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1.
Eur Psychiatry ; 64(1): e45, 2021 06 08.
Article in English | MEDLINE | ID: mdl-34100343

ABSTRACT

BACKGROUND: Although the consequences of the COVID-19 pandemic on emotional health are evident, little is known about its impact on patients with obsessive-compulsive disorder (OCD). METHODS: One hundred and twenty-seven patients with OCD who attended a specialist OCD Clinic in Barcelona, Spain, were assessed by phone from April 27 to May 25, 2020, during the early phase of the pandemic, using the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) and a structured interview that collected clinical and sociodemographic information. Results were compared with those for 237 healthy controls from the same geographic area who completed an online survey. RESULTS: Although 65.3% of the patients with OCD described a worsening of their symptoms, only 31.4% had Y-BOCS scores that increased >25%. The risk of getting infected by SARS-CoV2 was reported as a new obsession by 44.8%, but this only became the main obsessive concern in approximately 10% of the patients. Suicide-related thoughts were more frequent among the OCD cohort than among healthy controls. The presence of prepandemic depression, higher Y-BOCS scores, contamination/washing symptoms, and lower perceived social support all predicted a significantly increased risk of OCD worsening. CONCLUSIONS: Most patients with OCD appear to be capable of coping with the emotional stress of the COVID-19 outbreak and its consequences during the initial phase of the pandemic. Nevertheless, the current crisis constitutes a risk factor for a significant worsening of symptoms and suicidal ideation. Action is needed to ensure effective and individualized follow-up care for patients with OCD in the COVID-19 era.


Subject(s)
COVID-19/psychology , Obsessive-Compulsive Disorder/psychology , Pandemics , Adaptation, Psychological , Adult , COVID-19/epidemiology , Case-Control Studies , Female , Humans , Longitudinal Studies , Male , Middle Aged , Obsessive-Compulsive Disorder/therapy , Psychological Distress , Spain/epidemiology , Suicidal Ideation , Surveys and Questionnaires
2.
Psiquiatr. biol. (Ed. impr.) ; 9(4): 154-157, jul. 2002. tab, graf
Article in Es | IBECS | ID: ibc-15060

ABSTRACT

INTRODUCCIÖN: El objetivo de nuestro estudio es conocer los patrones de temperamento y carácter de una muestra de pacientes con trastorno obsesivocompulsivo (TOC), y las diferencias respecto a una muestra de controles sanos, además de establecer relaciones de las diversas dimensiones de personalidad con variables clínicas. MATERIAL MÉTODOS: Se ha evaluado una muestra de 48 pacientes con TOC según criterios DSM-IV y 100 controles sanos, con diferencias en la edad, controlada mediante un análisis de covarianza. Todos los pacientes realizaron el Inventario de Temperamento y Carácter de Cloninger (TCI) y los pacientes con TOC la escala de Yale-Brown para Obsesiones y Compulsiones. RESULTADOS: Los pacientes con TOC presentan puntuaciones elevadas en la dimensión evitación del daño y bajas en búsqueda de sensaciones, dependencia de recompensa, autodirección y cooperación estadísticamente significativas respecto a los controles sanos. Se han hallado correlaciones significativas entre la evitación del daño y el tiempo de evolución del TOC (r = -0,5; p = 0,001), y entre la gravedad de la clínica obsesiva valorada con la -BOCS, la evitación del daño (r = 0,33; p = 0,02) y la búsqueda de sensaciones (r = -0,48; p = 0,001). CONCLUSIONES: Al comparar los resultados de nuestro estudio con otros previos, se puede concluir que existe una cierta estabilidad en las diferencias de los patrones de temperamento y carácter de los pacientes con TOC respecto a controles sanos. Además de la relación de algunas dimensiones con variables clínicas como la gravedad de la sintomatología obsesiva o el tiempo de evolución del trastorno. (AU)


Subject(s)
Adolescent , Adult , Female , Male , Humans , Temperament/classification , Temperament , Temperament/physiology , Character , Obsessive-Compulsive Disorder/diagnosis , Obsessive-Compulsive Disorder/psychology , Obsessive-Compulsive Disorder/drug therapy , Analysis of Variance , Surveys and Questionnaires , Shyness , Anxiety/complications , Personality Disorders/complications , Personality Disorders/diagnosis , Prognosis , Obsessive-Compulsive Disorder/virology , Obsessive-Compulsive Disorder/therapy
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