COVID-19大流行对强迫症障碍的长期影响
Lavanya P Sharma1, Srinivas Balachander1, Navya Spurthi Thatikonda1
1OCD Clinic, Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka 560029, India.
Psychiatry research
|December 23, 2023
概括
在印度,COVID-19大流行并没有显著影响强迫症复发率. 药物坚持显示有保护作用,即使COVID-19焦虑随着时间的推移而减少.
科学领域:
- 精神病学是一个精神病学.
- 心理健康 心理健康
- 流行病学 流行病学
背景情况:
- 关于COVID-19大流行对强迫症 (OCD) 的长期影响的数据有限.
- 了解流行病对慢性精神健康状况的影响对于公共卫生至关重要.
- 印度经历了COVID-19的第一个重要波浪,需要对其心理健康后果进行研究.
研究的目的:
- 在印度的COVID-19大流行期间调查强迫症 (OCD) 一年病程.
- 为了比较流行病队列和历史非流行病队列之间的疾病严重程度和复发率.
- 在大流行期间确定预测强迫症患者复发的因素.
主要方法:
- 在印度的COVID-19大流行期间,对240名强迫症患者的潜在队列进行了为期一年的跟踪.
- 标准化评级工具被用于三个,六个和十二个月后的后续评估.
- 数据与207名强迫症患者的历史对照队伍进行了比较,这些人来自非大流行年.
主要成果:
- 在流行病和非流行病队列之间没有观察到疾病严重程度或复发率的显著差异.
- 在一年的随访期间,COVID-19相关的焦虑水平下降.
- 对于疫情前治疗反应者来说,增加的COVID-19焦虑和药物不坚持预测症状复发.
结论:
- COVID-19大流行并没有对强迫症患者这一群体的整体疾病轨迹或复发率产生不利影响.
- 持续坚持药物治疗似乎在大流行期间对症状恶化提供了保护作用.
- 虽然COVID-19的焦虑减少了,但它仍然是先前反应良好的患者复发的预测因素.
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