Coping strategies in obsessive-compulsive patients during Covid-19 lockdown

Background/Objective: The main aim of this study was to compare coping strategies in obsessive-compulsive disorder (OCD) patients and a healthy control group during COVID-19 lockdown and to analyze the relationship with some variables which may influence results (depression, anxiety, comorbidity, subtype of obsession-compulsion). Method: There were 237 participants, 122 OCD and 115 healthy controls, aged 17-61 years old (M = 33.48, SD = 11.13). Results: Groups showed differences in the use of some adaptive strategies (positive reinterpretation, acceptance, humor) and maladaptive (denial, self-blame). Within obsessive-compulsive group, comorbidity affected the greater use of inappropriate strategies (denial, substance abuse and self-blame) while type of obsession-compulsion did not influence use. Anxiety and depression levels were related to the use of less adaptive strategies. Conclusions: These findings strengthen the need for training in the use of effective and adaptive coping strategies, making it necessary to improve clinical follow-up of these patients. It is relevant to be in contact with healthcare professionals, review medication and observe the anxiety and depression levels. (c) 2021 Asociacion Espanola de Psicologia Conductual. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

Automated summary

This study compared coping strategies in OCD patients and a healthy control group during COVID-19 lockdown, finding differences in the use of adaptive and maladaptive strategies. Comorbidity in OCD patients influenced the use of inappropriate strategies, while anxiety and depression levels were related to less adaptive strategies. Improving clinical follow-up and training in effective coping strategies for OCD patients is emphasized based on the findings.