Obsessive-compulsive symptoms in pregnancy and the puerperium: a review of the literature.
In this article, we review the available research on postpartum obsessive-compulsive disorder (OCD). Most studies are retrospective in nature, thus not answering questions as to overall prevalence of such symptoms. However, there are consistent findings with regard to symptom profile: obsessional thoughts in postpartum OCD tend to concern fears of harm to the infant. We discuss distinctions between postpartum OCD symptoms and postpartum depression and psychosis. Although preliminary, research on treatments for postpartum OCD indicates the effectiveness of medications and cognitive-behavioral therapy. We explore the relationship between OCD symptoms and postpartum depression and offer possible directions for future study. We also consider the proposed etiological models and offer a fresh conceptualization of this condition.
Abramowitz
Jonathan S
JS
Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. abramowitz.jonathan@mayo.edu
Schwartz
Stefanie A
SA
Moore
Katherine M
KM
Luenzmann
Kristi R
KR
D000328:Adult; D015897:Comorbidity; D019052:Depression, Postpartum / Q000150:complications / Q000523:psychology*; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009771:Obsessive-Compulsive Disorder / Q000209:etiology* / Q000523:psychology*; D011247:Pregnancy; D015995:Prevalence; D012189:Retrospective Studies; D012720:Severity of Illness Index