiu">G. C. Yiu</name>
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<country name="États-Unis"><region name="Massachusetts"><name sortKey="Lee, Dominic T S" sort="Lee, Dominic T S" uniqKey="Lee D" first="Dominic T. S." last="Lee">Dominic T. S. Lee</name>
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