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Fathers' Experience of Perinatal Obsessive-Compulsive Symptoms: A Systematic Literature Review
Raina Walker1, Meg Blackie2, Maja Nedeljkovic2
1Swinburne University of Technology, Melbourne, John Street, Hawthorn, VIC, 3122, Australia. rgwalker@swin.edu.au.
Insights
Fathers experience perinatal obsessive-compulsive disorder (pOCD) symptoms similarly to mothers, though with less distress. Dysfunctional beliefs may contribute to pOCD in fathers, warranting further research.
Area of Science:
- Psychiatry
- Perinatal Mental Health
- Obsessive-Compulsive Disorder Research
Background:
- Perinatal obsessive-compulsive disorder (pOCD) affects mothers, but research on fathers is limited.
- Understanding pOCD in fathers is crucial for comprehensive perinatal mental health care.
Purpose of the Study:
- To conduct the first systematic review on the experience of pOCD in fathers.
- To identify common symptoms and contributing factors of pOCD in fathers.
Main Methods:
- Systematic review of electronic databases (Scopus, ProQuest, APA PsychNet, PubMed, EBSCOhost).
- Screening of 523 articles, with six studies included in the final analysis.
Main Results:
- Fathers exhibit subclinical obsessive-compulsive symptoms during the perinatal period, with prevalence comparable to mothers.
- Fathers reported less intrusion-related distress than mothers.
- Dysfunctional beliefs and negative appraisal of intrusions correlated with pOCD symptoms in fathers.
Conclusions:
- Fathers are susceptible to pOCD, aligning with the Cognitive-Behavioral Theory of OCD.
- Further research is needed on clinical prevalence, severity, and the role of dysfunctional beliefs in paternal pOCD.
Abstract:
Perinatal Obsessive-Compulsive Disorder (pOCD) refers to the onset/exacerbation of Obsessive-Compulsive Disorder (OCD) during the perinatal period. This disorder has been studied in mothers, with limited research conducted on fathers. The aim of the current study was to conduct the first systematic review of research investigating the experience of pOCD in fathers. A systematic review was conducted via electronic searches of Scopus, ProQuest, APA PsychNet, PubMed, and EBSCOhost. There were 523 articles identified and screened for eligibility, resulting in six eligible studies included in the final review. All studies reported the presence of subclinical obsessive-compulsive symptoms in fathers during the perinatal period, with the prevalence comparable to mothers. Compared to mothers, however, fathers were found to report less intrusion-related distress. Two studies reported a correlation between dysfunctional beliefs, negative appraisal of intrusions, and pOCD symptoms. Common categories of obsessive thoughts and compulsions experienced by fathers were also identified. Fathers appear susceptible to pOCD, which is consistent with the Cognitive-Behavioral Theory of OCD. Future research is recommended, therefore, to investigate clinical prevalence and severity of pOCD in fathers, particularly relative to mothers, and further investigate the role of dysfunctional beliefs in the development of pOCD.
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