The neuropsychiatric manifestations of COVID-19: Interactions with psychiatric illness and pharmacological treatment.

Journal: Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie

Volume: 135

Issue: 

Year of Publication: 2021

Affiliated Institutions:  Centre of Excellence for Pharmaceutical Sciences, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa. Electronic address: @g.nwu.ac.za. Centre of Excellence for Pharmaceutical Sciences, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa. Centre of Excellence for Pharmaceutical Sciences, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa; South African MRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. Electronic address: Brian.Harvey@nwu.ac.za.

Abstract summary 

The recent outbreak of the corona virus disease (COVID-19) has had major global impact. The relationship between severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection and psychiatric diseases is of great concern, with an evident link between corona virus infections and various central and peripheral nervous system manifestations. Unmitigated neuro-inflammation has been noted to underlie not only the severe respiratory complications of the disease but is also present in a range of neuro-psychiatric illnesses. Several neurological and psychiatric disorders are characterized by immune-inflammatory states, while treatments for these disorders have distinct anti-inflammatory properties and effects. With inflammation being a common contributing factor in SARS-CoV-2, as well as psychiatric disorders, treatment of either condition may affect disease progression of the other or alter response to pharmacological treatment. In this review, we elucidate how viral infections could affect pre-existing psychiatric conditions and how pharmacological treatments of these conditions may affect overall progress and outcome in the treatment of SARS-CoV-2. We address whether any treatment-induced benefits and potential adverse effects may ultimately affect the overall treatment approach, considering the underlying dysregulated neuro-inflammatory processes and potential drug interactions. Finally, we suggest adjunctive treatment options for SARS-CoV-2-associated neuro-psychiatric symptoms.

Authors & Co-authors:  Jansen van Vuren Esmé E Steyn Stephan F SF Brink Christiaan B CB Möller Marisa M Viljoen Francois P FP Harvey Brian H BH

Study Outcome 

Source Link: Visit source

Statistics
Citations :  World Health Organization . 2020. Novel Coronavirus - China.https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/ (Accessed 23 Jun 2020)
Authors :  6
Identifiers
Doi : 10.1016/j.biopha.2020.111200
SSN : 1950-6007
Study Population
Male,Female
Mesh Terms
Anti-Inflammatory Agents
Other Terms
COVID-19;Inflammation;Pharmacological treatment;Psychiatric diseases;SARS-CoV-2
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
France