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Psychiatric complications in patients with severe acute respiratory syndrome (SARS) during the acute treatment phase: a series of 10 cases

Kwai Chung Hospital, Hong Kong

Correspondence: Dr Sammy Kin-wing Cheng, Clinical Psychology Service Unit, Kwai Chung Hospital, Hong Kong, China. Tel: 852 2959 8339; e-mail: sammykcheng{at}cuhk.edu.hk

Declaration of interest None.

ABSTRACT

In February 2003, Hong Kong was hit by a community-wide outbreak of severe acute respiratory syndrome (SARS). During the period of the outbreak, 10 patients with SARS with psychiatric complications were referred to our Consultation and Liaison Psychiatry Team for assessment and management. We found that both the direct and indirect effects of SARS such as symptom severity, total isolation during treatment and administration of steroid were probable causes of psychiatric complications. In this paper, we report on the nature of their psychiatric problems, challenges to management and psychiatric treatment strategies used during the acute phase.