Benatti Beatrice, Albert Umberto, Maina Giuseppe, Fiorillo Andrea, Celebre Laura, Girone Nicolaja, Fineberg Naomi, Bramante Stefano, Rigardetto Sylvia, Dell'Osso Bernardo
Psychiatry 2 Unit, Luigi Sacco University Hospital, University of Milan, Milan, Italy.
Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Front Psychiatry. 2020 Jul 21;11:720. doi: 10.3389/fpsyt.2020.00720. eCollection 2020.
After the outbreak of Coronavirus disease was declared a pandemic by the World Health Organization, this resulted in extraordinary public health measures to control the infection, such as entire countries being placed under quarantine. The psychopathological consequences of the pandemic and quarantine were anticipated to be of particular relevance, especially in patients with psychiatric disorders such as Obsessive Compulsive Disorder (OCD). Aim of the present report was to describe the impact of COVID-19 pandemics within a sample of Italian patients affected by OCD. Sociodemographic and clinical variables of a sample of 123 OCD outpatients, currently attending three OCD tertiary clinics in Northern Italy, were assessed through telephone and in-person interviews. Patients showing a clinical worsening of OCD represented more than one third of the sample and reported a significant emergence of new obsessions and compulsions phenotypes along with a significant exacerbation of past ones. Moreover, they were more frequently found to experience suicidal ideation, increased Internet checking, sleep disturbances, avoidance behaviors, and work difficulties. A significantly increased need of therapy adjustment and family accommodation was also observed. Further research is warranted to clarify the potential risk and related consequences of the current COVID-19 pandemic on OCD patients.
在世界卫生组织宣布冠状病毒病爆发为大流行之后,这导致了控制感染的特别公共卫生措施,例如整个国家被实施隔离。预计大流行和隔离的精神病理学后果具有特殊相关性,尤其是在患有精神疾病如强迫症(OCD)的患者中。本报告的目的是描述COVID-19大流行对一组受强迫症影响的意大利患者的影响。通过电话和面对面访谈,对目前在意大利北部三家强迫症三级诊所就诊的123名强迫症门诊患者样本的社会人口统计学和临床变量进行了评估。表现出强迫症临床恶化的患者占样本的三分之一以上,报告称出现了新的强迫观念和强迫行为表型,且过去的症状明显加重。此外,他们更频繁地出现自杀念头、增加上网检查、睡眠障碍、回避行为和工作困难。还观察到治疗调整和家庭适应需求显著增加。有必要进行进一步研究,以阐明当前COVID-19大流行对强迫症患者的潜在风险和相关后果。