强迫症和更年期:一个范围审查.
Carmela Melina Albanese1, Gabriella Antaya2, Jennifer L Gordon3
1Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
概括
更年期可能会引发新的强迫症 (OCD) 症状或改变一些人的现有症状. 需要进一步的研究,但建议对中年妇女进行强迫症监测.
科学领域:
- 精神病学和神经科学 精神病学和神经科学
- 妇女健康 妇女健康
- 生殖内分泌学 生殖内分泌学
背景情况:
- 强迫症 (OCD) 是一种精神健康状况,其特点是侵入性思想和强迫性行为.
- 出生于女性的个体患有强迫症的患病率更高,与初潮和产后期等生殖事件有关,与症状严重程度有关.
研究的目的:
- 对现有的文献进行范围审查,以了解更年期对强迫症疾病的发病和症状的影响.
- 确定研究缺口,并为中年人群的强迫症患者提供临床监测策略.
主要方法:
- 根据PRISMA扩展指南对范围审查进行了全面的范围审查.
- 在四个主要数据库 (MEDLINE,Embase,PsycInfo,CINAHL) 进行了搜索,截至2025年4月15日.
- 包括的研究检查了更年期和新发作或改变的强迫症症状之间的关联.
主要成果:
- 包括八项使用自我报告的回顾性数据进行的定量,横截面研究.
- 4.6%的参与者报告了新出现的强迫症症状,与更年期开始相吻合.
- 27.2%的人报告症状恶化,而11.3%的人报告在更年期期间症状改善.
结论:
- 目前的横截面证据表明,更年期可能会影响个人子组的强迫症发作和症状严重程度.
- 纵向研究对于在更年期过渡阶段对这些发现进行前性验证至关重要.
- 对中年女性出生患有强迫症的个体进行加强的症状监测是临床上适用的.
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