Coping strategies in obsessive-compulsive patients during Covid-19 lockdown
Open accessAbstract
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.
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The duration of COVID-19 produced changes in anxiety and depression in clinical groups and also in coping strategies.
“The duration of COVID-19 not only produced changes in anxiety and depression in clinical groups but also in coping strategies to face this pandemic and its consequences.”
From Coping strategies, anxiety and depression in ocd and schizophrenia: Changes during covid-19 (2021) · cites this paper as [21]
The Results report differences in anxiety and depression between the OCD and control groups and associations between those symptoms and coping strategies during lockdown. But the Discussion identifies the study as cross-sectional and proposes longitudinal research to examine changes over time. It therefore does not establish that the duration of COVID-19 produced those changes. (LLM, conf=0.86)
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- Authors
- Rosa-Alcázar, Á., García-Hernández, M. D., Parada-Navas, J. L., Olivares-Olivares, P. J., Martínez-Murillo, S., & Rosa-Alcázar, A. I.
- Affiliations
- Universidad de Murcia (ES)
- Universidad Católica de Murcia (ES)
- Corresponding author
- Rosa-Alcázar, Ana I.
- Venue
- International Journal of Clinical and Health Psychology
- Publisher
- Elsevier BV
- Published
- 2021-05
- Volume
- 21
- Issue
- 2
- Pages
- 100223
- ISSN
- 1697-2600 (ISSN-L)
- PMC
- PMC7837202
- OpenAlex
- W3125571330
- Cited by
- 59
- References
- 46
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 13 · 2022: 25 · 2021: 11
- FWCI
- 9.38
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Clinical and Health Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Hispana (publishedVersion, cc-by-nc-nd)
- RUIdeRA - Institutional University Repository (University of Castilla-La Mancha) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- obsessive-compulsive disorder, coping strategies, COVID-19 lockdown, adaptive coping, maladaptive coping, comorbidities, depression, anxiety, obsessions and compulsions, denial, self-blame, substance abuse, positive reappraisal, acceptance, humor, mental health during pandemic
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