Publication:
Longitudinal course of obsessive-compulsive symptoms during the COVID-19 pandemic: A systematic review of three years of prospective cohort studies

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Date
2023
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Authors
Pugi, Daniele ; Loren Angelo, Nicole ; Ragucci, Federica ; Garcia-Hernandez, Maria Dolores ; Rosa-Alcázar, Ana Isabel ; Pozza, Andrea
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Publisher
Giovanni Fioriti Editore s.r.l.
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Personalidad, EvaluaciĂłn y Tratamiento PsicolĂłgicos
DOI
https://doi.org/10.36131%2Fcnfioritieditore20230409
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info:eu-repo/semantics/article
Description
© 2023 Giovanni Fioriti Editore s.r.l. This is an open access article. Distribution and reproduction are permitted in any medium, provided the original author(s) and source are credited.
Abstract
Objective: During the pandemic, there has been a slight increase in obsessive- compulsive symptoms in both clinical and non-clinical samples. Three years after the pandemic, we conducted the first systematic review of prospective cohort studies assessing temporal changes in obsessive-compulsive symptoms and their extent in both patients with obsessive-compulsive disorder (OCD) and community samples, regardless of age or socio-cultural background, during any phase of the pandemic. Method: Prospective cohort studies were included if validated self-report questionnaires or standardized interviews for obsessive-compulsive symptoms were used. Studies that enrolled OCD patients were included if OCD was diagnosed before the outbreak of the pandemic. The following were our exclusion criteria: cross- sectional and case-control studies, single case studies, editorials, commentaries, and reviews. Studies assessing the effectiveness of an intervention were excluded. Results: 15 studies were included. Overall, studies showed a small upsurge in obsessive-compulsive symptoms, especially washing/contamination symptoms, during the coronavirus outbreak. The severity of symptoms seemed to follow the pattern of restriction measures and the increase in the number of COVID-19 cases. Conclusions: Factors contributing to the worsening of obsessive-compulsive symptoms during the pandemic were discussed.
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Obsessive-compulsive disorder , Obsessive-compulsive subthreshold symptoms , COVID-19 , Pandemic , Longitudinal , Washing compulsions
Citation
Clinical Neuropsychiatry (2023) 20, 4, 293-308.
URI
http://hdl.handle.net/10201/138149
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