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首页> 外文期刊>The journal of clinical psychiatry >Postpartum-onset obsessive-compulsive disorder: incidence, clinical features, and related factors.
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Postpartum-onset obsessive-compulsive disorder: incidence, clinical features, and related factors.

机译：产后强迫症：发病率，临床特征和相关因素。

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OBJECTIVE: The aims of this study were to investigate the incidence rate and symptomatology of postpartum-onset obsessive-compulsive disorder (PPOCD), to investigate the factors associated with PPOCD, and to compare clinical characteristics of obsessive-compulsive disorder (OCD) with and without postpartum onset. METHOD: The study data were collected from 302 women who delivered at a child and maternity hospital in Turkey from August 2005 to November 2005 and a control group of 33 women who were admitted to the psychiatric outpatient clinic of a university hospital during the same time period and who met DSM-IV criteria for OCD. The 2 clinical interviews with women who delivered were performed face-to-face on the first day after childbirth and at 6 weeks postnatally. OCD and comorbid Axis II disorders were diagnosed by means of the Structured Clinical Interview for DSM-IV and the Structured Clinical Interview for DSM-III-R Personality Disorders, respectively. Obsessive-compulsive symptomatology was assessed with the Yale-Brown Obsessive Compulsive Scale. RESULTS: The incidence of PPOCD was 4% at 6 weeks postnatally. The most common obsessions in women with PPOCD were contamination (75%), aggressive (33.3%), and symmetry/exactness (33.3%), and the most common compulsions were cleaning/ washing (66.7%) and checking (58.3%). The patients with PPOCD had significantly more frequent aggressive obsessions (p = .039) and less severe obsessive-compulsive symptoms (p = .013) than the OCD patients without postpartum onset. The predictors of PPOCD were avoidant (p = .000) and obsessive-compulsive (p = .004) personality disorders. CONCLUSIONS: This study suggests that the puerperium is a risk period in terms of new-onset OCD and that avoidant and obsessive-compulsive personality disorders predict PPOCD.
机译：目的：本研究的目的是调查产后强迫症（PPOCD）的发生率和症状，调查与PPOCD相关的因素，并比较强迫症和强迫症的临床特征。无产后发作。方法：研究数据收集自2005年8月至2005年11月在土耳其一家儿童和妇产医院分娩的302名妇女和对照组的33名同期在同一所大学医院的精神科门诊就诊的妇女。以及符合OCD的DSM-IV标准的人。在分娩后的第一天和产后6周，对分娩的妇女进行了2次临床访谈。分别通过针对DSM-IV的结构化临床访谈和针对DSM-III-R人格障碍的结构化临床访谈来诊断OCD和合并症的Axis II疾病。用耶鲁-布朗强迫症量表评估强迫症症状。结果：产后6周PPOCD的发生率为4％。 PPOCD女性中最常见的强迫症是污染（75％），攻击性（33.3％）和对称/精确（33.3％），最常见的强迫症是清洁/清洗（66.7％）和检查（58.3％）。与没有产后发作的OCD患者相比，PPOCD患者的侵略性强迫症（p = .039）发生频率明显更高，而强迫症的症状（p = .013）则较轻。 PPOCD的预测因素是回避（p = .000）和强迫症（p = .004）人格障碍。结论：这项研究表明，就新发强迫症而言，产褥期是一个危险时期，而回避性和强迫性人格障碍可预测PPOCD。

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