Risk of Obsessive-Compulsive Disorder in Pregnant and Postpartum Women

Russell, Emily J.; Fawcett, Jonathan M.; Mazmanian, Dwight

doi:10.4088/jcp.12r07917

Cited by 184 publications

(101 citation statements)

References 63 publications

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“…of anxiety: 11–75% in elderly with MCI Women and younger caregivers higher anxiety Cooper 2007 Search: 2005 # incl. studies 33 Meta‐analysis: no Caregivers of people with dementia Range: 34–979 Case‐note review to identify caregivers of old people referred to psychiatry service; cohort studies UK and US studies Diagnostic interview schedules, symptom scale 3.7–76.5% Prev depended on study time period, sample, anxiety caseness definition Pregnant women Russell 2013 Search: August 2012 # incl. studies 17 Meta‐analysis: yes Pregnant and postpartum women (up to 12 months) Range: 27–3929 Community and outpatient referrals Controls: general population samples All continents included Structured diagnostic interviewsOverall prev: 1.08% (0.80, 1.46) in general pop of women, 2.07% (1.26, 3.37) during pregnancy, 2.43% (1.46, 4.00) during postpartum Molyneaux 2014 Search: Jan 2013 # incl.…”

Section: Embasementioning

confidence: 99%

“…studies 18 Meta‐analysis: yes Anxiety and depression should both be considered Classification systems for MCI should consider anxiety Clarify directionality between anxiety and MCI Original studies Heterogeneity: sampling differences, small samples (may not be representative), different ways of assessing mood/NPS Lacking info on link between anxiety and MCI subtypes Review Possible publication bias, English articles 5 Cooper 2007 Search: 2005 # incl. studies 33 Meta‐analysis: no Cohort studies Research on coping in relation to anxiety (this could be intervention target) Original studies Lack of info on determinants of anxiety caseness in caregivers Review NR 5 Pregnant women Russell 2013 Search: August 2012 # incl. studies 17 Meta‐analysis: yes Prospective studies examining OCD during pregnancy and postpartum period Incidence studies needed Course of OCD across reproductive events Influence of biological determinants on OCD exacerbation throughout reproductive period Original studies Small samples Difficult to match control studies on various factors Possible overestimation of OCD prev in some control studies OCD evaluated at different pregnancy time points, making comparisons difficult Review Published studies 8 Molyneaux 2014 Search: Jan 2013 # incl.…”

Section: Embasementioning

confidence: 99%

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A systematic review of reviews on the prevalence of anxiety disorders in adult populations

et al. 2016

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BackgroundA fragmented research field exists on the prevalence of anxiety disorders. Here, we present the results of a systematic review of reviews on this topic. We included the highest quality studies to inform practice and policy on this issue.MethodUsing PRISMA methodology, extensive electronic and manual citation searches were performed to identify relevant reviews. Screening, data extraction, and quality assessment were undertaken by two reviewers. Inclusion criteria consisted of systematic reviews or meta‐analyses on the prevalence of anxiety disorders that fulfilled at least half of the AMSTAR quality criteria.ResultsWe identified a total of 48 reviews and described the prevalence of anxiety across population subgroups and settings, as reported by these studies. Despite the high heterogeneity of prevalence estimates across primary studies, there was emerging and compelling evidence of substantial prevalence of anxiety disorders generally (3.8–25%), and particularly in women (5.2–8.7%); young adults (2.5–9.1%); people with chronic diseases (1.4–70%); and individuals from Euro/Anglo cultures (3.8–10.4%) versus individuals from Indo/Asian (2.8%), African (4.4%), Central/Eastern European (3.2%), North African/Middle Eastern (4.9%), and Ibero/Latin cultures (6.2%).ConclusionsThe prevalence of anxiety disorders is high in population subgroups across the globe. Recent research has expanded its focus to Asian countries, an increasingly greater number of physical and psychiatric conditions, and traumatic events associated with anxiety. Further research on illness trajectories and anxiety levels pre‐ and post‐treatment is needed. Few studies have been conducted in developing and under‐developed parts of the world and have little representation in the global literature.

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Section: Embasementioning

confidence: 99%

Section: Embasementioning

confidence: 99%

A systematic review of reviews on the prevalence of anxiety disorders in adult populations

et al. 2016

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“…A meta-analysis of 19 retrospective studies compared the prevalence of obsessive-compulsive disorder among pregnant or postpartum women with the prevalence of OCD in women from the general population [22]. The results showed that the prevalence of OCD in pregnant and postpartum women was found to be greater than that in the general population (2.07 and 2.43 versus 1.08 percent).…”

Section: Brief Overview Of Various Mental Disorders During Pregnancy mentioning

confidence: 99%

Psychiatric Disorders during Pregnancy and Postpartum

Sharma¹,

Singh²,

Tempe³

et al. 2017

J Preg Child Health

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Pregnancy is the most beautiful and memorable time in a woman's life. Apart from medical and obstetrical challenges it involves a of lot emotional, psychological and social aspects too. Although women having medical and obstetrical disorders commonly seek treatment, psychological problems are often not addressed. A female may continue to live in a state of emotional turmoil and may attribute these changes to the hormonal changes in the body due to pregnancy. Psychiatric disorders which remain untreated can disrupt the social life and can have undesirable effects on fetal and neonatal development, so it becomes important to identify women at risk for developing psychiatric disorders during pregnancy and postpartum and initiate timely management. Although the American College of Obstetrics and Gynaecology recommended strongly considering screening pregnant women for depression in 2006, it is not done as a routine.

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“…Prevalenca postpartalnih anksioznih poremećaja se po studijama kreće od 11,1% do 18% [12,13]. Meta analize ukazuju da je rizik za razvoj OKP veći u postpartalnom periodu, te da se javlja u 2.43% žena [14] dok po nekim studijama simptome ima čak 9% žena [15]. Prevalenca PTSP se kreće od 0 do 6.9%, dok se subklinički PTSP javlja u 1.5-33.1% porođe-nih žena [16].…”

Section: Epidemiologijaunclassified

Four cases of successfully treated women suffering from postpartum psychosis

Jovičić¹,

Pavicevic²

2016

Engrami

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UVODDonošenje deteta na svet je verovatno najkompleksniji događaj u životu, psihološki posmatrano, sa kojim nastaju korenite promene u životu žene. Trudnoća i babinje mogu biti okidač za javljanje psihičkog oboljenja, svakako predstavljaju period povećane vulnerabilnosti. Po literaturi žene imaju 22 puta veću šansu da dožive psihotičnu epizodu u prvom mesecu po porođaju nego bilo kada u životu [1]. IstorijatJoš je Hipokrat (Ἱπποκράτης) u 4 veku pne opisao slučaj žene koja je razvila insomniju i nemir šesti dan po rođenju blizanaca, 11.ti dan delirijum, potom "komatozno stanje" i 17.og Kratak sadržajRođenje deteta je stresogeni događaj koji u vulnerabilnih žena može biti i precipitirajući za razvoj mentalnih oboljenja u puerperijumu koji se u savremenoj literaturi klasifikuju u 5 velikih kategorija: postpartalna-tuga, depresija i psihoza, postpartalni posttraumatski stresni poremećaj, postpartalni anksiozni i opsesivno kompulzivni poremećaji. Postpartalna psihoza se karakteriše naglom i dramatičnom izmenom u funkcionisanju žene i obično nastaje u drugoj nedelji po porođaju. Smatra se urgentnim stanjem i zahteva neodložno psihijatrijsko lečenje.U radu su prikazana četiri slučaja žena lečenih hospitalno od postpartalne psihoze i nakon toga nastavljenim vanbolničkim tretmanom. Od riziko faktora pacijentkinje su imale pozitivan hereditet u tri slučaja, sve su bile prvorotke, tri sa komplikovanom trudnoćom i porođajem, dve su imale neposredni stresogeni događaj. Farmakoterpjski režim je uključivao antipsihotike, benzodiazepine i psihostabilizatore.

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Risk of Obsessive-Compulsive Disorder in Pregnant and Postpartum Women

Abstract: Pregnant and postpartum women are more likely to experience OCD compared to the general population.

Cited by 184 publications

References 63 publications

A systematic review of reviews on the prevalence of anxiety disorders in adult populations

A systematic review of reviews on the prevalence of anxiety disorders in adult populations

Psychiatric Disorders during Pregnancy and Postpartum

Four cases of successfully treated women suffering from postpartum psychosis

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