The impacts of hospital admission in very late‐onset schizophrenia‐like psychosis: A case report
Abstract Background Very late‐onset schizophrenia‐like psychosis (VLOSLP) is a psychotic disorder with an age of onset ≥60 years, and social isolation is a risk factor. Reports on the impact of interventions for isolation and loneliness on psychiatric symptoms in VLOSLP are limited. Case Presentatio...
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| Format: | Article |
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Wiley
2024-12-01
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| Series: | PCN Reports |
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| Online Access: | https://doi.org/10.1002/pcn5.70040 |
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| author | Shigeki Katakami Yuto Satake Takashi Suehiro Daiki Ishimaru Erina Nakanishi Hideki Kanemoto Kenji Yoshiyama Manabu Ikeda |
| author_facet | Shigeki Katakami Yuto Satake Takashi Suehiro Daiki Ishimaru Erina Nakanishi Hideki Kanemoto Kenji Yoshiyama Manabu Ikeda |
| author_sort | Shigeki Katakami |
| collection | DOAJ |
| description | Abstract Background Very late‐onset schizophrenia‐like psychosis (VLOSLP) is a psychotic disorder with an age of onset ≥60 years, and social isolation is a risk factor. Reports on the impact of interventions for isolation and loneliness on psychiatric symptoms in VLOSLP are limited. Case Presentation An 87‐year‐old woman, widowed and living alone, developed psychosis, including paranoia, erotomania, and visual hallucinations, at 84 years old during a period when her interactions with others were limited by the COVID‐19 pandemic and osteoarthritis. She was eventually brought to our hospital with a local dementia outreach team. She was admitted and diagnosed with VLOSLP with mild cognitive decline through imaging and neuropsychological tests confirming the absence of dementia. Immediately after admission, her psychotic symptoms became inactive. She was transferred to another psychiatric hospital to prepare for her move to a long‐term care facility because her psychosis was alleviated. During admission, she enjoyed the company of others and occupational therapy, and her score on the UCLA Loneliness Scale Version 3 improved from 44 at admission to 35 at discharge. Conclusion The admission itself improved the patient's psychosis, which seemed to be related to the alleviation of isolation and loneliness. |
| format | Article |
| id | doaj-art-61a07767fffb4e0bbc30284990057831 |
| institution | Kabale University |
| issn | 2769-2558 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | PCN Reports |
| spelling | doaj-art-61a07767fffb4e0bbc302849900578312025-01-03T11:15:26ZengWileyPCN Reports2769-25582024-12-0134n/an/a10.1002/pcn5.70040The impacts of hospital admission in very late‐onset schizophrenia‐like psychosis: A case reportShigeki Katakami0Yuto Satake1Takashi Suehiro2Daiki Ishimaru3Erina Nakanishi4Hideki Kanemoto5Kenji Yoshiyama6Manabu Ikeda7Department of Psychiatry Osaka University Graduate School of Medicine Suita Osaka JapanDepartment of Psychiatry Osaka University Graduate School of Medicine Suita Osaka JapanDepartment of Psychiatry Osaka University Graduate School of Medicine Suita Osaka JapanDepartment of Psychiatry Osaka University Graduate School of Medicine Suita Osaka JapanDepartment of Psychiatry Osaka University Graduate School of Medicine Suita Osaka JapanDepartment of Psychiatry Osaka University Graduate School of Medicine Suita Osaka JapanDepartment of Psychiatry Osaka University Graduate School of Medicine Suita Osaka JapanDepartment of Psychiatry Osaka University Graduate School of Medicine Suita Osaka JapanAbstract Background Very late‐onset schizophrenia‐like psychosis (VLOSLP) is a psychotic disorder with an age of onset ≥60 years, and social isolation is a risk factor. Reports on the impact of interventions for isolation and loneliness on psychiatric symptoms in VLOSLP are limited. Case Presentation An 87‐year‐old woman, widowed and living alone, developed psychosis, including paranoia, erotomania, and visual hallucinations, at 84 years old during a period when her interactions with others were limited by the COVID‐19 pandemic and osteoarthritis. She was eventually brought to our hospital with a local dementia outreach team. She was admitted and diagnosed with VLOSLP with mild cognitive decline through imaging and neuropsychological tests confirming the absence of dementia. Immediately after admission, her psychotic symptoms became inactive. She was transferred to another psychiatric hospital to prepare for her move to a long‐term care facility because her psychosis was alleviated. During admission, she enjoyed the company of others and occupational therapy, and her score on the UCLA Loneliness Scale Version 3 improved from 44 at admission to 35 at discharge. Conclusion The admission itself improved the patient's psychosis, which seemed to be related to the alleviation of isolation and loneliness.https://doi.org/10.1002/pcn5.70040admissionisolationlate‐onset psychosislonelinessnonpharmacological treatment |
| spellingShingle | Shigeki Katakami Yuto Satake Takashi Suehiro Daiki Ishimaru Erina Nakanishi Hideki Kanemoto Kenji Yoshiyama Manabu Ikeda The impacts of hospital admission in very late‐onset schizophrenia‐like psychosis: A case report PCN Reports admission isolation late‐onset psychosis loneliness nonpharmacological treatment |
| title | The impacts of hospital admission in very late‐onset schizophrenia‐like psychosis: A case report |
| title_full | The impacts of hospital admission in very late‐onset schizophrenia‐like psychosis: A case report |
| title_fullStr | The impacts of hospital admission in very late‐onset schizophrenia‐like psychosis: A case report |
| title_full_unstemmed | The impacts of hospital admission in very late‐onset schizophrenia‐like psychosis: A case report |
| title_short | The impacts of hospital admission in very late‐onset schizophrenia‐like psychosis: A case report |
| title_sort | impacts of hospital admission in very late onset schizophrenia like psychosis a case report |
| topic | admission isolation late‐onset psychosis loneliness nonpharmacological treatment |
| url | https://doi.org/10.1002/pcn5.70040 |
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