Alblowi Mohammed A, Alkhammash Waleed M, Alzahrani Thamer M, Hakeem Mohammed H, Alsarar Saeed A, Alqahtani Abdulhadi A, Almutairi Abdulrahman M, Al Binhar Turki H
From the Department of Psychiatry (Alblowi), King Saud University Medical City, King Saud University, from the college of Medicine (Alzahrani, Hakeem, Alsarar, Alqahtani, Almutairi, Al Binhar), King Saud University, Riyadh, from the Department of Psychiatry (Alkhammash), Erada and Mental health complex, Ministry of Health, Taif, Kingdom of Saudi Arabia.
Neurosciences (Riyadh). 2023 Jan;28(1):27-35. doi: 10.17712/nsj.2023.1.20220068.
To determine the prevalence of Obsessive-Compulsive Disorder (OCD) symptoms in patients who have survived COVID-19.
The study used an observational cross-sectional design between July and October 2021. The target population was adult patients who had confirmed COVID-19 infection prior to joining the study, OCD symptoms were assessed using the Arabic OCD scale created by Abohendy and colleagues, which included 83 questions covering 12 different domains and was administired online.
A total of 356 patients were included in the analysis. Approximately 9.0% and 1.7% of the patients had a history of psychiatric disease and OCD diagnosis (respectively). The total symptom score was 32.8%. The most frequently reported domains were rumination of ideas (55.5%), re-checking compulsions (37.0%), and slowness (34.0%), while the least frequently reported domains included obsessive impulses (26.3%), obsessive images (26.5%), and religious compulsions (26.8%). Unlike other domains, the purity and cleanliness compulsions scores were significantly higher than the scale reference population. A higher total symptom score was observed in psychiatric patients (=0.004) and, to a lesser extent, in OCD patients (=0.250).
Overall, OCD symptoms, including cleanliness and fear of disease obsessions, tend to be higher in psychiatric and OCD patients, these findings are valuable for future studies.
确定新冠病毒感染康复患者中强迫症(OCD)症状的患病率。
本研究采用2021年7月至10月的观察性横断面设计。目标人群为在参与研究前确诊感染新冠病毒的成年患者,使用由Abohendy及其同事编制的阿拉伯语强迫症量表评估强迫症症状,该量表包括83个问题,涵盖12个不同领域,通过在线方式进行施测。
共有356例患者纳入分析。分别约9.0%和1.7%的患者有精神疾病史和强迫症诊断史。总症状评分为32.8%。报告频率最高的领域是观念反刍(55.5%)、反复检查强迫行为(37.0%)和迟缓(34.0%),而报告频率最低的领域包括强迫冲动(26.3%)、强迫意象(26.5%)和宗教强迫行为(26.8%)。与其他领域不同,洁癖和清洁强迫行为得分显著高于量表参考人群。精神疾病患者的总症状评分更高(=0.004),强迫症患者的总症状评分在较小程度上也更高(=0.250)。
总体而言,强迫症症状,包括洁癖和疾病恐惧强迫观念,在精神疾病患者和强迫症患者中往往更高,这些发现对未来研究具有重要价值。