新型冠状病毒肺炎大流行与心理健康:加拿大一省新出现强迫症症状的患病率及其相关因素。

COVID-19 Pandemic and Mental Health: Prevalence and Correlates of New-Onset Obsessive-Compulsive Symptoms in a Canadian Province.

机构信息

Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2B7, Canada.

Addiction and Mental Health, Alberta Health Services, Edmonton, AB T5K 2J5, Canada.

出版信息

Int J Environ Res Public Health. 2020 Sep 24;17(19):6986. doi: 10.3390/ijerph17196986.

Abstract

: This cross-sectional online survey investigates the prevalence of obsessive-compulsive disorder (OCD) symptoms at an early stage of the COVID-19 pandemic in Canada. : OCD symptoms, moderate/high stress, likely generalized anxiety disorder (GAD) and likely major depressive disorder (MDD) were assessed with the Brief Obsessive-Compulsive Scale (BOCS), Perceived Stress Scale (PSS), Generalized Anxiety Disorder 7-item (GAD-7) scale, and Patient Health Questionnaire-9 (PHQ-9) scale, respectively. : Out of 32,805 individuals subscribed to Text4Hope, 6041 completed an online survey; the response rate was 18.4%. Overall, 60.3% of respondents reported onset of OCD symptoms and 53.8% had compulsions to wash hands during the COVID-19 pandemic. Respondents who showed OCD symptoms only since the start of COVID-19 were significantly more likely to have moderate/high stress (z = 6.4, < 0.001), likely GAD (z = 6.0, < 0.001), and likely MDD (z = 2.7, < 0.01). Similarly, respondents who engaged in compulsive hand washing were significantly more likely to have moderate/high stress (z = 4.6, < 0.001) and likely GAD (z = 4.6 < 0.001), but not likely MDD (z = 1.4, = 0.16). : The prevalence of OCD symptoms increased during the COVID-19 pandemic, at a rate significantly higher than pre-pandemic rates reported for the sample population. Presenting with OCD symptoms increased the likelihood of presenting with elevated stress, likely GAD, and likely MDD.

摘要

这项横断面在线调查研究了 COVID-19 大流行早期加拿大强迫症(OCD)症状的流行情况。

使用Brief Obsessive-Compulsive Scale(BOCS)、Perceived Stress Scale(PSS)、Generalized Anxiety Disorder 7-item(GAD-7)量表和Patient Health Questionnaire-9(PHQ-9)量表分别评估 OCD 症状、中度/高度压力、可能的广泛性焦虑症(GAD)和可能的重度抑郁症(MDD)。

在 Text4Hope 订阅的 32805 人中,有 6041 人完成了在线调查;回应率为 18.4%。总体而言,60.3%的受访者报告 OCD 症状发作,53.8%在 COVID-19 大流行期间有洗手的强迫行为。仅在 COVID-19 开始后出现 OCD 症状的受访者更有可能出现中度/高度压力(z = 6.4,< 0.001)、可能的 GAD(z = 6.0,< 0.001)和可能的 MDD(z = 2.7,< 0.01)。同样,有强迫性洗手行为的受访者更有可能出现中度/高度压力(z = 4.6,< 0.001)和可能的 GAD(z = 4.6 < 0.001),但不太可能出现 MDD(z = 1.4,= 0.16)。

在 COVID-19 大流行期间,OCD 症状的患病率增加,其增长率明显高于报告的样本人群大流行前的患病率。出现 OCD 症状会增加出现中度/高度压力、可能的 GAD 和可能的 MDD 的可能性。

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