Emily S Miller1, Denada Hoxha2, Katherine L Wisner2, Dana R Gossett1. 1. 1 Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine , Chicago, Illinois. 2. 2 Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine , Chicago, Illinois.
Abstract
BACKGROUND: To describe the prevalence of obsessions and compulsions and the specific symptoms present in postpartum women without obsessive compulsive disorder (OCD). METHODS: In this prospective cohort, women were screened with the Yale Brown Obsessive Compulsive Scale at 2 weeks postpartum. Demographics and comorbid psychiatric symptoms were compared between women with screen-positive OCD, screen-negative OCD but with some endorsed symptoms (subclinical OCD), and no OCD symptoms. The prevalence of each specific set of obsessive and compulsive symptoms and the rate of impairment from those symptoms were compared. RESULTS: Of the 461 women included, 52 (11.2%) screened positive for OCD, while 173 (37.5%) reported experiencing subclinical obsessions or compulsions. This subclinical OCD was associated with an increased rate of depression (24%) and state-trait anxiety (8%) compared with women who did not endorse experiencing any obsessions or compulsions. Aggressive, religious, and somatic obsessions as well as obsessions with symmetry, when present, were most likely to result in OCD screen positivity. CONCLUSIONS: Nearly half of all women who screen negative for OCD experienced obsessions or compulsions that did not result in OCD screen positivity. However, the presence of these subclinical obsessions and compulsions is associated with an increased rate of depression or anxiety.
BACKGROUND: To describe the prevalence of obsessions and compulsions and the specific symptoms present in postpartum women without obsessive compulsive disorder (OCD). METHODS: In this prospective cohort, women were screened with the Yale Brown Obsessive Compulsive Scale at 2 weeks postpartum. Demographics and comorbid psychiatric symptoms were compared between women with screen-positive OCD, screen-negative OCD but with some endorsed symptoms (subclinical OCD), and no OCD symptoms. The prevalence of each specific set of obsessive and compulsive symptoms and the rate of impairment from those symptoms were compared. RESULTS: Of the 461 women included, 52 (11.2%) screened positive for OCD, while 173 (37.5%) reported experiencing subclinical obsessions or compulsions. This subclinical OCD was associated with an increased rate of depression (24%) and state-trait anxiety (8%) compared with women who did not endorse experiencing any obsessions or compulsions. Aggressive, religious, and somatic obsessions as well as obsessions with symmetry, when present, were most likely to result in OCD screen positivity. CONCLUSIONS: Nearly half of all women who screen negative for OCD experienced obsessions or compulsions that did not result in OCD screen positivity. However, the presence of these subclinical obsessions and compulsions is associated with an increased rate of depression or anxiety.
Authors: Karen T Putnam; Marsha Wilcox; Emma Robertson-Blackmore; Katherine Sharkey; Veerle Bergink; Trine Munk-Olsen; Kristina M Deligiannidis; Jennifer Payne; Margaret Altemus; Jeffrey Newport; Gisele Apter; Emmanuel Devouche; Alexander Viktorin; Patrik Magnusson; Brenda Penninx; Anne Buist; Justin Bilszta; Michael O'Hara; Scott Stuart; Rebecca Brock; Sabine Roza; Henning Tiemeier; Constance Guille; C Neill Epperson; Deborah Kim; Peter Schmidt; Pedro Martinez; Arianna Di Florio; Katherine L Wisner; Zachary Stowe; Ian Jones; Patrick F Sullivan; David Rubinow; Kevin Wildenhaus; Samantha Meltzer-Brody Journal: Lancet Psychiatry Date: 2017-05-03 Impact factor: 27.083
Authors: Traci M Kazmerski; Natalie E West; Raksha Jain; Ahmet Uluer; Anna M Georgiopoulos; Moira L Aitken; Jennifer L Taylor-Cousar Journal: Pediatr Pulmonol Date: 2021-08-18
Authors: Ana Telma Pereira; Ana Araújo; Julieta Azevedo; Cristiana C Marques; Maria João Soares; Carolina Cabaços; Mariana Marques; Daniela Pereira; Michele Pato; António Macedo Journal: Int J Environ Res Public Health Date: 2022-08-25 Impact factor: 4.614