Skip to main content
Top
Published in: BMC Psychiatry 1/2020

Open Access 01-12-2020 | Attention Deficit Hyperactivity Disorder | Research article

The immediate effect of COVID-19 pandemic on children and adolescents with obsessive compulsive disorder

Authors: J. B. Nissen, D.R.M.A. Højgaard, P. H. Thomsen

Published in: BMC Psychiatry | Issue 1/2020

Login to get access

Abstract

Background

Obsessive compulsive disorder (OCD) is a distressing psychiatric disorder. Traumas may trigger or aggravate OCD symptoms. COVID-19 pandemic has coursed a global crisis and has been associated with onset of psychiatric disorders in adults. Little is known about children/adolescents with OCD. The present study aimed to examine how children/adolescents with OCD react towards COVID-19 crisis.

Methods

A questionnaire was distributed to two separate groups of children/adolescents. One group was a clinical group newly diagnosed at a specialized OCD clinic. All the children/adolescents had a current close contact to a therapist or doctor. The other group was a survey group identified through the Danish OCD Association. Most of these children/adolescents were diagnosed years ago, and their primary treatment was completed. For the clinical group, data from patient files was available.

Results

In both groups, but most pronounced in the survey group, participants experienced a worsening of their OCD, anxiety, and depressive symptoms. The aggravation of OCD correlated with the worsening of anxiety, depressive symptoms, and the extent of avoidance behavior. For both groups, OCD aggressive symptoms predicted a significant worsening. Poor baseline insight showed a trend to predict a symptom worsening. The worsening was most pronounced in children with early age of onset and a family history of attention deficit hyperactivity disorder.

Conclusions

To our knowledge, this is one of the first studies examining the effect of COVID-19 in children/adolescents with OCD. The effect was examined in two separate populations strengthening the findings. The study points towards an influence of the OCD phenotype, baseline insight suggesting a continued vulnerability, and a family history of psychiatric disorders.

Trial registration

The study is approved by the Danish Data Protection Agency (1–16–02-147-20) registered 1st of April 2020. Oral and written information was given to parents and patients and written consent from patients over 15 years and parents were received.
Appendix
Available only for authorised users
Literature
1.
go back to reference Flament MF, Whitaker A, Rapoport JL, Davies M, Berg CZ, Kalikow K, et al. Obsessive compulsive disorder in adolescence: an epidemiological study. J Am Acad Child Adolesc Psychiatry. 1988;27(6):764–71.CrossRef Flament MF, Whitaker A, Rapoport JL, Davies M, Berg CZ, Kalikow K, et al. Obsessive compulsive disorder in adolescence: an epidemiological study. J Am Acad Child Adolesc Psychiatry. 1988;27(6):764–71.CrossRef
7.
go back to reference Erten E, Uney AFK, Fıstıkcı N. Bipolar disorder and childhood trauma. Curr Appr Psychiatry. 2015;7:157–65. Erten E, Uney AFK, Fıstıkcı N. Bipolar disorder and childhood trauma. Curr Appr Psychiatry. 2015;7:157–65.
9.
go back to reference Secer I, Ulas S. An Investigation of the Effect of COVID-19 on OCD in Youth in the Context of Emotional Reactivity, Experiential Avoidance, Depression and Anxiety. Int J Ment Heal Addict. 2020;13:1–14 doi: 10.1007/s11469–020-00322-z. Secer I, Ulas S. An Investigation of the Effect of COVID-19 on OCD in Youth in the Context of Emotional Reactivity, Experiential Avoidance, Depression and Anxiety. Int J Ment Heal Addict. 2020;13:1–14 doi: 10.1007/s11469–020-00322-z.
10.
go back to reference Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;6:17(5). https://doi.org/10.3390/ijerph17051729.CrossRef Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;6:17(5). https://​doi.​org/​10.​3390/​ijerph17051729.CrossRef
12.
go back to reference Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL, et al. The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry. 1989;46:1006–11 (a).CrossRef Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL, et al. The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry. 1989;46:1006–11 (a).CrossRef
13.
go back to reference Goodman WK, Price LH, Rasmussen SA, Mazure C, Delgado P, Heninger GR, et al. The Yale-Brown Obsessive Compulsive Scale. II. Validity. Arch Gen Psychiatry. 1989;46:1012–6 (b).CrossRef Goodman WK, Price LH, Rasmussen SA, Mazure C, Delgado P, Heninger GR, et al. The Yale-Brown Obsessive Compulsive Scale. II. Validity. Arch Gen Psychiatry. 1989;46:1012–6 (b).CrossRef
19.
go back to reference Selles RR, Højgaard DRMA, Ivarsson T, Thomsen PH, McBride NM, Storch EA, Geller D, Wilhelm S, Farrell LJ, Waters AM, Mathieu S, Stewart E. Avoidance, Insight, Impairment Recognition Concordance, and Cognitive-Behavioral Therapy Outcomes in Pediatric Obsessive-Compulsive Disorder. J Am Acad Child Adolesc Psychiatry. 2020;59(5):650–659.e2. https://doi.org/10.1016/j.jaac.2019.05.030 Epub 2019 .PMID: 31228561.CrossRefPubMed Selles RR, Højgaard DRMA, Ivarsson T, Thomsen PH, McBride NM, Storch EA, Geller D, Wilhelm S, Farrell LJ, Waters AM, Mathieu S, Stewart E. Avoidance, Insight, Impairment Recognition Concordance, and Cognitive-Behavioral Therapy Outcomes in Pediatric Obsessive-Compulsive Disorder. J Am Acad Child Adolesc Psychiatry. 2020;59(5):650–659.e2. https://​doi.​org/​10.​1016/​j.​jaac.​2019.​05.​030 Epub 2019 .PMID: 31228561.CrossRefPubMed
22.
go back to reference Clemens V, Deschamps P, Fegert JM, Anagnostopoulos D, Bailey S, Doyle M, Eliez S, Hansen AS, Hebebrand J, Hillegers M, Jacobs B, Karwautz A, Kiss E, Kotsis K, Kumperscak HG, Pejovic-Milovancevic M, Christensen AMR, Raynaud JP, Westerinen H, Visnapuu-Bernadt P. Potential effects of “social” distancing measures and school lockdown on child and adolescent mental health. Eur Child Adolesc Psychiatry. 2020;29:739–42. https://doi.org/10.1007/s00787-020-01549-w.CrossRefPubMed Clemens V, Deschamps P, Fegert JM, Anagnostopoulos D, Bailey S, Doyle M, Eliez S, Hansen AS, Hebebrand J, Hillegers M, Jacobs B, Karwautz A, Kiss E, Kotsis K, Kumperscak HG, Pejovic-Milovancevic M, Christensen AMR, Raynaud JP, Westerinen H, Visnapuu-Bernadt P. Potential effects of “social” distancing measures and school lockdown on child and adolescent mental health. Eur Child Adolesc Psychiatry. 2020;29:739–42. https://​doi.​org/​10.​1007/​s00787-020-01549-w.CrossRefPubMed
Metadata
Title
The immediate effect of COVID-19 pandemic on children and adolescents with obsessive compulsive disorder
Authors
J. B. Nissen
D.R.M.A. Højgaard
P. H. Thomsen
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2020
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-020-02905-5

Other articles of this Issue 1/2020

BMC Psychiatry 1/2020 Go to the issue