Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, Germany; Schoen Clinic Roseneck, Prien am Chiemsee, Germany.
Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, Germany; Schoen Clinic Roseneck, Prien am Chiemsee, Germany; Institute of Medical Psychology, Faculty of Medicine, LMU Munich, Germany.
J Psychiatr Res. 2024 May;173:6-13. doi: 10.1016/j.jpsychires.2024.02.052. Epub 2024 Feb 28.
Persons with obsessive-compulsive disorder (OCD) are often impaired in their daily level of functioning due to their time-consuming obsessions and/or compulsions. To date, however, studies are lacking that quantify how much time persons with OCD actually spend on activities of daily living. Therefore, the current study assessed 13 daily life activities (in minutes) with a self-report questionnaire in 299 persons with OCD at admission to inpatient treatment and 300 age- and sex-matched persons without OCD. A majority of persons with OCD indicated that they experienced obsessions and/or compulsions when leaving (84%) and cleaning (70%) the apartment, grocery shopping (66%), changing clothes (66%), and showering with (62%) and without (63%) shampooing. Persons with OCD who experienced obsessions and/or compulsions during a given daily life activity-but not those who did not experience obsessions and/or compulsions during these activities-reported longer durations for performing 10 of the 13 activities than persons without OCD. For most activities, longer durations related weakly but significantly to higher OCD symptom severity. Results indicate that the duration of daily life activities seems to depend more on whether persons with OCD experience obsessions and/or compulsions during a specific activity and less on whether a person is diagnosed with OCD in general. Future studies may use other assessment methods that allow for tracking the duration in daily life in real time.
强迫症(OCD)患者由于其耗时的强迫观念和/或强迫行为,其日常生活功能往往受损。然而,迄今为止,缺乏量化 OCD 患者实际用于日常生活活动的时间的研究。因此,本研究在入院接受住院治疗的 299 名 OCD 患者和 300 名年龄和性别匹配的无 OCD 患者中,使用自我报告问卷评估了 13 项日常生活活动(以分钟计)。大多数 OCD 患者表示,他们在离开(84%)和打扫(70%)公寓、杂货店购物(66%)、换衣服(66%)、洗澡时(62%)和不使用洗发水时(63%)时会出现强迫观念和/或强迫行为。在特定的日常生活活动中经历强迫观念和/或强迫行为的 OCD 患者——而不是在这些活动中没有经历强迫观念和/或强迫行为的患者——报告说,他们完成 13 项活动中的 10 项活动的持续时间比没有 OCD 的患者更长。对于大多数活动,持续时间与 OCD 症状严重程度呈弱但显著相关。结果表明,日常生活活动的持续时间似乎更多地取决于 OCD 患者在特定活动中是否经历强迫观念和/或强迫行为,而较少取决于一个人是否被诊断为 OCD。未来的研究可能会使用其他评估方法,实时跟踪日常生活中的持续时间。