Factors Associated with Psychosis among Patients with Severe Acute Respiratory Syndrome: A Case-Control Study
Author(s) -
D. T. S. Lee,
Yun Kwok Wing,
Hong Leung,
Joseph J.�Y. Sung,
YuenKeng Ng,
G.-C. Yiu,
R. Y. L. Chen,
Helen Chiu
Publication year - 2004
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/424016
Subject(s) - psychosis , psychosocial , psychiatry , stressor , medicine , acute psychosis , vulnerability (computing) , psychology , computer security , computer science
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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