State and Trait Risk and Resilience Factors Associated with COVID-19 Impact and Obsessive-Compulsive Symptom Trajectories.

IF 1.5 3区心理学 Q3 PSYCHIATRY

International Journal of Cognitive Therapy Pub Date : 2022-01-01 Epub Date: 2021-12-01 DOI:10.1007/s41811-021-00128-4

Angela Fang, Noah Chase Berman, Susanne S Hoeppner, Emma C Wolfe, Sabine Wilhelm

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引用次数: 3

Abstract

The COVID-19 pandemic may exacerbate common symptoms of obsessive-compulsive disorder, such as fears of contamination or causing harm to others. To investigate the potential impact of COVID-19 on obsessive-compulsive (OC) symptoms, we utilized a frequent sampling prospective design to assess changes in OC symptoms between April 2020 and January 2021. We examined in a broad clinical and non-clinical sample whether baseline risk (e.g., emotion dysregulation, anxiety sensitivity, intolerance of uncertainty) and protective (e.g., resilience) factors would predict OC symptom changes, and whether coping strategies would mediate week-to-week changes in COVID-19 impact and OC symptoms. Emotion dysregulation was associated with greater likelihood of OC symptom worsening, whereas resilience was associated with lower likelihood. Longitudinal mediation analyses revealed that coping strategies were not significant mediators; however, changes in adaptive coping were associated with subsequent-week OC symptom reductions. Regardless of perceived COVID-19 impact, implementing adaptive coping strategies may prospectively reduce OC symptoms.

Supplementary information: The online version contains supplementary material available at 10.1007/s41811-021-00128-4.

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与COVID-19影响和强迫症症状轨迹相关的状态和特质风险和恢复力因素。

COVID-19大流行可能会加剧强迫症的常见症状，例如担心污染或对他人造成伤害。为了研究COVID-19对强迫症(OC)症状的潜在影响，我们采用频繁抽样前瞻性设计来评估2020年4月至2021年1月期间强迫症症状的变化。我们在广泛的临床和非临床样本中检查了基线风险(如情绪失调、焦虑敏感性、对不确定性的不耐受)和保护性因素(如恢复力)是否会预测OC症状的变化，以及应对策略是否会介导COVID-19影响和OC症状的周与周变化。情绪失调与OC症状恶化的可能性较大相关，而恢复力与OC症状恶化的可能性较低相关。纵向中介分析显示，应对策略对学生的学业成绩无显著影响;然而，适应性应对的改变与随后一周的OC症状减轻有关。无论感知到的COVID-19影响如何，实施适应性应对策略可能会减少OC症状。补充信息:在线版本包含补充资料，下载地址:10.1007/s41811-021-00128-4。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Cognitive Therapy Multiple-

CiteScore

4.00

自引率

0.00%

发文量

期刊介绍： From an editorial board of leading international authorities, this state-of-the-science journal addresses all scientific and clinical aspects of cognitive therapy. Featured are: Empirical research studies Cutting-edge theoretical articles Literature reviews and meta-analyses Special focus issues The scope of coverage encompasses basic research on cognitive clinical processes, innovative assessment and treatment technologies, expert perspectives on specific clinical problems and populations, and critical issues in translating research to practice. Recent thematic issues have included Recent Advances in Suicide Research: Mediators and Moderators of Risk and Resilience; Cognitive Mechanisms of Change in the Treatment of Depression; and Combined CBT and Pharmacotherapy.