Coping strategies in obsessive-compulsive patients during Covid-19 lockdown

The main aim of this study was to compare coping strategies in obsessive-compulsive disorder (OCD) patients and a healthy control group during COVID-19 lockdown and to analyze the relationship with some variables which may influence results (depression, anxiety, comorbidity, subtype of obsession-com...

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Veröffentlicht in:International journal of clinical and health psychology 2021-05, Vol.21 (2), p.100223-9, Article 100223
Hauptverfasser: Rosa-Alcázar, Ángel, García-Hernández, María Dolores, Parada-Navas, José Luis, Olivares-Olivares, Pablo J., Martínez-Murillo, Sergio, Rosa-Alcázar, Ana I.
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container_end_page 9
container_issue 2
container_start_page 100223
container_title International journal of clinical and health psychology
container_volume 21
creator Rosa-Alcázar, Ángel
García-Hernández, María Dolores
Parada-Navas, José Luis
Olivares-Olivares, Pablo J.
Martínez-Murillo, Sergio
Rosa-Alcázar, Ana I.
description The main aim of this study was to compare coping strategies in obsessive-compulsive disorder (OCD) patients and a healthy control group during COVID-19 lockdown and to analyze the relationship with some variables which may influence results (depression, anxiety, comorbidity, subtype of obsession-compulsion). Method: There were 237 participants, 122 OCD and 115 healthy controls, aged 17-61 years old (M = 33.48, SD = 11.13). Results: Groups showed differences in the use of some adaptive strategies (positive reinterpretation, acceptance, humor) and maladaptive (denial, self-blame). Within obsessive-compulsive group, comorbidity affected the greater use of inappropriate strategies (denial, substance abuse and self-blame) while type of obsession-compulsion did not influence use. Anxiety and depression levels were related to the use of less adaptive strategies. Conclusions: These findings strengthen the need for training in the use of effective and adaptive coping strategies, making it necessary to improve clinical follow-up of these patients. It is relevant to be in contact with healthcare professionals, review medication and observe the anxiety and depression levels. El objetivo de este estudio fue comparar las estrategias de afrontamiento utilizadas por pacientes con Trastorno obsesivo-compulsivo (TOC) durante el confinamiento debido a la COVID-19 frente a controles sanos y analizar su relación con algunas variables que pueden influir en los resultados (ansiedad, depresión, comorbilidad, tipo de obsesiones-compulsiones). Método: Los participantes fueron 237, 122 diagnosticados de Trastorno obsesivo-compulsivo y 115 controles sanos, con edades comprendidas entre 13 y 58 años (M = 34,60, DT = 10,41). Resultados: Los grupos presentaron diferencias en el uso de algunas estrategias adaptativas (reinterpretación positiva, aceptación, humor) y desadaptativas (negación, autoculpa). Dentro del grupo TOC, la comorbilidad afectó para el mayor uso de estrategias inadecuadas (negación, abuso de sustancias y autoculpa), mientras que el tipo de obsesiones-compulsiones no influyó en el uso de las mismas. Los niveles de ansiedad y depresión estaban relacionadas con el uso de estrategias menos adaptativas. Conclusiones: Estos hallazgos refuerzan la necesidad de entrenar en la utilización de estrategias de afrontamiento eficaces y adaptativas, siendo necesario mejorar el seguimiento clínico de estos pacientes. Es importante estar en contacto con profesionales de la salud, revis
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Method: There were 237 participants, 122 OCD and 115 healthy controls, aged 17-61 years old (M = 33.48, SD = 11.13). Results: Groups showed differences in the use of some adaptive strategies (positive reinterpretation, acceptance, humor) and maladaptive (denial, self-blame). Within obsessive-compulsive group, comorbidity affected the greater use of inappropriate strategies (denial, substance abuse and self-blame) while type of obsession-compulsion did not influence use. Anxiety and depression levels were related to the use of less adaptive strategies. Conclusions: These findings strengthen the need for training in the use of effective and adaptive coping strategies, making it necessary to improve clinical follow-up of these patients. It is relevant to be in contact with healthcare professionals, review medication and observe the anxiety and depression levels. El objetivo de este estudio fue comparar las estrategias de afrontamiento utilizadas por pacientes con Trastorno obsesivo-compulsivo (TOC) durante el confinamiento debido a la COVID-19 frente a controles sanos y analizar su relación con algunas variables que pueden influir en los resultados (ansiedad, depresión, comorbilidad, tipo de obsesiones-compulsiones). Método: Los participantes fueron 237, 122 diagnosticados de Trastorno obsesivo-compulsivo y 115 controles sanos, con edades comprendidas entre 13 y 58 años (M = 34,60, DT = 10,41). Resultados: Los grupos presentaron diferencias en el uso de algunas estrategias adaptativas (reinterpretación positiva, aceptación, humor) y desadaptativas (negación, autoculpa). Dentro del grupo TOC, la comorbilidad afectó para el mayor uso de estrategias inadecuadas (negación, abuso de sustancias y autoculpa), mientras que el tipo de obsesiones-compulsiones no influyó en el uso de las mismas. Los niveles de ansiedad y depresión estaban relacionadas con el uso de estrategias menos adaptativas. Conclusiones: Estos hallazgos refuerzan la necesidad de entrenar en la utilización de estrategias de afrontamiento eficaces y adaptativas, siendo necesario mejorar el seguimiento clínico de estos pacientes. Es importante estar en contacto con profesionales de la salud, revisar la medicación y observar los niveles de ansiedad y depresión.</description><identifier>ISSN: 1697-2600</identifier><identifier>EISSN: 2174-0852</identifier><identifier>DOI: 10.1016/j.ijchp.2021.100223</identifier><identifier>PMID: 33519939</identifier><language>eng</language><publisher>Spain: Elsevier España, S.L.U</publisher><subject>Anxiety ; Confinamiento ; Coping strategies ; Coronaviruses ; COVID-19 ; Estrategias de afrontamiento ; Experiment ; Experimento ; Lockdown ; Obsessive compulsive disorder ; Original ; Shelter in place ; Trastorno obsesivo-compulsivo</subject><ispartof>International journal of clinical and health psychology, 2021-05, Vol.21 (2), p.100223-9, Article 100223</ispartof><rights>2021 Asociación Española de Psicología Conductual</rights><rights>2021 Asociación Española de Psicología Conductual. Published by Elsevier España, S.L.U.</rights><rights>2021. 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Published by Elsevier España, S.L.U. 2021 Asociación Española de Psicología Conductual</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-71652ec598fb0a424834a542e903eded0602ba8d3ce9abffc27a8e3bdb1105163</citedby><cites>FETCH-LOGICAL-c442t-71652ec598fb0a424834a542e903eded0602ba8d3ce9abffc27a8e3bdb1105163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837202/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2579789641?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793,64385,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33519939$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rosa-Alcázar, Ángel</creatorcontrib><creatorcontrib>García-Hernández, María Dolores</creatorcontrib><creatorcontrib>Parada-Navas, José Luis</creatorcontrib><creatorcontrib>Olivares-Olivares, Pablo J.</creatorcontrib><creatorcontrib>Martínez-Murillo, Sergio</creatorcontrib><creatorcontrib>Rosa-Alcázar, Ana I.</creatorcontrib><title>Coping strategies in obsessive-compulsive patients during Covid-19 lockdown</title><title>International journal of clinical and health psychology</title><addtitle>Int J Clin Health Psychol</addtitle><description>The main aim of this study was to compare coping strategies in obsessive-compulsive disorder (OCD) patients and a healthy control group during COVID-19 lockdown and to analyze the relationship with some variables which may influence results (depression, anxiety, comorbidity, subtype of obsession-compulsion). Method: There were 237 participants, 122 OCD and 115 healthy controls, aged 17-61 years old (M = 33.48, SD = 11.13). Results: Groups showed differences in the use of some adaptive strategies (positive reinterpretation, acceptance, humor) and maladaptive (denial, self-blame). Within obsessive-compulsive group, comorbidity affected the greater use of inappropriate strategies (denial, substance abuse and self-blame) while type of obsession-compulsion did not influence use. Anxiety and depression levels were related to the use of less adaptive strategies. Conclusions: These findings strengthen the need for training in the use of effective and adaptive coping strategies, making it necessary to improve clinical follow-up of these patients. It is relevant to be in contact with healthcare professionals, review medication and observe the anxiety and depression levels. El objetivo de este estudio fue comparar las estrategias de afrontamiento utilizadas por pacientes con Trastorno obsesivo-compulsivo (TOC) durante el confinamiento debido a la COVID-19 frente a controles sanos y analizar su relación con algunas variables que pueden influir en los resultados (ansiedad, depresión, comorbilidad, tipo de obsesiones-compulsiones). Método: Los participantes fueron 237, 122 diagnosticados de Trastorno obsesivo-compulsivo y 115 controles sanos, con edades comprendidas entre 13 y 58 años (M = 34,60, DT = 10,41). Resultados: Los grupos presentaron diferencias en el uso de algunas estrategias adaptativas (reinterpretación positiva, aceptación, humor) y desadaptativas (negación, autoculpa). Dentro del grupo TOC, la comorbilidad afectó para el mayor uso de estrategias inadecuadas (negación, abuso de sustancias y autoculpa), mientras que el tipo de obsesiones-compulsiones no influyó en el uso de las mismas. Los niveles de ansiedad y depresión estaban relacionadas con el uso de estrategias menos adaptativas. Conclusiones: Estos hallazgos refuerzan la necesidad de entrenar en la utilización de estrategias de afrontamiento eficaces y adaptativas, siendo necesario mejorar el seguimiento clínico de estos pacientes. Es importante estar en contacto con profesionales de la salud, revisar la medicación y observar los niveles de ansiedad y depresión.</description><subject>Anxiety</subject><subject>Confinamiento</subject><subject>Coping strategies</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Estrategias de afrontamiento</subject><subject>Experiment</subject><subject>Experimento</subject><subject>Lockdown</subject><subject>Obsessive compulsive disorder</subject><subject>Original</subject><subject>Shelter in place</subject><subject>Trastorno obsesivo-compulsivo</subject><issn>1697-2600</issn><issn>2174-0852</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUtv1DAUhS1ERYfCL0BCkdh0k8Gv2PECpGrEo6JSN7C2HPtm6pCJUzuZqv--TqdUtIuubNnfuffcexD6QPCaYCI-d2vf2atxTTEl-QVTyl6hFSWSl7iu6Gu0IkLJkgqMj9HblDqMmRSKvkHHjFVEKaZW6NcmjH7YFmmKZoKth1T4oQhNgpT8HkobduPcL9diNJOHYUqFm-Mi2YS9dyVRRR_sXxduhnfoqDV9gvcP5wn68_3b783P8uLyx_nm7KK0nNOplERUFGyl6rbBhlNeM24qTkFhBg4cFpg2pnbMgjJN21oqTQ2scQ0huCKCnaCvh7rj3OzA2Wwqml6P0e9MvNXBeP30Z_BXehv2WtZM5m3lAqcPBWK4niFNeueThb43A4Q56WyJk5orQTL66RnahTkOeTxNK6lkrQRfKHagbAwpRWgfzRCsl7B0p-_D0ktY-hBWVn38f45Hzb90MvDlAEDe5t5D1MnmCCw4H8FO2gX_YoM7u3SnWA</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Rosa-Alcázar, Ángel</creator><creator>García-Hernández, María Dolores</creator><creator>Parada-Navas, José Luis</creator><creator>Olivares-Olivares, Pablo J.</creator><creator>Martínez-Murillo, Sergio</creator><creator>Rosa-Alcázar, Ana I.</creator><general>Elsevier España, S.L.U</general><general>Elsevier Limited</general><general>Asociacion Espanola de Psicologia Conductual</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7XB</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CLZPN</scope><scope>COVID</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210501</creationdate><title>Coping strategies in obsessive-compulsive patients during Covid-19 lockdown</title><author>Rosa-Alcázar, Ángel ; 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Method: There were 237 participants, 122 OCD and 115 healthy controls, aged 17-61 years old (M = 33.48, SD = 11.13). Results: Groups showed differences in the use of some adaptive strategies (positive reinterpretation, acceptance, humor) and maladaptive (denial, self-blame). Within obsessive-compulsive group, comorbidity affected the greater use of inappropriate strategies (denial, substance abuse and self-blame) while type of obsession-compulsion did not influence use. Anxiety and depression levels were related to the use of less adaptive strategies. Conclusions: These findings strengthen the need for training in the use of effective and adaptive coping strategies, making it necessary to improve clinical follow-up of these patients. It is relevant to be in contact with healthcare professionals, review medication and observe the anxiety and depression levels. El objetivo de este estudio fue comparar las estrategias de afrontamiento utilizadas por pacientes con Trastorno obsesivo-compulsivo (TOC) durante el confinamiento debido a la COVID-19 frente a controles sanos y analizar su relación con algunas variables que pueden influir en los resultados (ansiedad, depresión, comorbilidad, tipo de obsesiones-compulsiones). Método: Los participantes fueron 237, 122 diagnosticados de Trastorno obsesivo-compulsivo y 115 controles sanos, con edades comprendidas entre 13 y 58 años (M = 34,60, DT = 10,41). Resultados: Los grupos presentaron diferencias en el uso de algunas estrategias adaptativas (reinterpretación positiva, aceptación, humor) y desadaptativas (negación, autoculpa). Dentro del grupo TOC, la comorbilidad afectó para el mayor uso de estrategias inadecuadas (negación, abuso de sustancias y autoculpa), mientras que el tipo de obsesiones-compulsiones no influyó en el uso de las mismas. Los niveles de ansiedad y depresión estaban relacionadas con el uso de estrategias menos adaptativas. Conclusiones: Estos hallazgos refuerzan la necesidad de entrenar en la utilización de estrategias de afrontamiento eficaces y adaptativas, siendo necesario mejorar el seguimiento clínico de estos pacientes. Es importante estar en contacto con profesionales de la salud, revisar la medicación y observar los niveles de ansiedad y depresión.</abstract><cop>Spain</cop><pub>Elsevier España, S.L.U</pub><pmid>33519939</pmid><doi>10.1016/j.ijchp.2021.100223</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Anxiety
Confinamiento
Coping strategies
Coronaviruses
COVID-19
Estrategias de afrontamiento
Experiment
Experimento
Lockdown
Obsessive compulsive disorder
Original
Shelter in place
Trastorno obsesivo-compulsivo
title Coping strategies in obsessive-compulsive patients during Covid-19 lockdown
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