Abstract:
:The authors investigated long-term outcome and treatment strategy of corticosteroid-induced psychotic and mood disorders as defined by DSM-IV. Review of medical records of 2,069 referral patients revealed 18 applicable patients. Their clinical characteristics, longitudinal courses, and treatments were studied. The authors identified 15 patients with mood disorder and 3 patients with psychotic disorder. Increasing doses or resumption of corticosteroids had the strongest influence on the psychiatric course. These two corticosteroid-induced psychiatric disorders may have different pathophysiological substrates closely related to patient vulnerability. Effective psychopharmacological treatment options were indicated with consideration being given to the underlying diseases.
journal_name
Psychosomaticsjournal_title
Psychosomaticsauthors
Wada K,Yamada N,Sato T,Suzuki H,Miki M,Lee Y,Akiyama K,Kuroda Sdoi
10.1176/appi.psy.42.6.461subject
Has Abstractpub_date
2001-11-01 00:00:00pages
461-6issue
6eissn
0033-3182issn
1545-7206pii
S0033-3182(01)70452-5journal_volume
42pub_type
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