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Predictors of trajectories of obsessive-compulsive symptoms during the COVID-19 pandemic in the general population in Germany
The COVID-19 pandemic has been associated with an increase in obsessive-compulsive disorder/symptoms (OCD/OCS). However, knowledge is limited regarding the trajectories of OCS during the pandemic, as well as their predictors and mechanisms (e.g., experiential avoidance, EA). The aim of this study wa...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8155650/ https://www.ncbi.nlm.nih.gov/pubmed/34045444 http://dx.doi.org/10.1038/s41398-021-01419-2 |
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author | Jelinek, Lena Göritz, Anja S. Miegel, Franziska Moritz, Steffen Kriston, Levente |
author_facet | Jelinek, Lena Göritz, Anja S. Miegel, Franziska Moritz, Steffen Kriston, Levente |
author_sort | Jelinek, Lena |
collection | PubMed |
description | The COVID-19 pandemic has been associated with an increase in obsessive-compulsive disorder/symptoms (OCD/OCS). However, knowledge is limited regarding the trajectories of OCS during the pandemic, as well as their predictors and mechanisms (e.g., experiential avoidance, EA). The aim of this study was to describe the trajectories of OCS and the identification of associated factors. We assessed 1207 participants of the general population in March 2020 (t1) and June 2020 (t2). Pre-pandemic data was available from March 2014 for a subsample (n = 519). To define trajectories, we determined OCS status (OCS+/−). We performed a hierarchical multinomial logistic regression to investigate predictors of trajectories. Between t1 and t2, 66% of participants had an asymptomatic trajectory (OCS−/OCS−); 18% had a continuously symptomatic trajectory (OCS+/OCS+). Ten percent had a delayed-onset trajectory (OCS−/OCS+), and the recovery trajectory group (OCS+/OCS−) was the smallest group (6%). Higher education reduced the odds of an OCS+/OCS− trajectory. OCS in 2014 was associated with increased odds of showing an OCS+/OCS+ or OCS−/OCS+ trajectory. When EA at t1 and change in EA from t1 to t2 were added to the model, higher EA at t1 was associated with increased odds of scoring above the cut score on one or more of the assessments. A higher decrease in EA from t1 to t2 reduced the probability of showing an OCS+/OCS+ and an OCS−/OCS+ trajectory. While the current data supports a slight increase in OCS during the pandemic, trajectories differed, and EA seems to represent an important predictor for an unfavorable development. |
format | Online Article Text |
id | pubmed-8155650 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-81556502021-05-28 Predictors of trajectories of obsessive-compulsive symptoms during the COVID-19 pandemic in the general population in Germany Jelinek, Lena Göritz, Anja S. Miegel, Franziska Moritz, Steffen Kriston, Levente Transl Psychiatry Article The COVID-19 pandemic has been associated with an increase in obsessive-compulsive disorder/symptoms (OCD/OCS). However, knowledge is limited regarding the trajectories of OCS during the pandemic, as well as their predictors and mechanisms (e.g., experiential avoidance, EA). The aim of this study was to describe the trajectories of OCS and the identification of associated factors. We assessed 1207 participants of the general population in March 2020 (t1) and June 2020 (t2). Pre-pandemic data was available from March 2014 for a subsample (n = 519). To define trajectories, we determined OCS status (OCS+/−). We performed a hierarchical multinomial logistic regression to investigate predictors of trajectories. Between t1 and t2, 66% of participants had an asymptomatic trajectory (OCS−/OCS−); 18% had a continuously symptomatic trajectory (OCS+/OCS+). Ten percent had a delayed-onset trajectory (OCS−/OCS+), and the recovery trajectory group (OCS+/OCS−) was the smallest group (6%). Higher education reduced the odds of an OCS+/OCS− trajectory. OCS in 2014 was associated with increased odds of showing an OCS+/OCS+ or OCS−/OCS+ trajectory. When EA at t1 and change in EA from t1 to t2 were added to the model, higher EA at t1 was associated with increased odds of scoring above the cut score on one or more of the assessments. A higher decrease in EA from t1 to t2 reduced the probability of showing an OCS+/OCS+ and an OCS−/OCS+ trajectory. While the current data supports a slight increase in OCS during the pandemic, trajectories differed, and EA seems to represent an important predictor for an unfavorable development. Nature Publishing Group UK 2021-05-27 /pmc/articles/PMC8155650/ /pubmed/34045444 http://dx.doi.org/10.1038/s41398-021-01419-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Jelinek, Lena Göritz, Anja S. Miegel, Franziska Moritz, Steffen Kriston, Levente Predictors of trajectories of obsessive-compulsive symptoms during the COVID-19 pandemic in the general population in Germany |
title | Predictors of trajectories of obsessive-compulsive symptoms during the COVID-19 pandemic in the general population in Germany |
title_full | Predictors of trajectories of obsessive-compulsive symptoms during the COVID-19 pandemic in the general population in Germany |
title_fullStr | Predictors of trajectories of obsessive-compulsive symptoms during the COVID-19 pandemic in the general population in Germany |
title_full_unstemmed | Predictors of trajectories of obsessive-compulsive symptoms during the COVID-19 pandemic in the general population in Germany |
title_short | Predictors of trajectories of obsessive-compulsive symptoms during the COVID-19 pandemic in the general population in Germany |
title_sort | predictors of trajectories of obsessive-compulsive symptoms during the covid-19 pandemic in the general population in germany |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8155650/ https://www.ncbi.nlm.nih.gov/pubmed/34045444 http://dx.doi.org/10.1038/s41398-021-01419-2 |
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