这个问题知道什么?:新冠肺炎大流行给处理强迫症(OCD)的人带来了新的压力和挑战。这篇文章对现有知识有什么帮助?:这项研究揭示了约旦强迫症患者在新冠肺炎大流行期间的独特经历,揭示三个主要主题:导航约束:社会参与和回避的双重途径,疏远家庭依恋和改变强迫症景观。家庭动态发挥了重要作用,一些家庭通过过度住宿无意中加剧了强迫症症状,当其他人公开表示愤怒时,两者都导致症状恶化。这项研究揭示了在整个大流行期间,强迫症患者在获得专业心理健康支持方面存在明显不足。实践的含义是什么?:无障碍和文化上适当的电子心理健康干预措施可以弥合心理健康支持方面的差距,尤其是在大流行等危机期间。至关重要的是让家庭成员参与治疗过程,以解决可能支持或阻碍强迫症患者康复的家庭动态。
■介绍:流行病,像COVID-19一样,会显著损害个人及其家人的心理健康和整体生活质量。那些预先存在精神状态的人,尤其是强迫症(强迫症),更容易受到负面的社会心理影响,因为害怕被感染或将感染传播给他人是这种疾病的一些主要特征。需要对个人有细微差别的理解,强迫症患者在其特定心理社会背景下的社会和文化经验。
目的:探讨约旦强迫症患者在COVID-19期间是如何患病的。
方法:使用半结构化访谈的描述性现象学设计,对12名诊断为强迫症并经历不同类型的强迫症症状的患者进行有目的的样本。数据进行了主题分析,并根据定性研究的关键评估技能计划(CASP)清单进行报告。
结果:出现了三个主要主题:(1)导航约束:社会参与和回避的双重途径(通过社交互动寻求慰藉,并将隔离作为社会回避的机会);(2)疏远家庭依恋(强制接近并在亲密中挣扎);(3)改变强迫症景观(改变现有的痴迷并逃避新的强迫)。采访记录了在整个大流行期间完全缺乏获得专业心理健康支持的参考。
结论:本研究与先前的研究一致,表明在大流行期间强迫症严重程度激增,令人痛心的消息和加强的卫生措施助长了这一点。值得注意的是,它强调了家庭关系的压力,有些病例显示出保护作用,但许多病例由于过度的家庭住宿而表现出恶化的症状。大流行期间缺乏专业的精神卫生支持,这引起了人们对约旦精神卫生服务的质量和可及性的质疑。
结论:研究结果强调需要持续的心理健康支持和干预,特别是在压力加剧和孤立的时候。整合电子心理健康资源和文化适应可以在为强迫症患者提供可获得和有效的支持方面发挥重要作用。包括约旦阿拉伯文化。当我们驾驭未来的挑战时,至关重要的是,优先考虑患有强迫症的个人的福祉,并确保他们能够获得适当和量身定制的心理健康服务。
WHAT IS KNOWN ON THE SUBJECT?: The COVID-19 pandemic has brought new sources of stress and challenges for people dealing with obsessive compulsive disorder (OCD). WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: The study uncovered the unique experiences of Jordanian patients with OCD during the COVID-19 pandemic, revealing three main themes: Navigating Constraints: The Dual Pathways of Social Engagement and Avoidance, estranging family attachments and shifting OCD landscapes. Family dynamics played a significant role, with some families unintentionally exacerbating OCD symptoms through excessive accommodation, while others openly expressed irritation, both contributing to worsened symptoms. The research unveiled a notable deficiency in the availability of professional mental health support for individuals with OCD throughout the pandemic. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Accessible and culturally appropriate e-mental health interventions can bridge the gap in mental health support, especially during crises like the pandemic. It is crucial to involve family members in the treatment process to address family dynamics that may either support or hinder recovery among patients with OCD.
UNASSIGNED: INTRODUCTION: Pandemics, like COVID-19, can significantly harm the mental well-being and overall quality of life for individuals and their families. Those with pre-existing mental conditions, especially obsessive compulsive disorder (OCD), are more vulnerable to negative psychosocial effects since the fear of being infected or transmitting infection to others are some of the main characteristics of the illness. There is a need for a nuanced understanding of the personal, social and cultural experiences of people with OCD within their specific psychosocial context.
OBJECTIVE: To explore how Jordanian patients with OCD experienced their illness during COVID-19.
METHODS: A descriptive phenomenological design using semi-structured interviews with a purposive sample of 12 patients diagnosed with OCD and experiencing different types of OCD symptoms. Data were analysed thematically, and reported based on the critical appraisal skills programme (CASP) checklist for qualitative studies.
RESULTS: Three main themes emerged: (1) Navigating Constraints: The Dual Pathways of Social Engagement and Avoidance (seeking solace through social interaction and embracing quarantine as an opportunity for social avoidance); (2) Estranging family attachments (enforcing proximity and struggling with intimacy); and (3) Shifting OCD landscapes (transforming existing obsessions and escaping to new compulsions). The interviews documented a complete lack of references to receiving professional mental health support throughout the pandemic.
CONCLUSIONS: This study aligns with previous research indicating a surge in OCD severity during the pandemic, fuelled by distressing news and heightened hygiene measures. Notably, it underscores the strain on familial relationships, with some cases showing protective effects but many demonstrating worsening symptoms due to excessive family accommodation. The absence of professional mental health support during the pandemic raises questions about the quality and accessibility of mental health services in Jordan.
CONCLUSIONS: The findings underscore the need for continued mental health support and intervention, particularly during times of heightened stress and isolation. Integrating e-mental health resources and cultural adaptation can play a vital role in providing accessible and effective support for individuals with OCD, including those in the Jordanian Arab culture. As we navigate future challenges, it is crucial to prioritize the well-being of individuals with OCD and ensure they have access to appropriate and tailored mental health services.