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Title: Unravelling potential severe psychiatric repercussions on healthcare professionals during the COVID-19 crisis
Author: Anmella, Gerard
Fico, G.
Roca, A.
Gomez, M.
Vázquez, M.
Murru, Andrea
Pacchiarotti, Isabella
Verdolini, Norma
Vieta i Pascual, Eduard, 1963-
Keywords: Salut mental
Serveis sanitaris
Psicologia del treball
Depressió psíquica
Mental health
Health services
Industrial psychology
Mental depression
Issue Date: 16-May-2020
Publisher: Elsevier B.V.
Abstract: The coronavirus disease 2019 (COVID-19) outbreak is putting healthcare professionals, especially those in the frontline, under extreme pressures, with a high risk of experiencing physical exhaustion, psychological disturbances, stigmatization, insomnia, depression and anxiety. We report the case of a general practitioner, without relevant somatic or psychiatric history that experienced a 'brief reactive psychosis (298.8)' under stressful circumstances derived from COVID-19. She presented with delusional ideas of catastrophe regarding the current pandemic situation, delusions of self-reference, surveillance and persecution, with high affective and behavioural involvement. Physical examination and all further additional investigations did not reveal any secondary causes. She was administered olanzapine 10 mg with significant psychopathological improvement being later discharged with indications to maintain the treatment. To our knowledge this is the first reported case of severe mental illness in a healthcare professional without previous psychiatric history due to COVID-19 outbreak. Around 85% of patients presenting a brief psychotic disorder will develop a potentially disabling serious psychotic illness in the long-term. This case represents the potentially serious mental health consequences on healthcare professionals throughout the COVID-19 crisis and emphasizes the need to implement urgent measures to maintain staff mental health during the current pandemic.
Note: Versió postprint del document publicat a:
It is part of: Journal of Affective Disorders, 2020, vol. 273, p. 422-424
Related resource:
ISSN: 0165-0327
Appears in Collections:Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)
Articles publicats en revistes (Medicina)

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