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COVID-19 大流行如何影响有强迫症(OCD)症状的个体?

How is the COVID-19 pandemic affecting individuals with obsessive-compulsive disorder (OCD) symptoms?

机构信息

Barnard College, New York, NY, USA.

Barnard College, New York, NY, USA.

出版信息

J Anxiety Disord. 2021 Jun;81:102410. doi: 10.1016/j.janxdis.2021.102410. Epub 2021 Apr 30.

Abstract

The novel coronavirus disease (COVID-19) pandemic has caused substantial public health burden and widespread anxiety. The adverse mental health effects caused by COVID-19 may be particularly acute for individuals with obsessive-compulsive disorder (OCD). For the present study, we developed an online survey to investigate how COVID-19 has affected the OCD community. The survey included both quantitative and qualitative questions to assess multiple facets of how the pandemic has affected individuals with OCD symptoms. Responses were collected from adults with self-identified OCD recruited from OCD-specific forums and websites (n = 252). The majority (76.2 %) of respondents reported that their OCD symptoms had worsened since the outbreak, though there was substantial variability in individual responses. Negative effects of COVID-19 were more strongly linked to contamination and responsibility for harm symptoms than for other symptom dimensions. The self-identified OCD group also reported heightened concerns about COVID-19 compared to a community control sample recruited through Amazon's Mechanical Turk (MTurk). Lastly, many participants reported that the pandemic had interfered with their OCD treatment, yet they remained mostly satisfied with how their treatment providers had handled the crisis. These results highlight the importance of considering how COVID-19 has affected the OCD community, with possible implications for treatment providers.

摘要

新型冠状病毒病(COVID-19)大流行给公共卫生带来了巨大负担,并引发了广泛的焦虑。COVID-19 对心理健康造成的不良影响可能对强迫症(OCD)患者尤为严重。在本研究中,我们开发了一个在线调查,以了解 COVID-19 对 OCD 患者群体的影响。该调查包括定量和定性问题,以评估大流行如何影响 OCD 症状患者的多个方面。我们从 OCD 特定论坛和网站招募了自我认定的 OCD 成年患者(n=252),并收集了他们的回复。大多数(76.2%)受访者报告说,他们的 OCD 症状自疫情爆发以来有所加重,尽管个体反应存在很大差异。COVID-19 的负面影响与伤害责任和污染症状比其他症状维度更为相关。与通过亚马逊的 Mechanical Turk(MTurk)招募的社区对照样本相比,自我认定的 OCD 患者群体报告了更高的 COVID-19 担忧。最后,许多参与者报告说,大流行干扰了他们的 OCD 治疗,但他们对治疗提供者处理危机的方式基本感到满意。这些结果强调了考虑 COVID-19 对 OCD 患者群体影响的重要性,这可能对治疗提供者产生影响。

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