Obsessional thoughts and compulsive behaviors in a sample of women with postpartum mood symptoms
Obsessional thoughts and compulsive behaviors in a sample of women with postpartum mood symptoms
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DOI：
10.1007/s00737-010-0172-4
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发表时间：
2010-12-01
影响因子：
4.5
通讯作者：
Pedersen, Cort
中科院分区：
文献类型：
--
作者：
Abramowitz, Jonathan S.;Meltzer-Brody, Samantha;Pedersen, Cort
产后精神障碍得到了临床医生和研究人员的广泛认可，然而，尽管人们对围产期情绪障碍给予了很大关注，但对这一人群中的焦虑和强迫症的关注却少得多。本研究调查了有情绪主诉的产后妇女的焦虑和强迫症状，目的是描绘这些症状之间的关系。60名在围产期情绪障碍诊所寻求治疗的产后妇女完成了抑郁、焦虑和强迫症状的测量。大多数样本中存在类似强迫症的想法和强迫症(“中和”)策略，但这些症状的严重程度差异很大。抑郁和焦虑症状与强迫症和中和性强迫症状有关。将焦虑和抑郁症状视为广泛的围产期精神疾病的一部分可能是有帮助的。临床医生应该像评估围产期抑郁症状一样定期评估焦虑和强迫症。
Postpartum psychiatric disorders are widely recognized by clinicians and researchers, yet while much attention has been paid to perinatal mood disorders, considerably less has been given to anxiety and obsessive compulsive symptoms in this population. The present study examined anxiety and obsessive compulsive symptoms among postpartum women with mood complaints, with the aim of delineating the relationship between these symptoms. Sixty postpartum women seeking treatment in a perinatal mood disorders clinic completed measures of depression, anxiety, and obsessive compulsive symptoms. Obsession-like thoughts and compulsive-like ("neutralizing") strategies were present among the majority of the sample, yet the severity of these symptoms ranged widely. Depressive and anxiety symptoms were associated with obsessive and neutralizing compulsive symptoms. It may be helpful to consider anxiety and depressive symptoms as part of a broad spectrum of perinatal psychiatric illness. Clinicians should assess for anxiety and obsessive compulsive symptoms as routinely as they assess for depressive symptoms in the perinatal period.