There is considerable concern in the mental health community about the psychological consequences of the coronavirus pandemic and who may be most vulnerable. Obsessive-compulsive disorder (OCD) symptoms may be particularly sensitive to the context of the pandemic. Previous research suggests insomnia symptoms may contribute to increased OCD symptoms over time, particularly during times of stress, such as the pandemic. The present study examined pre-coronavirus outbreak insomnia symptoms as a predictor of post-coronavirus outbreak OCD symptoms in a sample of community adults who completed a 2016 survey study and were re-contacted on April 1, 2020 (N = 369). Results revealed a small significant increase in OCD symptoms following the coronavirus outbreak and a small significant decrease in insomnia symptoms. Pre-coronavirus outbreak insomnia symptoms significantly predicted increases in post-coronavirus outbreak OCD symptoms. Similar results were found for specific OCD symptom facets with the exception of washing and hoarding symptoms, which were unrelated to pre-coronavirus insomnia symptoms. There was no evidence for a reverse effect of prior OCD symptoms on insomnia symptoms during the pandemic. These findings suggest those with insomnia symptoms prior to the coronavirus pandemic may be vulnerable to increases in some OCD symptoms during the pandemic. The implications for preventing adverse psychological responses during the coronavirus pandemic are discussed.

在精神卫生界，人们对冠状病毒大流行的心理后果以及谁最容易受到伤害的关注很大。强迫症（OCD）症状可能对大流行的环境特别敏感。先前的研究表明，随着时间的流逝，失眠症状可能会导致强迫症症状增加，尤其是在诸如大流行等压力时期。本研究报告审查冠状病毒爆发前的失眠症状的成年人社区的样本谁完成2016年的调查研究，后冠状病毒爆发强迫症状的预测和2020年4月1日，（被重新接触ñ = 369）。结果显示，在冠状病毒爆发后，强迫症症状轻微增加，而失眠症状则明显减少。冠状病毒爆发前失眠症状显着预测了冠状病毒爆发后OCD症状的增加。对于特定的强迫症症状方面，除了洗漱和ho积症状与冠状病毒前失眠症状无关外，也发现了类似的结果。没有证据表明大流行期间先前的强迫症症状对失眠症状有逆作用。这些发现表明，在冠状病毒大流行之前有失眠症状的人可能在大流行期间易受某些OCD症状增加的影响。讨论了在冠状病毒大流行期间预防不良心理反应的意义。