Postpartum obsessive compulsive disorder: prevalence, etiology and clinical characteristics
10.3760/cma.j.issn.1674-6554.2015.05.025
- VernacularTitle:产后强迫症的发病机制及治疗方法
- Author:
Kai ZHANG
;
Guoqiang WANG
- Publication Type:Journal Article
- Keywords:
Postpartum obsessive compulsive disorder;
Obsessive compulsive disorder;
Perinatal;
Anxiety disorder
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2015;24(5):477-480
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study on postpartum obsessive compulsive disorder at home and abroad,and to provide new idea of diagnosis,evaluation and treatment on postpartum obsessive compulsive disorder.Method A search using Medline,Embase,EBSCO,Cochrane Library,Web of Science (ISI),Pubmed databases and Google Scholar was carried out using the key words:obsessive compulsive disorder (and derivatives),perinatal,pregnancy,postnatal,postpartum,mothers (and derivatives),anxiety disorders and subtypes. These articles and their references were reviewed.Results Twenty-seven papers were incorporated,but no Chinese paper.The life prevalence of postpartum OCD was 2.3％-11.0％.The most common obsessions were aggressive,contamination and miscellaneous,and compulsion for washing/cleaning and checking.Cognitive behavioural therapy and SSRIs have been suggested as a fist-line treatment of postpartum OCD.Conclusion OCD is more prevalent in the postpartum period.The evidence that OCD in the postpartum period presents a distinctive clinical picture with specific symptomatology and course is more compelling.Collaborative,international,prospective studies that take into account the methodological and definitional issues raised in this review are necessary to provide clarification.
