Postpartum obsessive-compulsive disorder

J Obstet Gynecol Neonatal Nurs. 2011 Nov-Dec;40(6):680-90. doi: 10.1111/j.1552-6909.2011.01294.x. Epub 2011 Nov 3.

Abstract

Objective: To synthesize the extant literature on the prevalence, phenomenology, etiology and treatment of postpartum obsessive-compulsive disorder (OCD). A discussion of differential diagnosis between postpartum OCD and other postpartum psychiatric conditions (e.g., depression, psychosis) and nonpostpartum-onset OCD is provided.

Data sources, study selection and data extraction: All studies addressing postpartum OCD between the years 1950 and 2011 were reviewed. Data from all pertinent studies was explored as it related to postpartum OCD.

Data synthesis: Studies were organized based on their empirical technique (e.g., retrospective, prospective), population studied (e.g., clinical OCD, nonclinical populations, males), and etiological or treatment theory (e.g., cognitive-behavioral).

Conclusion: The prevalence, phenomenology, etiology, and treatment of postpartum OCD are reviewed. The limited data on treatment approaches and outcomes for postpartum OCD are highlighted with a discussion of the role of nurses in the prevention and identification of postpartum OCD.

Publication types

  • Review

MeSH terms

  • Behavior Therapy / methods
  • Female
  • Humans
  • Incidence
  • Obsessive-Compulsive Disorder / diagnosis
  • Obsessive-Compulsive Disorder / epidemiology*
  • Obsessive-Compulsive Disorder / therapy*
  • Postnatal Care / methods
  • Postpartum Period / psychology*
  • Pregnancy
  • Prognosis
  • Risk Assessment
  • Selective Serotonin Reuptake Inhibitors / therapeutic use
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Serotonin Uptake Inhibitors