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首页> 外文期刊>Journal of women’s health >Obsessions and Compulsions in Postpartum Women Without Obsessive Compulsive Disorder
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Obsessions and Compulsions in Postpartum Women Without Obsessive Compulsive Disorder

机译：没有强迫症的产后妇女的强迫症

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Background: To describe the prevalence of obsessions and compulsions and the specific symptoms present in postpartum women without obsessive compulsive disorder (OCD). Methods: In this prospective cohort, women were screened with the Yale Brown Obsessive Compulsive Scale at 2 weeks postpartum. Demographics and comorbid psychiatric symptoms were compared between women with screen-positive OCD, screen-negative OCD but with some endorsed symptoms (subclinical OCD), and no OCD symptoms. The prevalence of each specific set of obsessive and compulsive symptoms and the rate of impairment from those symptoms were compared. Results: Of the 461 women included, 52 (11.2%) screened positive for OCD, while 173 (37.5%) reported experiencing subclinical obsessions or compulsions. This subclinical OCD was associated with an increased rate of depression (24%) and state-trait anxiety (8%) compared with women who did not endorse experiencing any obsessions or compulsions. Aggressive, religious, and somatic obsessions as well as obsessions with symmetry, when present, were most likely to result in OCD screen positivity. Conclusions: Nearly half of all women who screen negative for OCD experienced obsessions or compulsions that did not result in OCD screen positivity. However, the presence of these subclinical obsessions and compulsions is associated with an increased rate of depression or anxiety.
机译：背景：描述强迫症的患病率以及无强迫症（OCD）的产后妇女的特殊症状。方法：在此前瞻性队列中，在产后2周以耶鲁布朗强迫症量表对妇女进行筛查。比较筛查阳性强迫症，筛查阴性强迫症但有一定认可症状（亚临床强迫症）和无强迫症症状的女性的人口统计学特征和合并精神症状。比较了每种特定的强迫症症状的患病率以及这些症状引起的损伤率。结果：包括461名女性，其中52名（11.2％）筛查出强迫症阳性，而173名（37.5％）报告患有亚临床痴迷或强迫症。与不认同强迫症或强迫症的女性相比，这种亚临床强迫症与抑郁症的发生率（24％）和状态焦虑症（8％）的患病率增加有关。如果存在侵略性，宗教性和躯体性强迫症以及对称性强迫症，则最有可能导致OCD筛查阳性。结论：在所有强迫症筛查阴性的女性中，将近一半的强迫症或强迫症不会导致强迫症筛查阳性。然而，这些亚临床痴迷和强迫症的存在与抑郁或焦虑的发生率增加有关。

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