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Obsessive-compulsive disorder (OCD) is a persistent psychiatric disorder causing significant impairment in functioning. The COVID-19 pandemic has exacerbated OCD-related symptoms and interrupted access to treatment. Recent research suggests mHealth apps are promising tools for coping with OCD symptoms. This randomized controlled trial evaluated the effects of a CBT-based mobile application designed to reduce OCD symptoms and cognitions in community participants considered at high-risk of developing OCD symptoms. Following initial screening ( n =924), fifty-five community participants scoring 2 standard deviations above the OCI-R mean were randomized into two groups. In the immediate-app use group (iApp; n =25), participants started using the application at baseline (T0), 4min a day, for 12 days (T0 - T1). Participants in the delayed-app group (dApp; n =20) started using the mobile application at T1 (crossover) and used the app for the following 12 consecutive days (T1 - T2). Intention to treat analyses indicated that using the app for 12 consecutive days was associated with large effect-size reductions (Cohen’s d ranging from .87 to 2.73) in OCD symptoms and maladaptive cognitions in the iApp group (from T0 to T1) and dApp group (from T1 to T2). These reductions were maintained at follow-up. Our findings underscore the usefulness of brief, low-intensity, portable interventions in reducing OCD symptoms and cognitions during the pandemic.

The COVID-19 pandemic has significantly affected the mental health of the general population worldwide. The study aimed to determine the associations of the intolerance of uncertainty (IU) and cognitive flexibility (CF) with a variety of psychological symptoms and to examine the impact of IU on psychological symptoms through the moderating role of CF. The Brief Symptom Inventory, Intolerance of Uncertainty Scale-12, and Cognitive Control and Flexibility Questionnaire were applied to a sample of 3004 adults living in Turkey. The results of the analysis indicated that CF moderated the effect of IU on psychology symptoms. The slope analysis revealed a weakening association between IU and psychological symptoms with the introduction of a high CF level introduced to the model. The findings highlighted the importance of IU as a potential risk factor for developing psychological symptoms while CF appears as a potential protective factor during the COVID-19 pandemic.

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Recent findings indicate that the COVID-19 outbreak is associated with high distress levels. The present study reports the development and psychometric evaluation of the COVID-19 Distress Scale, a fourteen-item self-report measure assessing anxiety, threat perception, and hopelessness related to COVID-19. In Study 1, 626 individuals completed the COVID-19 Distress Scale and established measures of mental health. Exploratory factor analysis suggested a three-factor structure, consisting of anxiety, threat perception, and hopelessness regarding COVID-19. The COVID-19 Distress Scale was internally consistent, had test-retest reliability, concurrent, divergent, and predictive validity. In Study 2, 548 participants completed the COVID-19 Distress Scale. Confirmatory factor analysis supported the three-factor structure of the scale. These results suggest that the COVID-19 Distress Scale is a robust and multidimensional measure for assessing COVID-19 related distress.

Bu araştırma, fonksiyonel olmayan obsesif inançların OKB' ye özgü olup olmadığını OKB, depresyon ve kaygı bozuklukları olmak üzere üç farklı klinik örneklem ve üniversite öğrencileri kontrol grubu kullanarak incelemeyi amaçlamıştır.Yöntem: Araştırmanın örneklemi Obsesif-Kompulsif Bozukluk (OKB, n=53), Majör Depresif Bozukluk (MDB, n=67), Kaygı Bozuklukları (KB, n=73) tanısı almış 3 gruptan ve üniversite öğrencilerinden oluşan sağlıklı örneklem (n=477) grubundan oluşmaktadır. Obsesif inançları değerlendirmek amacıyla Obsesif İnançlar Anketi'nin kısa formu (OİA-20), psikopatoloji belirtilerini değerlendirmek amacıyla ise yarı yapılandırılmış klinik görüşmelere (SCID) ek olarak Obsesif-Kompulsif Envanteri-Revize Form (OKE-R), Beck Depresyon Envanteri (BDE) ve Durumluk-Sürekli Kaygı Envanteri (DSKE) kullanılmıştır.Bulgular: Analiz sonuçları, klinik örneklemlerin OİA-20 puanlarının üniversite öğrencilerinden daha yüksek olduğunu göstermektedir. Ayrıca, klinik gruplar, düşüncelerin önemi/kontrolü alt boyutu dışındaki obsesif inançlar bakımından birbirlerinden farklılaşmamıştır. OKB tanısı almış hastalar yalnızca düşüncelerin önemi/kontrolü alt boyutunda depresyon ve kaygı grubundan daha yüksek puan almışlardır.Sonuç: Bulgular, obsesif inançların, düşüncelerin önemi/kontrolü hariç, farklı psikopatolojilerin başlamasında ve devam etmesinde tanılar üstü bir rolü olabileceğine işaret etmektedir. Farklı psikopatolojilerin altında yatan ortak süreçlerin keşfedilmesi hastalıkların etiyolojilerinin açıklanması ve tedavi planlaması için oldukça önemlidir.