How is COVID-19 affecting patients with obsessive-compulsive disorder? A longitudinal study on the initial phase of the pandemic in a Spanish cohort

Background: Although the consequences of the COVID-19 pandemic on emotional health are evident, little is known about its impact on patients with obsessive-compulsive disorder (OCD). Methods: One hundred and twenty-seven patients with OCD who attended a specialist OCD Clinic in Barcelona, Spain, wer...

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Autores: Alonso, P., Bertolín Triquell, Sara, Segalàs Cosi, Cinto, Tubío Fungueiriño, M., Real, E., Mar Barrutia, L., Fernández Prieto, M., Carvalho, S., Carracedo Álvarez, Ángel, Menchón Magriñá, José Manuel
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Recursos:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/179321
Acesso em linha:https://hdl.handle.net/2445/179321
Access Level:acceso abierto
Palavra-chave:COVID-19
Neurosi obsessiva
Suïcidi
Obsessive-compulsive disorder
Suicide
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repository_id_str
spelling How is COVID-19 affecting patients with obsessive-compulsive disorder? A longitudinal study on the initial phase of the pandemic in a Spanish cohortAlonso, P.Bertolín Triquell, SaraSegalàs Cosi, CintoTubío Fungueiriño, M.Real, E.Mar Barrutia, L.Fernández Prieto, M.Carvalho, S.Carracedo Álvarez, ÁngelMenchón Magriñá, José ManuelCOVID-19Neurosi obsessivaSuïcidiCOVID-19Obsessive-compulsive disorderSuicideBackground: Although the consequences of the COVID-19 pandemic on emotional health are evident, little is known about its impact on patients with obsessive-compulsive disorder (OCD). Methods: One hundred and twenty-seven patients with OCD who attended a specialist OCD Clinic in Barcelona, Spain, were assessed by phone from April 27 to May 25, 2020, during the early phase of the pandemic, using the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) and a structured interview that collected clinical and sociodemographic information. Results were compared with those for 237 healthy controls from the same geographic area who completed an online survey. Results: Although 65.3% of the patients with OCD described a worsening of their symptoms, only 31.4% had Y-BOCS scores that increased >25%. The risk of getting infected by SARS-CoV2 was reported as a new obsession by 44.8%, but this only became the main obsessive concern in approximately 10% of the patients. Suicide-related thoughts were more frequent among the OCD cohort than among healthy controls. The presence of prepandemic depression, higher Y-BOCS scores, contamination/washing symptoms, and lower perceived social support all predicted a significantly increased risk of OCD worsening. Conclusions: Most patients with OCD appear to be capable of coping with the emotional stress of the COVID-19 outbreak and its consequences during the initial phase of the pandemic. Nevertheless, the current crisis constitutes a risk factor for a significant worsening of symptoms and suicidal ideation. Action is needed to ensure effective and individualized follow-up care for patients with OCD in the COVID-19 era.Cambridge University Press2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/179321Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: http://doi.org/10.1192/j.eurpsy.2021.2214European Psychiatry, 2021, vol. 64, num.1, p. e45http://doi.org/10.1192/j.eurpsy.2021.2214cc by (c) Alonso, P. et al., 2021http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1793212026-05-27T06:46:51Z
dc.title.none.fl_str_mv How is COVID-19 affecting patients with obsessive-compulsive disorder? A longitudinal study on the initial phase of the pandemic in a Spanish cohort
title How is COVID-19 affecting patients with obsessive-compulsive disorder? A longitudinal study on the initial phase of the pandemic in a Spanish cohort
spellingShingle How is COVID-19 affecting patients with obsessive-compulsive disorder? A longitudinal study on the initial phase of the pandemic in a Spanish cohort
Alonso, P.
COVID-19
Neurosi obsessiva
Suïcidi
COVID-19
Obsessive-compulsive disorder
Suicide
title_short How is COVID-19 affecting patients with obsessive-compulsive disorder? A longitudinal study on the initial phase of the pandemic in a Spanish cohort
title_full How is COVID-19 affecting patients with obsessive-compulsive disorder? A longitudinal study on the initial phase of the pandemic in a Spanish cohort
title_fullStr How is COVID-19 affecting patients with obsessive-compulsive disorder? A longitudinal study on the initial phase of the pandemic in a Spanish cohort
title_full_unstemmed How is COVID-19 affecting patients with obsessive-compulsive disorder? A longitudinal study on the initial phase of the pandemic in a Spanish cohort
title_sort How is COVID-19 affecting patients with obsessive-compulsive disorder? A longitudinal study on the initial phase of the pandemic in a Spanish cohort
dc.creator.none.fl_str_mv Alonso, P.
Bertolín Triquell, Sara
Segalàs Cosi, Cinto
Tubío Fungueiriño, M.
Real, E.
Mar Barrutia, L.
Fernández Prieto, M.
Carvalho, S.
Carracedo Álvarez, Ángel
Menchón Magriñá, José Manuel
author Alonso, P.
author_facet Alonso, P.
Bertolín Triquell, Sara
Segalàs Cosi, Cinto
Tubío Fungueiriño, M.
Real, E.
Mar Barrutia, L.
Fernández Prieto, M.
Carvalho, S.
Carracedo Álvarez, Ángel
Menchón Magriñá, José Manuel
author_role author
author2 Bertolín Triquell, Sara
Segalàs Cosi, Cinto
Tubío Fungueiriño, M.
Real, E.
Mar Barrutia, L.
Fernández Prieto, M.
Carvalho, S.
Carracedo Álvarez, Ángel
Menchón Magriñá, José Manuel
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv COVID-19
Neurosi obsessiva
Suïcidi
COVID-19
Obsessive-compulsive disorder
Suicide
topic COVID-19
Neurosi obsessiva
Suïcidi
COVID-19
Obsessive-compulsive disorder
Suicide
description Background: Although the consequences of the COVID-19 pandemic on emotional health are evident, little is known about its impact on patients with obsessive-compulsive disorder (OCD). Methods: One hundred and twenty-seven patients with OCD who attended a specialist OCD Clinic in Barcelona, Spain, were assessed by phone from April 27 to May 25, 2020, during the early phase of the pandemic, using the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) and a structured interview that collected clinical and sociodemographic information. Results were compared with those for 237 healthy controls from the same geographic area who completed an online survey. Results: Although 65.3% of the patients with OCD described a worsening of their symptoms, only 31.4% had Y-BOCS scores that increased >25%. The risk of getting infected by SARS-CoV2 was reported as a new obsession by 44.8%, but this only became the main obsessive concern in approximately 10% of the patients. Suicide-related thoughts were more frequent among the OCD cohort than among healthy controls. The presence of prepandemic depression, higher Y-BOCS scores, contamination/washing symptoms, and lower perceived social support all predicted a significantly increased risk of OCD worsening. Conclusions: Most patients with OCD appear to be capable of coping with the emotional stress of the COVID-19 outbreak and its consequences during the initial phase of the pandemic. Nevertheless, the current crisis constitutes a risk factor for a significant worsening of symptoms and suicidal ideation. Action is needed to ensure effective and individualized follow-up care for patients with OCD in the COVID-19 era.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/179321
url https://hdl.handle.net/2445/179321
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: http://doi.org/10.1192/j.eurpsy.2021.2214
European Psychiatry, 2021, vol. 64, num.1, p. e45
http://doi.org/10.1192/j.eurpsy.2021.2214
dc.rights.none.fl_str_mv cc by (c) Alonso, P. et al., 2021
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Alonso, P. et al., 2021
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press
publisher.none.fl_str_mv Cambridge University Press
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,228081

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