What Happened to Patients With Obsessive Compulsive Disorder During the COVID-19 Pandemic? A Multicentre Report From Tertiary Clinics in Northern Italy.
Identifieur interne : 000150 ( Main/Exploration ); précédent : 000149; suivant : 000151What Happened to Patients With Obsessive Compulsive Disorder During the COVID-19 Pandemic? A Multicentre Report From Tertiary Clinics in Northern Italy.
Auteurs : Beatrice Benatti [Italie] ; Umberto Albert [Italie] ; Giuseppe Maina [Italie] ; Andrea Fiorillo [Italie] ; Laura Celebre [Italie] ; Nicolaja Girone [Italie] ; Naomi Fineberg [Royaume-Uni] ; Stefano Bramante [Italie] ; Sylvia Rigardetto [Italie] ; Bernardo Dell'Osso [Italie, États-Unis]Source :
- Frontiers in psychiatry [ 1664-0640 ] ; 2020.
Abstract
After the outbreak of Coronavirus disease was declared a pandemic by the World Health Organization, this resulted in extraordinary public health measures to control the infection, such as entire countries being placed under quarantine. The psychopathological consequences of the pandemic and quarantine were anticipated to be of particular relevance, especially in patients with psychiatric disorders such as Obsessive Compulsive Disorder (OCD). Aim of the present report was to describe the impact of COVID-19 pandemics within a sample of Italian patients affected by OCD. Sociodemographic and clinical variables of a sample of 123 OCD outpatients, currently attending three OCD tertiary clinics in Northern Italy, were assessed through telephone and in-person interviews. Patients showing a clinical worsening of OCD represented more than one third of the sample and reported a significant emergence of new obsessions and compulsions phenotypes along with a significant exacerbation of past ones. Moreover, they were more frequently found to experience suicidal ideation, increased Internet checking, sleep disturbances, avoidance behaviors, and work difficulties. A significantly increased need of therapy adjustment and family accommodation was also observed. Further research is warranted to clarify the potential risk and related consequences of the current COVID-19 pandemic on OCD patients.
DOI: 10.3389/fpsyt.2020.00720
PubMed: 32793008
PubMed Central: PMC7385249
Affiliations:
- Italie, Royaume-Uni, États-Unis
- Californie, Lombardie, Piémont
- Milan, Stanford (Californie), Turin
- Université Stanford
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A Multicentre Report From Tertiary Clinics in Northern Italy.</title><author><name sortKey="Benatti, Beatrice" sort="Benatti, Beatrice" uniqKey="Benatti B" first="Beatrice" last="Benatti">Beatrice Benatti</name><affiliation wicri:level="3"><nlm:affiliation>Psychiatry 2 Unit, Luigi Sacco University Hospital, University of Milan, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Psychiatry 2 Unit, Luigi Sacco University Hospital, University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Albert, Umberto" sort="Albert, Umberto" uniqKey="Albert U" first="Umberto" last="Albert">Umberto Albert</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste</wicri:regionArea><wicri:noRegion>Trieste</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Mental Health, Psychiatric Clinic, ASUGI - Azienda Sanitaria Universitaria Giuliano-Isontina, Trieste, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Mental Health, Psychiatric Clinic, ASUGI - Azienda Sanitaria Universitaria Giuliano-Isontina, Trieste</wicri:regionArea><wicri:noRegion>Trieste</wicri:noRegion></affiliation></author><author><name sortKey="Maina, Giuseppe" sort="Maina, Giuseppe" uniqKey="Maina G" first="Giuseppe" last="Maina">Giuseppe Maina</name><affiliation wicri:level="1"><nlm:affiliation>San Luigi Gonzaga University Hospital, Orbassano, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>San Luigi Gonzaga University Hospital, Orbassano</wicri:regionArea><wicri:noRegion>Orbassano</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>Rita Levi Montalcini Department of Neuroscience, University of Turin, Turin, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Rita Levi Montalcini Department of Neuroscience, University of Turin, Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Fiorillo, Andrea" sort="Fiorillo, Andrea" uniqKey="Fiorillo A" first="Andrea" last="Fiorillo">Andrea Fiorillo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Psychiatry, University of Campania "L. Vanvitelli", Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Celebre, Laura" sort="Celebre, Laura" uniqKey="Celebre L" first="Laura" last="Celebre">Laura Celebre</name><affiliation wicri:level="3"><nlm:affiliation>Psychiatry 2 Unit, Luigi Sacco University Hospital, University of Milan, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Psychiatry 2 Unit, Luigi Sacco University Hospital, University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Girone, Nicolaja" sort="Girone, Nicolaja" uniqKey="Girone N" first="Nicolaja" last="Girone">Nicolaja Girone</name><affiliation wicri:level="3"><nlm:affiliation>Psychiatry 2 Unit, Luigi Sacco University Hospital, University of Milan, Milan, Italy.</nlm:affiliation><country 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xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Cambridge University School of Clinical Medicine, Cambridge</wicri:regionArea><wicri:noRegion>Cambridge</wicri:noRegion></affiliation></author><author><name sortKey="Bramante, Stefano" sort="Bramante, Stefano" uniqKey="Bramante S" first="Stefano" last="Bramante">Stefano Bramante</name><affiliation wicri:level="1"><nlm:affiliation>San Luigi Gonzaga University Hospital, Orbassano, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>San Luigi Gonzaga University Hospital, Orbassano</wicri:regionArea><wicri:noRegion>Orbassano</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>Rita Levi Montalcini Department of Neuroscience, University of Turin, Turin, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Rita Levi Montalcini Department of Neuroscience, University of Turin, Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Rigardetto, Sylvia" sort="Rigardetto, Sylvia" uniqKey="Rigardetto S" first="Sylvia" last="Rigardetto">Sylvia Rigardetto</name><affiliation wicri:level="1"><nlm:affiliation>San Luigi Gonzaga University Hospital, Orbassano, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>San Luigi Gonzaga University Hospital, Orbassano</wicri:regionArea><wicri:noRegion>Orbassano</wicri:noRegion></affiliation></author><author><name sortKey="Dell Osso, Bernardo" sort="Dell Osso, Bernardo" uniqKey="Dell Osso B" first="Bernardo" last="Dell'Osso">Bernardo Dell'Osso</name><affiliation wicri:level="3"><nlm:affiliation>Psychiatry 2 Unit, Luigi Sacco University Hospital, University of Milan, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Psychiatry 2 Unit, Luigi Sacco University Hospital, University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>"Aldo Ravelli" Center for Nanotechnology and Neurostimulation, University of Milan, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>"Aldo Ravelli" Center for Nanotechnology and Neurostimulation, University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA</wicri:regionArea><placeName><region type="state">Californie</region><settlement type="city">Stanford (Californie)</settlement></placeName><orgName type="university">Université Stanford</orgName></affiliation><affiliation wicri:level="3"><nlm:affiliation>"Centro per lo studio dei meccanismi molecolari alla base delle patologie neuro-psico-geriatriche", University of Milan, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>"Centro per lo studio dei meccanismi molecolari alla base delle patologie neuro-psico-geriatriche", University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author></analytic><series><title level="j">Frontiers in psychiatry</title><idno type="ISSN">1664-0640</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">After the outbreak of Coronavirus disease was declared a pandemic by the World Health Organization, this resulted in extraordinary public health measures to control the infection, such as entire countries being placed under quarantine. The psychopathological consequences of the pandemic and quarantine were anticipated to be of particular relevance, especially in patients with psychiatric disorders such as Obsessive Compulsive Disorder (OCD). Aim of the present report was to describe the impact of COVID-19 pandemics within a sample of Italian patients affected by OCD. Sociodemographic and clinical variables of a sample of 123 OCD outpatients, currently attending three OCD tertiary clinics in Northern Italy, were assessed through telephone and in-person interviews. Patients showing a clinical worsening of OCD represented more than one third of the sample and reported a significant emergence of new obsessions and compulsions phenotypes along with a significant exacerbation of past ones. Moreover, they were more frequently found to experience suicidal ideation, increased Internet checking, sleep disturbances, avoidance behaviors, and work difficulties. A significantly increased need of therapy adjustment and family accommodation was also observed. Further research is warranted to clarify the potential risk and related consequences of the current COVID-19 pandemic on OCD patients.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32793008</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>28</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1664-0640</ISSN><JournalIssue CitedMedium="Print"><Volume>11</Volume><PubDate><Year>2020</Year></PubDate></JournalIssue><Title>Frontiers in psychiatry</Title><ISOAbbreviation>Front Psychiatry</ISOAbbreviation></Journal><ArticleTitle>What Happened to Patients With Obsessive Compulsive Disorder During the COVID-19 Pandemic? A Multicentre Report From Tertiary Clinics in Northern Italy.</ArticleTitle><Pagination><MedlinePgn>720</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3389/fpsyt.2020.00720</ELocationID><Abstract><AbstractText>After the outbreak of Coronavirus disease was declared a pandemic by the World Health Organization, this resulted in extraordinary public health measures to control the infection, such as entire countries being placed under quarantine. The psychopathological consequences of the pandemic and quarantine were anticipated to be of particular relevance, especially in patients with psychiatric disorders such as Obsessive Compulsive Disorder (OCD). Aim of the present report was to describe the impact of COVID-19 pandemics within a sample of Italian patients affected by OCD. Sociodemographic and clinical variables of a sample of 123 OCD outpatients, currently attending three OCD tertiary clinics in Northern Italy, were assessed through telephone and in-person interviews. Patients showing a clinical worsening of OCD represented more than one third of the sample and reported a significant emergence of new obsessions and compulsions phenotypes along with a significant exacerbation of past ones. Moreover, they were more frequently found to experience suicidal ideation, increased Internet checking, sleep disturbances, avoidance behaviors, and work difficulties. A significantly increased need of therapy adjustment and family accommodation was also observed. Further research is warranted to clarify the potential risk and related consequences of the current COVID-19 pandemic on OCD patients.</AbstractText><CopyrightInformation>Copyright © 2020 Benatti, Albert, Maina, Fiorillo, Celebre, Girone, Fineberg, Bramante, Rigardetto and Dell’Osso.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Benatti</LastName><ForeName>Beatrice</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Psychiatry 2 Unit, Luigi Sacco University Hospital, University of Milan, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Albert</LastName><ForeName>Umberto</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Mental Health, Psychiatric Clinic, ASUGI - Azienda Sanitaria Universitaria Giuliano-Isontina, Trieste, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maina</LastName><ForeName>Giuseppe</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>San Luigi Gonzaga University Hospital, Orbassano, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Rita Levi Montalcini Department of Neuroscience, University of Turin, Turin, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fiorillo</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Celebre</LastName><ForeName>Laura</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Psychiatry 2 Unit, Luigi Sacco University Hospital, University of Milan, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Girone</LastName><ForeName>Nicolaja</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Psychiatry 2 Unit, Luigi Sacco University Hospital, University of Milan, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fineberg</LastName><ForeName>Naomi</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Hertfordshire Partnership University NHS Foundation Trust, University of Hertfordshire, Hatfield, United Kingdom.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Cambridge University School of Clinical Medicine, Cambridge, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bramante</LastName><ForeName>Stefano</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>San Luigi Gonzaga University Hospital, Orbassano, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Rita Levi Montalcini Department of Neuroscience, University of Turin, Turin, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rigardetto</LastName><ForeName>Sylvia</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>San Luigi Gonzaga University Hospital, Orbassano, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dell'Osso</LastName><ForeName>Bernardo</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Psychiatry 2 Unit, Luigi Sacco University Hospital, University of Milan, Milan, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>"Aldo Ravelli" Center for Nanotechnology and Neurostimulation, University of Milan, Milan, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>"Centro per lo studio dei meccanismi molecolari alla base delle patologie neuro-psico-geriatriche", University of Milan, Milan, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>Front Psychiatry</MedlineTA><NlmUniqueID>101545006</NlmUniqueID><ISSNLinking>1664-0640</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Internet-checking</Keyword><Keyword MajorTopicYN="N">avoidance</Keyword><Keyword MajorTopicYN="N">obsessive compulsive disorder</Keyword><Keyword MajorTopicYN="N">suicidal ideation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>07</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>15</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32793008</ArticleId><ArticleId IdType="doi">10.3389/fpsyt.2020.00720</ArticleId><ArticleId 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Beatrice" uniqKey="Benatti B" first="Beatrice" last="Benatti">Beatrice Benatti</name></region><name sortKey="Albert, Umberto" sort="Albert, Umberto" uniqKey="Albert U" first="Umberto" last="Albert">Umberto Albert</name><name sortKey="Albert, Umberto" sort="Albert, Umberto" uniqKey="Albert U" first="Umberto" last="Albert">Umberto Albert</name><name sortKey="Bramante, Stefano" sort="Bramante, Stefano" uniqKey="Bramante S" first="Stefano" last="Bramante">Stefano Bramante</name><name sortKey="Bramante, Stefano" sort="Bramante, Stefano" uniqKey="Bramante S" first="Stefano" last="Bramante">Stefano Bramante</name><name sortKey="Celebre, Laura" sort="Celebre, Laura" uniqKey="Celebre L" first="Laura" last="Celebre">Laura Celebre</name><name sortKey="Dell Osso, Bernardo" sort="Dell Osso, Bernardo" uniqKey="Dell Osso B" first="Bernardo" last="Dell'Osso">Bernardo Dell'Osso</name><name sortKey="Dell Osso, Bernardo" sort="Dell Osso, Bernardo" uniqKey="Dell Osso B" first="Bernardo" last="Dell'Osso">Bernardo Dell'Osso</name><name sortKey="Dell Osso, Bernardo" sort="Dell Osso, Bernardo" uniqKey="Dell Osso B" first="Bernardo" last="Dell'Osso">Bernardo Dell'Osso</name><name sortKey="Fiorillo, Andrea" sort="Fiorillo, Andrea" uniqKey="Fiorillo A" first="Andrea" last="Fiorillo">Andrea Fiorillo</name><name sortKey="Girone, Nicolaja" sort="Girone, Nicolaja" uniqKey="Girone N" first="Nicolaja" last="Girone">Nicolaja Girone</name><name sortKey="Maina, Giuseppe" sort="Maina, Giuseppe" uniqKey="Maina G" first="Giuseppe" last="Maina">Giuseppe Maina</name><name sortKey="Maina, Giuseppe" sort="Maina, Giuseppe" uniqKey="Maina G" first="Giuseppe" last="Maina">Giuseppe Maina</name><name sortKey="Rigardetto, Sylvia" sort="Rigardetto, Sylvia" uniqKey="Rigardetto S" first="Sylvia" last="Rigardetto">Sylvia Rigardetto</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Fineberg, Naomi" sort="Fineberg, Naomi" uniqKey="Fineberg N" first="Naomi" last="Fineberg">Naomi Fineberg</name></noRegion><name sortKey="Fineberg, Naomi" sort="Fineberg, Naomi" uniqKey="Fineberg N" first="Naomi" last="Fineberg">Naomi Fineberg</name></country><country name="États-Unis"><region name="Californie"><name sortKey="Dell Osso, Bernardo" sort="Dell Osso, Bernardo" uniqKey="Dell Osso B" first="Bernardo" last="Dell'Osso">Bernardo Dell'Osso</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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