What Happened to Patients With Obsessive Compulsive Disorder During the COVID-19 Pandemic? A Multicentre Report From Tertiary Clinics in Northern Italy
What Happened to Patients With Obsessive Compulsive Disorder During the COVID-19 Pandemic? A Multicentre Report From Tertiary Clinics in Northern Italy
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DOI：
10.3389/fpsyt.2020.00720
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发表时间：
2020-07-21
影响因子：
4.7
通讯作者：
Dell'Osso, Bernardo
中科院分区：
文献类型：
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作者：
Benatti, Beatrice;Albert, Umberto;Dell'Osso, Bernardo
在世界卫生组织宣布冠状病毒疾病爆发为大流行病后，这导致了非常的公共卫生措施来控制感染，例如整个国家被隔离。预计大流行和隔离的精神病理学后果特别相关，特别是在患有强迫症（OCD）等精神疾病的患者中。本报告的目的是描述COVID-19大流行对受强迫症影响的意大利患者样本的影响。社会人口统计学和临床变量的样本123强迫症门诊患者，目前参加三个强迫症三级诊所在北方意大利，通过电话和面对面的采访进行了评估。显示强迫症临床恶化的患者占样本的三分之一以上，并报告了新的强迫症和强迫症表型的显著出现，沿着过去的强迫症和强迫症表型的显著恶化。此外，他们更频繁地发现自杀意念，增加互联网检查，睡眠障碍，回避行为和工作困难。还观察到治疗调整和家庭住宿的需求显著增加。有必要进行进一步研究，以阐明当前COVID-19大流行对强迫症患者的潜在风险和相关后果。
After the outbreak of Coronavirus disease was declared a pandemic by the World Health Organization, this resulted in extraordinary public health measures to control the infection, such as entire countries being placed under quarantine. The psychopathological consequences of the pandemic and quarantine were anticipated to be of particular relevance, especially in patients with psychiatric disorders such as Obsessive Compulsive Disorder (OCD). Aim of the present report was to describe the impact of COVID-19 pandemics within a sample of Italian patients affected by OCD. Sociodemographic and clinical variables of a sample of 123 OCD outpatients, currently attending three OCD tertiary clinics in Northern Italy, were assessed through telephone and in-person interviews. Patients showing a clinical worsening of OCD represented more than one third of the sample and reported a significant emergence of new obsessions and compulsions phenotypes along with a significant exacerbation of past ones. Moreover, they were more frequently found to experience suicidal ideation, increased Internet checking, sleep disturbances, avoidance behaviors, and work difficulties. A significantly increased need of therapy adjustment and family accommodation was also observed. Further research is warranted to clarify the potential risk and related consequences of the current COVID-19 pandemic on OCD patients.