Exacerbation of obsessive compulsive disorder symptoms in children and adolescents during COVID-19 pandemic
Open accessAbstract
Objective To investigate the effects of COVID-19 pandemic and related home confinement on symptom profile, symptom severity and exacerbation of obsessive compulsive disorder (OCD) symptoms and related factors among young subjects with OCD.Method Young subjects who have been followed up with a primary diagnosis of OCD in a university hospital were reached by telephone or online programs to assess symptom profile, symptom severity and exacerbation during pandemic. Children's Yale-Brown Obsessive Compulsive (CY-BOCS) and Clinical Global Impression- Severity (CGI-S) Scales were used to rate symptom profile and severity before pandemic and during pandemic periods.Results There was a significant increase in the frequency of contamination obsessions (p=0.008) and cleaning/washing compulsions (p=0.039) during pandemic period. CY-BOCS obsessions (p<0.001), compulsions subscales (p<0.001) and total scores (p<0.001), and CGI-S scores (p<0.001) during pandemic period were statistically higher than before pandemic period. There was a significant relationship between the change in CY-BOCS scores with talking/searching in the social environment about COVID-19, daily preoccupation about COVID-19, duration of OCD diagnosis and diagnosis of COVID-19 in someone familiar.Conclusions Young subjects with OCD may develop additional symptoms and worsen already existing symptoms of OCD during COVID-19 pandemic.
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Contamination fears and worries about becoming ill are exacerbated by the uncertainty accompanying the pandemic.
“Contamination fears and worries about becoming ill are exacerbated by the uncertainty accompanying the pandemic (Tanir et al, 2020).”
From Intolerance of Uncertainty and Health-Related Anxiety in Youth amid the COVID-19 Pandemic: Understanding and Weathering the Continuing Storm (2022) · cites this paper as Tanir et al, 2020
The Results report increased contamination obsessions during the pandemic among children and adolescents with OCD. The Introduction mentions uncertainty about the disease as a possible source of stress, but the paper does not establish that uncertainty exacerbated contamination fears or worries about becoming ill. (LLM, conf=0.84)
Experimental — accuracy not yet measuredTanir et al. (2020) claimed that cleanliness and handwashing obsessions and compulsions have increased during the viral outbreak.
“More specifically, Tanir et al. (2020) claimed cleanliness as well as handwashing obsessions and compulsions have increased during the viral outbreak.”
From Intolerance of Uncertainty and Health-Related Anxiety in Youth amid the COVID-19 Pandemic: Understanding and Weathering the Continuing Storm (2022) · cites this paper as Tanir et al., 2020
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- Authors
- Tanir, Y., Karayagmurlu, A., Kaya, İ., Kaynar, T. B., Türkmen, G., Dambasan, B. N., Meral, Y., & Coşkun, M.
- Affiliations
- Istanbul University (TR)
- Istanbul University-Cerrahpaşa (TR)
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2020-11
- Volume
- 293
- Pages
- 113363
- ISSN
- 0165-1781 (ISSN-L)
- PMC
- PMC7837048
- OpenAlex
- W3046906174
- Cited by
- 186
- References
- 28
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 15 · 2023: 38 · 2022: 59 · 2021: 57 · 2020: 5
- FWCI
- 15.88
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatry Research (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- 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, COVID-19 pandemic, symptom exacerbation, children and adolescents, contamination obsessions, home confinement, symptom severity
- MeSH terms
- Symptom Flare Up, COVID-19, SARS-CoV-2, Adolescent, Child, Female, Hand Disinfection, Humans, Hygiene, Male, Obsessive Behavior, Obsessive-Compulsive Disorder, Psychiatric Status Rating Scales, Psychometrics, Quarantine
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