Corticosteroid-induced psychotic and mood disorders diagnosis defined by DSM-IV and clinical pictures

Ken Wada, Norihito Yamada, Toshiki Sato, Hiroshi Suzuki, Masahito Miki, Yomei Lee, Kazufumi Akiyama, Shigetoshi Kuroda

Research output: Contribution to journalArticle

82 Citations (Scopus)

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 psycho-pharmacological treatment options were indicated with consideration being given to the underlying diseases.

Original languageEnglish
Pages (from-to)461-466
Number of pages6
JournalPsychosomatics
Volume42
Issue number6
DOIs
Publication statusPublished - Dec 11 2001

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Applied Psychology
  • Psychiatry and Mental health

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