怀孕和分娩后的强迫症 (OCD) 症状:患病率,稳定性,预测因素,以及与分娩前抑郁症症状的并发症
Sandra Nakić Radoš1, Maja Brekalo2, Marijana Matijaš2,3
1Department of Psychology, Catholic University of Croatia, Ilica 244, Zagreb, 10000, Croatia. snrados@unicath.hr.
BMC pregnancy and childbirth
|February 18, 2025
概括
产前强迫症 (OCD) 影响六分之一的女性,通常与抑郁症同时发生. 神经症和焦虑敏感性预测强迫症症状,而弹性在怀孕和产后提供保护.
科学领域:
- 围产期心理健康问题
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 怀孕和产后是强迫症 (OCD) 发病的关键时期.
- 现有研究强调了新父母对心理健康挑战的脆弱性.
- 了解周边性强迫症的患病率和预测因素对于及时干预至关重要.
研究的目的:
- 为了确定围产期内强迫症症状的患病率和病程.
- 评估强迫症症状与抑郁症状的并发症.
- 识别周围性强迫症的社会人口统计学,产科和个人预测因素.
主要方法:
- 一项纵向研究追踪了397名妇女从怀孕 (T1) 到产后6-12周 (T2).
- 使用了经过验证的仪器,包括耶鲁-布朗强迫症强迫度表 (Y-BOCS) 和爱丁堡产后抑郁度表 (EPDS).
- 评估包括焦虑敏感度指数 (ASI),情绪稳定性 (IPIP-50) 和简要弹性量表 (BRS).
主要成果:
- 强迫症症状的患病率在怀孕期间为15.1%,分娩后为15.1%,9.8%的人在两次患病时都出现了症状.
- 在分娩后观察到强迫症症状严重程度的显著下降.
- 较高的神经症和焦虑敏感性预测了强迫症症状的增加,而弹性预测了T1的较低症状.
结论:
- 大约六分之一的女性在产前期经历强迫症症状.
- 围产部强迫症和抑郁症状之间存在显著的并发症.
- 神经性和焦虑敏感性是风险因素,而弹性是对周围性强迫症的保护因素.
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