期刊
PSYCHIATRY RESEARCH
卷 295, 期 -, 页码 -出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.psychres.2020.113597
关键词
Obsessive-compulsive disorder; Exposure and response prevention; Cognitive behavioral therapy; COVID-19; Pandemic; Yale-Brown obsessive-compulsive scale; Treatment
类别
The COVID-19 pandemic has negative impact on the progress of ERP treatment for OCD patients, especially for those who suffer from financial distress and medical risks. Adults experienced worse ERP course than youth during the pandemic. Further research is needed to understand the impact of the pandemic on OCD symptoms and treatment trajectory.
The COVID-19 pandemic has created novel mental health challenges for those with pre-existing problems including obsessive-compulsive disorder (OCD). Our study reports on clinician perceptions regarding the effect of the COVID-19 pandemic on patients with OCD receiving exposure and response prevention treatment (ERP) prior to and during the pandemic. Participating clinicians completed a survey which included questions adapted from National Institute of Mental Health-Global Obsessive-Compulsive Scale (NIMH-GOCS) and Yale-Brown Obsessive-Compulsive Scale (Y-BOCS). Clinicians rated clinical features at treatment initiation, just prior to the pandemic, and mid-pandemic (July/August, 2020). Findings suggest that the COVID-19 pandemic was associated with attenuation of ERP progress from expected rates in most patients during first several months of the pandemic; clinicians estimated that 38% of their patients had symptoms worsen during the pandemic and 47% estimated that symptoms remained unchanged despite participating in ERP. Those who endured financial distress or were medically at-risk for severe COVID-19 disease had worse ERP course. Adults also had a worse ERP course during than pandemic than youth. Further research is needed to better understand the effect of the COVID-19 pandemic on OCD symptomatology and treatment trajectory post-pandemic.
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