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http://hdl.handle.net/2445/179321
Title: | How is COVID-19 affecting patients with obsessive-compulsive disorder? A longitudinal study on the initial phase of the pandemic in a Spanish cohort |
Author: | Alonso, P. Bertolín, S. Segalàs, J. Tubío Fungueiriño, M. Real, E. Mar Barrutia, L. Fernández Prieto, M. Carvalho, S. Carracedo Álvarez, Ángel Menchón Magriñá, José Manuel |
Keywords: | COVID-19 Neurosi obsessiva Suïcidi COVID-19 Obsessive-compulsive disorder Suicide |
Issue Date: | 2021 |
Publisher: | Cambridge University Press |
Abstract: | Background: Although the consequences of the COVID-19 pandemic on emotional health are evident, little is known about its impact on patients with obsessive-compulsive disorder (OCD). Methods: One hundred and twenty-seven patients with OCD who attended a specialist OCD Clinic in Barcelona, Spain, were assessed by phone from April 27 to May 25, 2020, during the early phase of the pandemic, using the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) and a structured interview that collected clinical and sociodemographic information. Results were compared with those for 237 healthy controls from the same geographic area who completed an online survey. Results: Although 65.3% of the patients with OCD described a worsening of their symptoms, only 31.4% had Y-BOCS scores that increased >25%. The risk of getting infected by SARS-CoV2 was reported as a new obsession by 44.8%, but this only became the main obsessive concern in approximately 10% of the patients. Suicide-related thoughts were more frequent among the OCD cohort than among healthy controls. The presence of prepandemic depression, higher Y-BOCS scores, contamination/washing symptoms, and lower perceived social support all predicted a significantly increased risk of OCD worsening. Conclusions: Most patients with OCD appear to be capable of coping with the emotional stress of the COVID-19 outbreak and its consequences during the initial phase of the pandemic. Nevertheless, the current crisis constitutes a risk factor for a significant worsening of symptoms and suicidal ideation. Action is needed to ensure effective and individualized follow-up care for patients with OCD in the COVID-19 era. |
Note: | Reproducció del document publicat a: http://doi.org/10.1192/j.eurpsy.2021.2214 |
It is part of: | European Psychiatry, 2021, vol. 64, num.1, p. e45 |
URI: | http://hdl.handle.net/2445/179321 |
Related resource: | http://doi.org/10.1192/j.eurpsy.2021.2214 |
ISSN: | 1778-3585 |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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