Impact of the COVID-19 pandemic on exposure and response prevention outcomes in adults and youth with obsessive-compulsive disorder

Storch, Eric A.; Guzick, Andrew G.; Schneider, Sophie C.; Cepeda, Sandra L.; Rombado, Bianca R.; Gupta, Rohit; Hoch, Connor T.; Goodman, Wayne K.

doi:10.1016/j.psychres.2020.113597

Cited by 47 publications

(88 citation statements)

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“…In general, the study samples had heterogeneous characteristics such as gender, age and comorbidity. Study participants were OCD subjects of both genders with different comorbidities, such as anxiety disorder (51,61), depressive disorder (51), mood disorder and personality disorders (53). In other studies, psychiatric comorbidity was not specified (56) or not present [e.g., (55)].…”

Section: Sample Characteristicsmentioning

confidence: 99%

Narrative Review of COVID-19 Impact on Obsessive-Compulsive Disorder in Child, Adolescent and Adult Clinical Populations

et al. 2021

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Background: The COVID-19 pandemic and quarantine had a significant impact on mental health which resulted in an increase of anxiety and depression in adult, child and adolescent clinical populations. Less is known about the potential effect of pandemic on obsessive-compulsive disorder (OCD) so there is a lack of review work to illustrate the impact of the COVID-19 pandemic on OCD.Purpose: The main objective is to review all the empirical contributions published after March 2020 that dealt with the impact of the COVID-19 pandemic on OCD in adults, children and adolescents, investigating the state-of-the-art literature concerning the impact on OCD and detailing limitations.Methods: The literature search was conducted using PsycINFO, PsycARTICLES, MEDLINE, Scopus, Web of Science, PubMed, and Google Scholar. This review analyzed all studies from January 2020 to 8 January 2021, focusing on clinical populations of children, adolescents, and adults with OCD.Results: A total of 102 articles were screened, resulting in the identification of 64 full-text articles to be further scrutinized. Upon closer examination, there was consensus that 39 articles met the study inclusion criteria and 14 of these were selected for study. Analysis of the results revealed that COVID-19 had an impact on OCD in both adults and young people and seems to have caused exacerbation of symptoms, especially of the contamination/washing subtypes. Eight studies in adult samples showed an increase in the severity of obsessive-compulsive symptoms; two studies underlined a minimal impact of COVID-19 on OCD patients and one study showed a slight improvement in symptoms. Two out of three studies on children and adolescents showed an exacerbation of OCD and a worsening even in the presence of an ongoing treatment.Conclusions: The studies reviewed are few. There are more studies on adult OCD than on children and adolescents. The results are controversial: few studies examined OCD subtypes; in most studies the typology of treatment was not clear and the samples covered a wide age range; a large number of studies did not use the same monitoring period or quantitative measures, both of which make it difficult to compare or rely on the results.

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Section: Sample Characteristicsmentioning

confidence: 99%

Narrative Review of COVID-19 Impact on Obsessive-Compulsive Disorder in Child, Adolescent and Adult Clinical Populations

et al. 2021

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“…Since the classification as a pandemic by the World Health Organization, resources have been trans-geographically put in place to account for the psycho-social aftermath of the COVID-19 outbreak on individuals affected by OCD. A discrete number of studies report various levels of symptoms aggravation already detectable during or following the first wave of the pandemic, ranging from 5% up to 70% among both adult ( Benatti et al, 2020 , Chakraborty and Karmakar, 2020 , Jelinek et al, 2021 , Khosravani et al, 2021 , Davide et al, 2020 , Storch et al, 2021 ) and children/adolescents ( Nissen et al, 2020 , Tanir et al, 2020 ) populations. Following the above-mentioned line of reasoning, special attention has been devoted to the contamination/washing subtype, and the link with a greater increase in symptom severity (compared to other obsessions and compulsions types) has been in more than one instance established ( Davide et al, 2020 , Jelinek et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

“…Conversely, it is worth noting that a proportion of OCD patients so far maintained a stable symptom status or even experienced an improvement during the pandemic ( Storch et al, 2021 , Schwartz-Lifshitz et al, 2021 ). Identifying what makes people thrive on difficult circumstances is instrumental to help those who do not.…”

Section: Introductionmentioning

confidence: 99%

“…At least for certain periods, they might have stopped altogether, with medical staff being deployed to emergency care and, even when in place, factors like increased stress from both patient and clinician sides, alongside logistic challenges, might have halted the expected progress. This was for example the experience of 137 US clinicians, reporting a worsening of symptoms in 38% of their patients, undergoing exposure and response prevention (ERP) treatment at that time ( Storch et al 2021 ). Not only might traditional treatment approaches not be feasibly and effectively implementable during the pandemic, but also a recent consensus paper by the International College of Obsessive‐Compulsive Spectrum Disorders explicitely advised ERP programmes to be paused for patients with contamination fear and washing compulsions ( Fineberg et al 2020 ), recommending pharmacological treatment as the first option.…”

Section: Introductionmentioning

confidence: 99%

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Expert opinion in Obsessive-Compulsive Disorder: Could protective measures for COVID-19 contribute to the worsening of OCD symptoms?

Baldi

Schruers

2021

Personalized Medicine in Psychiatry

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The COVID-19 outbreak has placed considerable strain on the wellbeing of individuals across the world, and resources have been already put in place to assess the psycho-social aftermath of this pandemic. With strict hygiene measures and recommendations now constituting the norm, we wonder specifically about those individuals that were heavily concerned by contamination, germs and viruses in the pre-COVID era. Patients affected by obsessive-compulsive disorder (OCD), and specifically those of the contamination/washing subtype, might indeed be exceptionally vulnerable to an increase in symptom severity due to the current circumstances. Albeit only relating to the acute phase of this pandemic, evidence collected thus far offer valuable insights into whether this concern is substantiated. After reviewing some of the available results, we reason on the conclusions that we can currently draw, on the factors that might play a role in driving them and on those that might be worth focusing on as the pandemic is running its course.

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“…Diante desse quadro pandêmico, os indivíduos têm tomado medidas para se protegerem, aderindo às diretrizes oficiais de segurança delineadas por órgãos governamentais e de saúde pública, que incluem distanciamento social, uso de máscaras Research, Society and Development, v. 10, n. 5, e59010515921, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i5.15921 faciais, prática de higiene adequada e manutenção de outros comportamentos preventivos (Storch et al, 2021).…”

Section: Introductionunclassified

Transtorno obsessivo-compulsivo em tempos de pandemia de COVID-19

Silva

Maia

2021

RSD

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O presente estudo é uma pesquisa bibliográfica com o objetivo de analisar as mudanças sofridas nos pacientes com Transtorno Obsessivo-compulsivo (TOC) em tempos de pandemia de COVID-19, por meio da revisão de artigos científicos disponíveis na base de dados Pubmed utilizando os descritores “Obsessive-compulsive disorder” e “COVID-19” publicados no período de janeiro de 2020 a abril de 2021. A reflexão realizada com base na literatura revelou o aumento e alteração na gravidade dos sintomas dos pacientes com TOC, especialmente naqueles que sofrem obsessão de contaminação e compulsão de lavagem. Dos pacientes que apresentaram exacerbação dos sintomas, essa foi associada a uma piora nos sintomas de estresse, ansiedade e depressão. Além disso, foram constatadas, nesse período pandêmico, manifestações de sintomas obsessivos-compulsivos na população geral. Portanto, fazem-se necessárias pesquisas futuras pós Covid-19 para avaliar como evoluirá o quadro clínico dos pacientes que apresentaram exacerbação do TOC, bem como para determinar se os novos sintomas de TOC na população geral estão relacionados a um diagnóstico definitivo de TOC, a uma expressão de ansiedade proporcionada pela pandemia ou a uma combinação de ambos.

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Impact of the COVID-19 pandemic on exposure and response prevention outcomes in adults and youth with obsessive-compulsive disorder

Cited by 47 publications

References 54 publications

Narrative Review of COVID-19 Impact on Obsessive-Compulsive Disorder in Child, Adolescent and Adult Clinical Populations

Narrative Review of COVID-19 Impact on Obsessive-Compulsive Disorder in Child, Adolescent and Adult Clinical Populations

Expert opinion in Obsessive-Compulsive Disorder: Could protective measures for COVID-19 contribute to the worsening of OCD symptoms?

Transtorno obsessivo-compulsivo em tempos de pandemia de COVID-19

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