{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T03:57:52Z","timestamp":1784606272634,"version":"3.55.0"},"reference-count":30,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2021,6,8]],"date-time":"2021-06-08T00:00:00Z","timestamp":1623110400000},"content-version":"unspecified","delay-in-days":158,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. Psychiatr."],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S0924933821022148_sec5\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>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).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933821022148_sec6\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>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\u2013Brown Obsessive\u2013Compulsive 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.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933821022148_sec7\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Although 65.3% of the patients with OCD described a worsening of their symptoms, only 31.4% had Y-BOCS scores that increased &gt;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.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933821022148_sec8\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>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.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/j.eurpsy.2021.2214","type":"journal-article","created":{"date-parts":[[2021,6,8]],"date-time":"2021-06-08T09:35:43Z","timestamp":1623144943000},"source":"Crossref","is-referenced-by-count":39,"title":["How is COVID-19 affecting patients with obsessive\u2013compulsive disorder? 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