An infection with SARS-CoV‑2 can affect the central nervous system, leading to neurological as well as psychiatric symptoms. In this respect, mechanisms of inflammation seem to be of much greater importance than the virus itself. This paper deals with the possible contributions of organic changes to psychiatric symptomatology and deals especially with delirium, cognitive symptoms, depression, anxiety, posttraumatic stress disorder and psychosis.
View Article and Find Full Text PDFThe SARS-CoV-2 pandemic exerted an unprecedented threat to the population worldwide. This led to a sharp increase in symptoms of depression, anxiety, and PTSD, especially in the early phase of the pandemic. As far as data allowed a comparison with the pre-pandemic era, an increase by odds ratios of up to 3,5 was found.
View Article and Find Full Text PDFThese S1 guidelines are an updated and expanded version of the S1 guidelines on long COVID differential diagnostic and management strategies. They summarize the state of knowledge on postviral conditions like long/post COVID at the time of writing. Due to the dynamic nature of knowledge development, they are intended to be "living guidelines".
View Article and Find Full Text PDFObjective: Since the onset of COVID-19 pandemic, many case reports and case series dealt with new-onset psychotic disorders in patients either infected with Our aim was to provide a comprehensive collection of these reports to illustrate the nature of these psychoses.
Methods: We conducted a literature search in MEDLINE, Embase, PsycINFO, using search terms regarding first-episode psychotic disorders in the context of corona.
Results: 96 case reports or case series covering 146 patients (62 without and 84 with SARS-CoV-2 infection) were found.
This guideline comprises the state of science at the time of the editorial deadline. In view of the high turnover of knowledge the guideline is designed as a living guideline. The main objective was to provide a tool for the use in primary care, being considered well suited as a first point of entry and for the provision of care.
View Article and Find Full Text PDFThe SARS-CoV-2 virus (Severe Acute Respiratory Syndrome Coronavirus Type 2) and COVID-19 (Coronavirus Disease 2019) can affect numerous organ systems. In the present paper we offer an overview of the current state of knowledge about the psychiatric aspects of SARS-CoV-2 infection.Medline, Embase und LIVIVO were searched for relevant literature, the last query dating from March 2nd, 2021.
View Article and Find Full Text PDFAmisulpride (AMS) in low dosage has been used effectively for treatment of dysthymia. Yet there is a dearth of reports on its use as an augmentation agent in therapy-resistant depression. We deal with this issue presenting case reports and a review of the literature.
View Article and Find Full Text PDFBackground: More than 50% of patients with major depressive episode (MDE) fail to respond to initial treatment with first line pharmacological therapy. Altered receptor and serotonin transporter function are considered to be associated with mental disorders. Our investigation aimed on the density of the HT1A receptor in mesiotemporal cortex (MTC) and raphe measured by F18-Mefway in patients with MDD.
View Article and Find Full Text PDFPurpose: Long-acting injectable (LAI) antipsychotics are recommended especially for patients with multiple admissions and poor adherence. The empirical basis of this strategy is a matter of debate.
Methods: In a retrospective cohort study extending over 6 years, all patients admitted for inpatient treatment with a diagnosis of psychotic disorders according to International Statistical Classification of Diseases and Related Health Problems, 10th Revision (F2) were screened for treatment episodes with a new start of an LAI.
Tardive dyskinesia (TD) remains a relevant clinical problem despite the increasing use of new-generation antipsychotics. Antipsychotic-induced tardive syndromes are difficult to treat and have a low tendency of remission. Therefore, prophylaxis is of utmost importance, with the responsible use of antipsychotics as a prime desideratum.
View Article and Find Full Text PDFObjective: Quantitative and qualitative assessment of heavy users (HU) of psychiatric inpatient treatment.
Methods: Screening over 9 months for patients with ≥ 3 admissions or ≥ 100 days of treatment during 1 year prior to index admission.
Results: During the recruiting period 1217 persons were treated of whom 132 (10.
Religious beliefs can lead to difficulties in psychiatric diagnosis, when it comes to distinguishing between faith and delusion. Delusion is defined as a false assessment of reality combined with subjective certainty, which is in contrast with the reality of the social environment. The problem with this definition is that reality cannot be examined with scientific methods/criteria and that the assessment of reality itself underlies historical and cultural fluctuations.
View Article and Find Full Text PDFBackground: Music therapy (MT) has been shown to be efficacious for mental health care clients with various disorders such as schizophrenia, depression and substance abuse. Referral to MT in clinical practice is often based on other factors than diagnosis. We aimed to examine the effectiveness of resource-oriented MT for mental health care clients with low motivation for other therapies.
View Article and Find Full Text PDFObjective: Serum lithium levels may be influenced by mood state. We report on a 58-year-old female patient suffering from rapid cycling bipolar disorder. Her serum lithium levels varied greatly, despite stable medication.
View Article and Find Full Text PDFInt J Neuropsychopharmacol
July 2013
We report on seven cases of restless legs syndrome (RLS) in patients treated with quetiapine. Small doses (50-250 mg at bedtime) provoked RLS in a dose-dependent way. Most patients suffered from an affective disorder and all were treated concomitantly with antidepressants.
View Article and Find Full Text PDFSchizophrenia is one of the most important diseases in psychiatry. The diagnostic criteria, first formulated more than 100 years ago, have since undergone multiple changes. While the disease was originally named "dementia praecox" by Emil Kraepelin, the term "schizophrenia" was coined by Eugen Bleuler soon afterwards.
View Article and Find Full Text PDFObjective: Relatives of persons with schizophrenia have an essential role in informal caregiving. This may result in a high level of burden. Aim of the study was to investigate, if the frequency of unmet needs among relatives caring for schizophrenia patients increases the risk for burden among these relatives.
View Article and Find Full Text PDFObjective: To investigate the influence of a single episode of psychiatric inpatient treatment on metabolic parameters.
Methods: A total of 294 consecutive patients of an Upper Austrian psychiatric department were assessed at admission and discharge regarding bodyweight, body mass index (BMI), high density cholesterol (HDL), low density cholesterol (LDL), triglycerides (TG) and fasting glucose (FG), and the TG/HDL ratio.
Results: Patients showed an increase of BMI of 0.
We report about a woman of 60 years who received psychiatric inpatient treatment for an affective disorder with psychotic symptoms on several occasions. As time elapsed symptoms of dementia became more and more obvious. Despite a comprehensive workup with neuroimaging methods (SPECT, PET) the correct diagnosis of Huntington's Chorea was not attained until the characteristic movements appeared.
View Article and Find Full Text PDFPsychiatric manifestation of dengue virus infections is seldom reported. Here a case is presented of a 21-year-old man who developed mainly neuropsychiatric symptoms which he caught one week after a feverish infection during his stay in India: troubles with concentration and memory, confusion, as well as depressive delusions and agoraphobia. Liquor diagnosis as well as CCT and MRI was mainly inconspicuous.
View Article and Find Full Text PDFObjective: To develop a positive concept of schizophrenia despite the mostly negative image in the public.
Methods: Review of the literature concerning attitudes of psychiatrists towards schizophrenia and concerning the importance of hope for the course of the illness. Proposal of some approaches which might help to attain a more optimistic concept of schizophrenia and a better understanding of the patients' problems by the public.
Objective: To assess the extent to which persons suffering from schizophrenia are treated by psychotherapy in Austria
Methods: A questionnaire was sent to all psychotherapists who were registered according to the Austrian law for psychotherapy
Results: 5741 questionnaires were mailed and 1683 (29.3%) were returned. Of the answering psychotherapists 59% had done psychotherapy with a person suffering from schizophrenia before.
Objective: The aim of this study is to determine the course of tardive dyskinesia (TD) during continuous medication with first generation antipsychotics.
Subjects And Methods: Patients of a psychiatric nursing home were assessed for TD by means of the AIMS on two occasions ten years apart.
Results: Out of 10 patients who met criteria for TD at baseline the global judgement of severity of the AIMS improved in 5, worsened in 4 and remained unchanged in one patient.