严格的COVID-19封锁对强迫症患者的影响与临床和非临床样本相比
Giordano D'Urso1, Alfonso Magliacano2, Bernardo Dell'Osso3,4,5
1Section of Psychiatry, Department of Neuroscience, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Naples, Italy.
概括
由于COVID-19的封锁,增加了心理困扰,影响了强迫症 (OCD) 和适应障碍 (AD) 患者. 虽然强迫症症状的严重程度保持稳定,但与卫生相关的痴迷增加,突出了环境对症状表现的影响.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 流行病学 流行病学
背景情况:
- 由于COVID-19的封锁,人们更加关注卫生问题,可能会加剧强迫症 (OCD) 症状.
- 患有适应障碍 (AD) 的患者可能更容易受到流行病等压力因素的影响.
- 这项研究调查了与健康对照组 (HC) 相比,锁定期间OCD和AD患者的症状变化.
研究的目的:
- 为了评估COVID-19封锁期间强迫症 (OCD) 症状的变化.
- 为了比较强迫症患者的症状波动与适应障碍 (AD) 患者和健康对照 (HC) 患者.
- 探索锁定引起的心理痛苦对强迫症症状特征的影响.
主要方法:
- 在COVID相关的封锁期间招募了65名患者 (强迫症,AD) 和29名健康对照 (HC).
- 管理了四个临床评级尺度:耶鲁-布朗强迫性强迫性尺度,布朗信念评估尺度,贝克抑郁 inventory-II,和州道焦虑 inventory-Y.
- 在所有组中比较了封锁前和封锁期间的症状得分.
主要成果:
- 抑郁和焦虑症状在所有组都增加,在HC中最显著.
- 强迫症症状的严重程度没有增加,但洞察力恶化 (p=0.028).
- 与卫生相关的痴迷增加 (p=0.031),而与检查相关的症状在强迫症患者中减少.
结论:
- 锁定引起的痛苦改变了强迫症症状表现模式,而不是整体严重程度.
- 强迫症症状是异质的,并且受到环境因素的动态影响.
- 这些发现强调了强迫症症状表现在应对外部压力因素时的适应性.
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