Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Scoping Review of Handwashing and OCD During COVID-19 Concerning Increased Negative Mental Health

Version 1 : Received: 9 August 2023 / Approved: 9 August 2023 / Online: 9 August 2023 (07:26:00 CEST)

A peer-reviewed article of this Preprint also exists.

Nash, C. (2023). Handwashing and Obsessive-Compulsive Disorder During COVID-19 Concerning Increased Negative Mental Health. Journal of Mental Health Disorders, 3(1), 18-30. Nash, C. (2023). Handwashing and Obsessive-Compulsive Disorder During COVID-19 Concerning Increased Negative Mental Health. Journal of Mental Health Disorders, 3(1), 18-30.

Abstract

The COVID-19 virus is spread to the respiratory system by minute airborne particles in contrast to large particle fomite transmission. Yet, an often-repeated health directive during the COVID-19 pandemic was to improve handwashing to limit the spread of the virus. Persistent handwashing can aggravate obsessive-compulsive disorder (OCD), diminishing mental health. Given that handwashing is unlikely to control the spread of COVID-19, it is pertinent to determine if the directive for handwashing to eradicate the COVID-19 virus increased the incidence of OCD and, as such, promoted negative mental health. This scoping review of the parameter, “handwashing, mental health, COVID-19, OCD”, conducted during July 2023, searched six relevant databases. The result was that negative mental health related to increased handwashing was evident both for those already diagnosed with OCD and regarding new cases of OCD throughout the duration of the pandemic. The conclusion is that health officials should update details of their health directives as information becomes available during a pandemic and, concerning COVID-19, the directive to concentrate on handwashing should have been relaxed once it was known that spread of the virus by fomite transmission was improbable. This likely would have reduced the incidence of OCD and improved mental health.

Keywords

COVID-19; fomite transmission; health directive; handwashing; OCD; mental health; scoping review

Subject

Public Health and Healthcare, Health Policy and Services

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