6/10/2023 0 Comments Paranoid psychosis![]() The Self-Report Insight Scale 2 score was 0, while the Hamilton Depression Rating Scale 3 score was 18. Protracted isolation and misinformation overload about COVID-19-related events thus led the patient to complete denial of the pandemic.Īt hospital admission, results of the Positive and Negative Syndrome Scale (PANSS), 1 a clinician-reported outcome scale, were total score: 76/210, positive scale: 26/49, negative scale: 7/49, and general psychopathology scale: 43/112 (potential ranges are 7-49 for the positive and negative scales and 16-112 for the general psychopathology scale). The mental status examination showed tangential thinking, loosening of associations, and florid paranoid delusions about COVID-19 and Italian political authorities, such as the COVID-19 pandemic did not exist at all and the Italian government was plotting to restrict freedom of the Italian people to gain social, political, and economic control over the country. It was decided that hospitalization in the psychiatry ward was required. ![]() Blood tests and a nasopharyngeal swab for severe acute respiratory syndrome coronavirus 2 were negative, and magnetic resonance imaging showed no brain lesions. The physical evaluation was unremarkable, and no respiratory symptoms were noted. On May 2, 2020, she arrived at the emergency department of San Gerardo Hospital, Monza, Italy, presenting with conceptual disorganization and significant hyperactivity. She had hypertension and dyslipidemia.ĭuring the lockdown period, starting March 8, 2020, she spent most of her time searching for COVID-19-related news on mass media, with increasing levels of anxiety and irritability, leading to significant impairment in daily functioning and insomnia. She reported secure attachment to family members, and her psychological and social functioning was adequate. The patient was a 64-year-old married, retired Italian woman, who had completed elementary school, was the 9th of 11 siblings, and had no family or personal psychiatric history. We describe a patient who developed a paranoid delusion caused by isolation, uncertainty, anxiety, and fear related to lockdown. ![]() To date, there is a lack of studies concerning the effects of lockdown on the Italian population’s mental health. Lockdown measures applied by the Italian government have been crucial in containing the spread of infection. The novel coronavirus disease 2019 (COVID-19) pandemic has had a severe impact on both the physical and mental health of the general population.
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