Postpartum-Onset Obsessive-Compulsive Disorder

Uğuz, Faruk; Akman, Cemal; Kaya, Nazmiye; Çilli, Ali Savaş

doi:10.4088/jcp.v68n0118

Cited by 105 publications

(9 citation statements)

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“…These data suggest that 2019-nCOV distress may have a unique (and more harmful) effect on OCD-type symptoms related to fears of contamination for postpartum women. This finding is in contrast to pre-pandemic data demonstrating that postpartum women experience less severe OCD-type symptoms compared to non-postpartum control women (Uguz et al 2007). Therefore, it is possible the current finding suggests 2019-nCOV distress may be driving the elevated level of OCD-type symptoms related to fear of contamination among postpartum women in our sample.…”

Section: Discussioncontrasting

confidence: 95%

2019-nCOV distress and depressive, anxiety and OCD-type, and eating disorder symptoms among postpartum and control women

Thompson

Bardone‐Cone

2021

Arch Womens Ment Health

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This study compared postpartum and control women on depressive, anxiety, and OCD-type symptoms, and eating disorder symptoms during the 2019-nCOV pandemic and evaluated if associations between 2019-nCOV distress and these mental health symptoms differed for postpartum compared to control women. A community sample of women, ages 18-39, who had either given birth in the past 12 months (n = 232) or had no pregnancy history (n = 137; controls), was recruited to complete an online survey about their depressive, anxiety, OCD, and eating disorder symptoms. Postpartum women reported greater OCD-type symptoms related to concerns about both contamination and responsibility for harm (ps < .05) compared to controls. After controlling for general stress and mental health history, the association between 2019-nCOV distress and OCD-type symptoms related to concerns about contamination was stronger among postpartum compared to control women (ps < .002). For all women, 2019-nCOV distress was positively related to general anxiety symptoms, total OCD-type symptoms, and OCD-type symptoms related to concerns about responsibility for harm after controlling for general stress and mental health history (ps < .03). Data are first to suggest postpartum women may be at elevated risk for OCD-type symptoms during 2019-nCOV pandemic, and pandemic distress is associated with anxiety and OCD-type symptoms among postpartum women more so than control women.

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Section: Discussioncontrasting

confidence: 95%

2019-nCOV distress and depressive, anxiety and OCD-type, and eating disorder symptoms among postpartum and control women

Thompson

Bardone‐Cone

2021

Arch Womens Ment Health

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“…We found that this Axis II diagnosis is an independent determinant of POCD. Similar results for postpartum-onset OCD have been reported by a prospective study 8 . The relationship of POCD with personality disorders is unclear.…”

Section: Discussionsupporting

confidence: 90%

“…According to our results, cigarette smoking is a predictor for POCD, which is to our knowledge, the first report suggesting this connection. Postpartum-onset OCD appears to be unrelated to cigarette smoking 8 . Therefore, to determine whether a specific relationship exists between POCD and smoking, larger prospective studies are required.…”

Section: Discussionmentioning

confidence: 93%

“…In addition to the differences between the genders, epidemiology and symptomatology of OCD show several variations during the lifetime of women. For example, postpartum-onset OCD seems to be more frequently associated with aggressive obsessions compared to non-postpartum-onset OCD [7][8][9] ). Labad et al 10 reported that OCD patients with hoarding symptoms had the onset at menarche.…”

Section: Introductionmentioning

confidence: 99%

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Pregnancy-Onset Obsessive-Compulsive Disorder: Clinical Features, Comorbidity, and Associated Factors

Kaya¹,

Uğuz

Sahingoz

et al. 2015

Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychophar

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Objective:The prevalence rate of obsessive-compulsive disorder (OCD) was found to be higher in women during pregnancy and puerperium than that estimated in the general population. Additionally, the symptomatology of OCD shows several variations during the lifetime of women. Objective of the current study was to examine the clinical characteristics and comorbidity with other anxiety and mood disorders of pregnancy-onset obsessive-compulsive disorder (POCD) and to investigate factors related to POCD. Method: The study sample was composed of three groups. The first group (POCD group) included 20 consecutive pregnant women meeting the criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) for OCD, showing an onset of OCD during their current pregnancy. The second group (non-OCD group) consisted of 207 consecutive pregnant women without any mood or anxiety disorders to assess factors associated with POCD. In addition, the study included a control group to compare the symptoms of POCD and non-pregnancy-onset OCD. The control group was composed of 40 nonpregnant female outpatients with OCD. Type and severity of obsessive-compulsive symptoms were assessed with the Yale-Brown Obsessive-Compulsive Scale (YBOCS). OCD and other anxiety or mood disorders were determined by means of the Structured Clinical Interview for DSM-IV (SCID-I). Comorbid axis II disorders were diagnosed with the Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II). Results:The mean onset time of OCD in the POCD group was 13.3±6.35 (week5-28) gestational weeks. OCD occurred during the first trimester of pregnancy in 9 women (45%), during the second trimester in 10 (50%) women, and during the third trimester in 1 (5%) woman. The most common obsessions were contamination (n=16, 80%) and symmetry/exactness (n=6, 30%), and the most common compulsions were cleaning/ washing (n=16, 80%) and checking (n=12, 60%) in POCD. Thirteen (65%) of the pregnant OCD patients met the criteria for a mood or anxiety disorder. Generalized anxiety disorder was the most frequently diagnosed axis I disorder (40%, n=8). The independent factors associated with POCD were cigarette smoking (p=0.002), the existence of an anxiety disorder at onset of pregnancy (p=0.000), and obsessive-compulsive personality disorder (p=0.003). Conclusion:The present study suggests that POCD presents similar clinical characteristics with nonpregnancy-onset OCD. Mood or anxiety disorder comorbidity is observed in more than half of the women with POCD. Additionally, pregnant women who have at least one of 3 factors (cigarette smoking, the existence of an anxiety disorder at onset of pregnancy, and obsessive-compulsive personality disorder) seem to be at risk for POCD.

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“…These symptoms did not necessitate a separate diagnosis of obsessive compulsive disorder. However, women with preexisting obsessive compulsive disorder may be at an increased risk for developing PPD and therefore should receive prompt assessment and treatment (Uguyz, Akman, Kaya, & Cilli, 2007).…”

Section: Summary Of Diagnosis and Treatment Services Datamentioning

confidence: 99%

“When It's More Than the Blues”: A Collaborative Response to Postpartum Depression

Wood¹,

Middleton²,

Leonard³

2010

Public Health Nursing

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Postpartum depression (PPD) affects 13% of new mothers. The consequences for a woman diagnosed with PPD, her new infant, and her family can be serious and long-lasting. This article describes an innovative consultation-liaison service between 1 community mental health clinic and public health centers specializing in the early detection and treatment of PPD. The benefits of the consultation-liaison model are presented, including: (1) data from a chart review describing client demographics, diagnostic, and treatment information and (2) results of a satisfaction survey completed by public health staff, including modifications made to the service in response to the satisfaction survey. The implications of the consultation-liaison PPD treatment model as a practice concept significant to the emerging trend of Primary Care Networking are outlined and emphasized, in the light of the study results.

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Postpartum-Onset Obsessive-Compulsive Disorder

Cited by 105 publications

References 0 publications

2019-nCOV distress and depressive, anxiety and OCD-type, and eating disorder symptoms among postpartum and control women

2019-nCOV distress and depressive, anxiety and OCD-type, and eating disorder symptoms among postpartum and control women

Pregnancy-Onset Obsessive-Compulsive Disorder: Clinical Features, Comorbidity, and Associated Factors

“When It's More Than the Blues”: A Collaborative Response to Postpartum Depression

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