Predictors of Psychiatric Disorders or uses of Psychotropic Drugs in Patients with Confirmed COVID-19 During Treatment in a Hospital : A Retrospective Chart Review Running title : Mental health of COVID-19 patients

Abstract BackgroundThis study aims to examine the psychiatric diagnoses, psychotropic drug use, and related factors in patients with coronavirus disease-19 (COVID-19) during their acute treatment phase.MethodsWe performed a retrospective chart review of patients admitted to the isolation ward at a nationally designated hospital during the COVID-19 outbreak. All the COVID-19 patients admitted to the hospital were assigned to psychiatrists by consultation in order to monitor their mental health during their hospital stay. We analyzed the medical records and self-reported psychological tests of 80 out of 112 patients.ResultsOn admission, 16.3% of the subjects had self-reported depression and 6.3% had post-traumatic stress disorder (PTSD). Twenty-five patients (31.3%) had current diagnoses of mental disorders. These disorders consisted of nonorganic insomnia, acute stress reaction, panic disorder, and depressive episodes. Nineteen patients (23.8%) were prescribed psychotropic drugs, including trazodone, alprazolam, clonazepam, and zolpidem. Factors associated with these psychiatric diagnoses included self-reported PTSD on the day of admission and having a spouse. Previous psychiatric history and age of 40 years or more were associated with the use of psychotropic drugs.ConclusionMental health services rendered to quarantined COVID-19 patients undergoing an acute treatment phase and self-reported PTSD on the day of admission might be useful in predicting mental health problems during hospital days.

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How psychiatrists coordinate treatment for COVID-19: a retrospective study and experience from China

General Psychiatry ◽

10.1136/gpsych-2020-100272 ◽

2020 ◽

Vol 33 (4) ◽

pp. e100272

Author(s):

Ling Yue ◽

Jingyi Wang ◽

Mingliang Ju ◽

Yi Zhu ◽

Lianghu Chen ◽

...

Keyword(s):

Mental Health ◽

Sleep Disorders ◽

Critically Ill ◽

Mental Health Problems ◽

Acute Stress ◽

Health Problems ◽

Psychotropic Medications ◽

Considerable Proportion ◽

Psychiatric Diagnoses ◽

Psychiatric Consultation

BackgroundPatients with COVID-19 are at high risk of developing mental health problems; however, the prevalence and management of mental disorders and how psychiatrists coordinate the treatment are unclear.AimsWe aimed to investigate the mental health problems of patients infected with COVID-19 and to identify the role of psychiatrists in the clinical treatment team during the pandemic. We also share the experience of psychiatric consultations of patients with COVID-19 in Shanghai, China.MethodsWe analysed data from the psychiatric medical records of 329 patients with COVID-19 in the Shanghai Public Health Clinical Center from 20 January to 8 March 2020. We collected information including sociodemographic characteristics, whether patients received psychiatric consultation, mental health symptoms, psychiatric diagnoses, psychiatric treatments and severity level of COVID-19.ResultsPsychiatric consultations were received by 84 (25.5%) patients with COVID-19. The most common symptoms of mental health problems were sleep disorders (75%), anxiety (58.3%) and depressive symptoms (11.9%). The psychiatric consultation rate was highest in critically ill patients (69.2%), with affective symptoms or disturbed behaviour as their main mental health problems. Psychiatric diagnoses for patients who received consultation included acute stress reaction (39.3%), sleep disorders (33.3%), anxiety (15.5%), depression (7.1%) and delirium (4.8%). In terms of psychiatric treatments, 86.9% of patients who received psychiatric consultation were treated with psychotropic medications, including non-benzodiazepine sedative-hypnotic agents (54.8%), antidepressants (26.2%), benzodiazepines (22.6%) and antipsychotics (10.7%). Among the 76 patients who were discharged from the hospital, 79% had recovered from mental health problems and were not prescribed any psychotropic medications. The symptoms of the remaining 21% of patients had improved and they were prescribed medications to continue the treatment.ConclusionsThis is the first study to report psychiatric consultations for patients with COVID-19. Our study indicated that a considerable proportion of patients with COVID-19, especially critically ill cases, experienced mental health problems. Given the remarkable effect of psychiatric treatments, we recommend that psychiatrists be timely and actively involved in the treatment of COVID-19.

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Cofactors of Pediatric Tinnitus: A Look at the Whole Picture

Clinical Pediatrics ◽

10.1177/0009922818816426 ◽

2018 ◽

Vol 58 (3) ◽

pp. 320-327

Author(s):

Jessica Levi ◽

Krystyne Basa ◽

Kevin Wong ◽

Thierry Morlet ◽

Robert O’Reilly

Keyword(s):

General Population ◽

Otitis Media ◽

Chart Review ◽

Noise Exposure ◽

Historical Data ◽

Age Distribution ◽

Retrospective Chart Review ◽

Psychiatric Diagnoses ◽

Laboratory Results ◽

Tube Dysfunction

Retrospective chart review of 248 children (1-19 years old) with tinnitus who presented to a tertiary pediatric hospital between 2006 and 2011, looking at which cofactors are predictors of pediatric tinnitus. In our review, we extracted demographics, symptoms, historical data, imaging, and laboratory results; we compared with the general population. Eighty-seven percent had normal hearing. Age distribution, noise exposure, and frequency of psychiatric diagnoses in our cohort were consistent with previous reports. We found a lower incidence of otitis media and the same prevalence of dizziness, asthma, and hearing loss as the general population, a lower prevalence of Eustachian tube dysfunction, otitis media, headaches, and higher incidence of rhinosinusitis. Lack of patient reporting and objective testing complicate the ability to detect pediatric tinnitus. We revealed a gap in the literature regarding rhinosinusitis as a cofactor, imaging during diagnosis, and if psychiatric diagnoses are associated with tinnitus in younger children.

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Review of the Manitoba cohort of patients with hereditary angioedema with normal C1 inhibitor

Allergy Asthma & Clinical Immunology ◽

10.1186/s13223-019-0381-y ◽

2019 ◽

Vol 15 (1) ◽

Cited By ~ 4

Author(s):

Lundy McKibbin ◽

Colin Barber ◽

Chrystyna Kalicinsky ◽

Richard Warrington

Keyword(s):

Family History ◽

Tranexamic Acid ◽

Hereditary Angioedema ◽

Acute Treatment ◽

Chart Review ◽

Positive Family History ◽

Retrospective Chart Review ◽

Factor Xii ◽

C1 Inhibitor ◽

And Function

Abstract Background Hereditary angioedema with normal C1 inhibitor (HAE-nC1 INH) is a rare, underappreciated condition characterized by recurrent subcutaneous angioedema. The underlying pathophysiology and diagnostic criteria continues to evolve. There is a significant overlap between HAE-nC1 INH and idiopathic nonhistaminergic angioedema, ultimately this may be found to be the same condition. Characterization of cohorts suspected to have either of these conditions is warranted to help refine diagnosis, pathophysiology, and treatment response. Methods A retrospective chart review of 418 patients diagnosed with angioedema was conducted. The following inclusion criteria was used: lack of response to antihistamines, steroids, and epinephrine; normal C4, C1 inhibitor (C1 INH) level and function; lack of urticaria or pruritus; occurrence without offending drugs; and positive family history. Enzyme immunoassays for C1 INH function were performed at the Mayo Clinic. Charts meeting these criteria were reviewed for frequency and type of episodes as well as use and response to therapies. Results 6 patients met the above criteria. 3 of these completed genetic testing, none were found to have factor XII abnormalities. None had angiopoietin 1 or plasminogen gene sequencing. 5 of 6 patients were successfully treated with C1 INH or tranexamic acid for acute treatment of attacks (4 with C1 INH and 1 with tranexamic acid). 4 patients have used Icatibant with good response (typically under 40 min for near full recovery); of these, 3 required Icatibant as acute treatment after other therapies (C1 inhibitor and tranexamic acid) were ineffective. There were 9 patients who otherwise met criteria, but due to a lack of family history were classified as having idiopathic non-histaminergic angioedema. Conclusions This retrospective chart review found 6 HAE-nC1 INH patients in Manitoba. 1 responded to tranexamic acid and not C1 INH, 4 typically responded to C1 INH, and 1 responded exclusively to Icatibant. All patients—4 total—who used Icatibant responded; of these 4 patients, 3 required Icatibant after other therapies had failed.

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A retrospective chart review: adolescents with borderline personality disorder, borderline personality traits, and controls

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2016-0036 ◽

2016 ◽

Vol 30 (2) ◽

Cited By ~ 3

Author(s):

Ellen N. Jopling ◽

Sarosh Khalid-Khan ◽

Shivani F. Chandrakumar ◽

Shira C. Segal

Keyword(s):

Mental Health ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Mortality Rate ◽

Chart Review ◽

Adult Population ◽

Retrospective Chart Review ◽

Borderline Personality ◽

Control Group ◽

Disruptive Disorders

Abstract With an estimated lifetime prevalence as high as 5.9% in the general population, borderline personality disorder (BPD) is a psychiatric disorder characterized by marked impulsivity as well as difficulties in interpersonal relationships, self-image, and affects. The burden on the health care system is immense with BPD patients accounting for 10%–20% of the patients in mental health outpatient facilities and 15%–40% in mental health inpatient facilities. Further, while 75%–80% of BPD patients attempt to commit suicide, 10% succeed; this mortality rate exceeds even that of anorexia nervosa which, with a weighted mortality rate of 5.1%, has often been considered to have the highest mortality rate of any mental disorder. In order to provide treatment and to implement preventative measures, a risk profile as well as clinical features must be identified within the adolescent population. This is presently crucial, as the current criteria for BPD are not developmentally focused, and as a result, criteria initially developed for the adult population are being applied in diagnoses of adolescents. A population of adolescents (n=80) between 16 and 19 years of age meeting the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria either for BPD traits (n=46) or for BPD (n=36) were included in a retrospective chart review; a control group consisting of n=30 mood and anxiety control subjects were included to allow for further comparisons. Complex significant differences were discovered between the three groups in the following areas: history of sexual abuse, suicidal ideation, internalizing/externalizing symptoms, interpersonal difficulties, impulsivity, pre-perinatal stress, bullying, substance abuse, anxiety disorders, disruptive disorders, and finally, learning disorders.

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Referral pathways between the mental health services and Jigsaw

Irish Journal of Psychological Medicine ◽

10.1017/ipm.2018.24 ◽

2018 ◽

Vol 36 (3) ◽

pp. 195-199

Author(s):

E. Beatty ◽

R. Keogh ◽

D. Cohen ◽

G. McDonald ◽

C. McDonald ◽

...

Keyword(s):

Mental Health ◽

Primary Care ◽

Mental Health Services ◽

Health Services ◽

Chart Review ◽

Retrospective Chart Review ◽

Mental Health Difficulties ◽

Self Harm ◽

Clinical Profiles ◽

Similarities And Differences

ObjectivesTo examine similarities and differences in the demographic and clinical profiles of young people (15–25 years of age) referred between the mental health services (MHS) and Jigsaw Galway.MethodsA retrospective chart review was conducted of clinical files of individuals attending secondary MHS who had been referred to or from Jigsaw Galway over a 5-year period. Differences in demographic and clinical data between individuals referred to or from Jigsaw Galway were compared.ResultsA recent act of self-harm was more prevalent in individuals referred from Jigsaw to the adult MHS (p=0.02). No other demographic or clinical differences were detected between individuals attending Jigsaw Galway and the MHS.ConclusionsEducation sessions for clinical staff working in primary care, Jigsaw Galway and the MHS are suggested to support clinicians in choosing the best referral pathway, which may more optimally address young people’s mental health difficulties.

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Mental health of the non-heterosexual population of England

The British Journal of Psychiatry ◽

10.1192/bjp.bp.110.082271 ◽

2011 ◽

Vol 198 (2) ◽

pp. 143-148 ◽

Cited By ~ 130

Author(s):

Apu Chakraborty ◽

Sally McManus ◽

Terry S. Brugha ◽

Paul Bebbington ◽

Michael King

Keyword(s):

Mental Health ◽

Sexual Orientation ◽

Drug Dependence ◽

Mental Health Problems ◽

Perceived Discrimination ◽

Health Problems ◽

Service Utilisation ◽

Compulsive Disorder ◽

Self Harm ◽

Depressive Episodes

BackgroundThere has been little research into the prevalence of mental health problems in lesbian, gay and bisexual (LGB) people in the UK with most work conducted in the USA.AimsTo relate the prevalence of mental disorder, self-harm and suicide attempts to sexual orientation in England, and to test whether psychiatric problems were associated with discrimination on grounds of sexuality.MethodThe Adult Psychiatric Morbidity Survey 2007 (n = 7403) was representative of the population living in private UK households. Standardised questions provided demographic information. Neurotic symptoms, common mental disorders, probable psychosis, suicidality, alcohol and drug dependence and service utilisation were assessed. In addition, detailed information was obtained about aspects of sexual identity and perceived discrimination on these grounds.ResultsSelf-reported identification as non-heterosexual (determined by both orientation and sexual partnership, separately) was associated with unhappiness, neurotic disorders overall, depressive episodes, generalised anxiety disorder, obsessive–compulsive disorder, phobic disorder, probable psychosis, suicidal thoughts and acts, self-harm and alcohol and drug dependence. Mental health-related general practitioner consultations and community care service use over the previous year were also elevated. In the non-heterosexual group, discrimination on the grounds of sexual orientation predicted certain neurotic disorder outcomes, even after adjustment for potentially confounding demographic variables.ConclusionsThis study corroborates international findings that people of non-heterosexual orientation report elevated levels of mental health problems and service usage, and it lends further support to the suggestion that perceived discrimination may act as a social stressor in the genesis of mental health problems in this population.

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Acute treatment of bipolar depression with adjunctive zonisamide: a retrospective chart review

Bipolar Disorders ◽

10.1111/j.1399-5618.2004.00143.x ◽

2004 ◽

Vol 6 (5) ◽

pp. 432-434 ◽

Cited By ~ 12

Author(s):

Claudia F Baldassano ◽

S Nassir Ghaemi ◽

Alice Chang ◽

Alan Lyman ◽

Melissa Lipari

Keyword(s):

Acute Treatment ◽

Chart Review ◽

Bipolar Depression ◽

Retrospective Chart Review

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The relationship between violence and depression in migrant women through their experiences in care services

Salud Colectiva ◽

10.18294/sc.2021.3054 ◽

2021 ◽

Vol 17 ◽

pp. e3054

Author(s):

Nadia Irina Santillanes Allande

Keyword(s):

Mental Health ◽

New York ◽

Health Care Services ◽

Mental Health Problems ◽

Explanatory Models ◽

Migrant Women ◽

Care Services ◽

Experience Of Care ◽

Forms Of Violence ◽

Depressive Episodes

Based on ethnographic work with undocumented immigrant women who developed depressive episodes due to various forms of violence, this article recovers the women’s experience of care in the clinic space of their host country. Through therapeutic itineraries of care, the article focuses on the case studies of two women of Mexican origin in New York City to describe, based on their experience, the communication and the encounter between the doctor and patient; the expectations of migrant women regarding mental health care services; and the explanatory models of depression of both the patients and the treating physicians. This analysis seeks to contribute to the knowledge regarding ways of treating the mental health problems of undocumented women in contexts of violence.

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