COVID-19 Pandemic and Mental Health: Prevalence and Correlates of New-Onset Obsessive-Compulsive Symptoms in a Canadian Province.

COVID-19 Pandemic and Mental Health: Prevalence and Correlates of New-Onset Obsessive-Compulsive Symptoms in a Canadian Province.
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DOI:
10.3390/ijerph17196986
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发表时间:
2020-09-24
影响因子:
--
通讯作者:
Agyapong VIO
Agyapong VIO
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Abba-Aji A;Li D;Hrabok M;Shalaby R;Gusnowski A;Vuong W;Surood S;Nkire N;Li XM;Greenshaw AJ;Agyapong VIO

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背景资料:这项横断面在线调查调查了加拿大COVID-19大流行早期阶段强迫症(OCD)症状的患病率。研究方法:分别采用简明强迫量表(博茨)、知觉压力量表(PSS)、广泛性焦虑障碍7项量表(GAD-7)和患者健康问卷9(PHQ-9)量表评估强迫症症状、中度/高度压力、可能的广泛性焦虑障碍(GAD)和可能的重度抑郁障碍(MDD)。结果:在32,805名订阅Text 4 Hope的人中,有6041人完成了在线调查;回复率为18.4%。总体而言,60.3%的受访者报告在COVID-19大流行期间出现强迫症症状,53.8%的受访者有强迫洗手的行为。仅在COVID-19开始后才表现出强迫症症状的受访者更有可能患有中度/高度压力(z = 6.4,p < 0.001),可能患有GAD(z = 6.0,p < 0.001)和MDD(z = 2.7,p < 0.01)。同样,强迫性洗手的受访者更有可能患有中度/高度压力(z = 4.6,p < 0.001)和GAD(z = 4.6,p < 0.001),但不太可能患有MDD(z = 1.4,p = 0.16)。结论:2019冠状病毒病大流行期间,强迫症症状的患病率增加,其比率显著高于样本人群报告的大流行前比率。出现强迫症症状增加了出现压力升高、GAD和MDD的可能性。
Background: This cross-sectional online survey investigates the prevalence of obsessive-compulsive disorder (OCD) symptoms at an early stage of the COVID-19 pandemic in Canada. Methods: OCD symptoms, moderate/high stress, likely generalized anxiety disorder (GAD) and likely major depressive disorder (MDD) were assessed with the Brief Obsessive-Compulsive Scale (BOCS), Perceived Stress Scale (PSS), Generalized Anxiety Disorder 7-item (GAD-7) scale, and Patient Health Questionnaire-9 (PHQ-9) scale, respectively. Results: Out of 32,805 individuals subscribed to Text4Hope, 6041 completed an online survey; the response rate was 18.4%. Overall, 60.3% of respondents reported onset of OCD symptoms and 53.8% had compulsions to wash hands during the COVID-19 pandemic. Respondents who showed OCD symptoms only since the start of COVID-19 were significantly more likely to have moderate/high stress (z = 6.4, p < 0.001), likely GAD (z = 6.0, p < 0.001), and likely MDD (z = 2.7, p < 0.01). Similarly, respondents who engaged in compulsive hand washing were significantly more likely to have moderate/high stress (z = 4.6, p < 0.001) and likely GAD (z = 4.6 p < 0.001), but not likely MDD (z = 1.4, p = 0.16). Conclusion: The prevalence of OCD symptoms increased during the COVID-19 pandemic, at a rate significantly higher than pre-pandemic rates reported for the sample population. Presenting with OCD symptoms increased the likelihood of presenting with elevated stress, likely GAD, and likely MDD.
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