{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T14:41:54Z","timestamp":1776091314210,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T00:00:00Z","timestamp":1630368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neuropsychopharm Rep"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Psychiatric disturbances are the major adverse effects of corticosteroids. There are no consistent conclusions regarding changes in steroid dosage and the incidence of psychiatric conditions, due in part to the lack of consistent evaluation criteria. The purpose of this research was to determine the incidence and dose\u2010dependency of psychiatric conditions as assessed by trained psychiatrists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review was conducted at a university hospital in Japan. We identified inpatients receiving oral prednisolone treatment, who were referred to the consultation\u2010liaison psychiatry team from April 2015 to March 2018. Patients were divided into high\u2010dose (\u22650.5\u00a0mg\/kg\/day) and low\u2010dose (&lt;0.5\u00a0mg\/kg\/day) groups. We investigated the associations between steroid dosage and incidence of psychiatric conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 93 patients (35 in the high\u2010dose group, 58 in the low\u2010dose group) were included. Various psychiatric conditions, such as insomnia, delirium, depression, and psychosis, occurred during steroid therapy. The most common condition was insomnia (72%). We observed no significant differences in the patient background characteristics and the incidence of most psychiatric conditions between the high\u2010dose and low\u2010dose groups. However, there were more patients with delirium in the low\u2010dose group than in the high\u2010dose group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Based on the accurate assessment of psychiatric conditions by psychiatrists, our analysis suggests that, among inpatients referred to a consultation\u2010liaison psychiatry team, the incidence of psychiatric conditions, with the exception of delirium, is independent of the dose of oral prednisolone.<\/jats:p><\/jats:sec>","DOI":"10.1002\/npr2.12204","type":"journal-article","created":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T04:53:49Z","timestamp":1630472029000},"page":"471-475","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Oral corticosteroid dosage and clinical presentation of psychiatric conditions after steroid use: A consultation\u2010liaison psychiatry service\u2019s experience"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6024-0661","authenticated-orcid":false,"given":"Yuko","family":"Yagi","sequence":"first","affiliation":[{"name":"Department of Neuropsychiatry The University of Tokyo Hospital Bunkyo\u2010ku Japan"},{"name":"Japanese Red Cross Medical Center Shibuya\u2010ku Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry The University of Tokyo Hospital Bunkyo\u2010ku Japan"},{"name":"St. Luke\u2019s International Hospital Chuo\u2010ku Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0803-0514","authenticated-orcid":false,"given":"Yu","family":"Ogata","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry The University of Tokyo Hospital Bunkyo\u2010ku 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