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痴迷强迫症在围产期的发作和恶化
Jack Samuels1, Mary Kimmel2, Janice Krasnow3
1Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. jacks@jhmi.edu.
新发性强迫症 (OCD) 在产前期影响8.4%的女性. 较低的社会经济地位和心理脆弱性,如焦虑和压力,与在怀孕期间和分娩后发展强迫症有关.
科学领域:
- 围产期心理健康问题
- 精神病学是一个精神病学.
- 产科 产科 产科 产科 产科
背景情况:
- 强迫症 (OCD) 可以在怀孕期间和分娩后出现.
- 围产期强迫症会对母亲和新生儿产生负面影响.
- 围产期强迫症发病的危险因素尚未得到充分了解.
研究的目的:
- 为了调查在孕期期间在妇女中诊断的DSM-5强迫症的发病风险因素.
- 确定与发生的强迫症相关的社会人口统计和临床特征.
主要方法:
- 从怀孕的第二个三个月到产后6个月,对256名妇女的队列进行了跟踪.
- 在基线和6个月后随访时进行了精神病诊断采访和自我报告措施.
- 基于社会人口统计和临床特征,对有强迫症和没有强迫症的女性进行了比较.
主要成果:
- 12名女性 (8.4%) 患有新发性强迫症.
- 发生性强迫症患者不太可能结婚,拥有大学学位或家庭收入高.
- 事件病例更有可能有意外怀孕,并报告了更高水平的强迫信念,焦虑和感知压力.
结论:
- 很大一部分女性在怀孕期间和分娩后期经历了强迫症发病.
- 社会经济因素,认知弱点 (痴迷信念) 和心理困扰 (焦虑,压力) 是周围性强迫症的潜在风险因素.
- 了解这些风险因素对于及时干预和对母亲和新生儿的支持至关重要.
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