Postpartum-onset obsessive-compulsive disorder: Incidence, clinical features, and related factors

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dc.contributor.authorUguz, Faruk
dc.contributor.authorAkman, Cemal
dc.contributor.authorKaya, Nazmiye
dc.contributor.authorCilli, Ali Savas
dc.date.accessioned2020-03-26T17:17:55Z
dc.date.available2020-03-26T17:17:55Z
dc.date.issued2007
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective: The aims of this study were to investigate the incidence rate and symptomatology of postpartum-onset obsessive-compulsive disorder (PPOCD), to investigate the factors associated with PPOCD, and to compare clinical characteristics of obsessive-compulsive disorder (OCD) with and without postpartum onset. Method: The study data were collected from 302 women who delivered at a child and maternity hospital in Turkey from August 2005 to November 2005 and a control group of 33 women who were admitted to the psychiatric outpatient clinic of a university hospital during the same time period and who met DSM-IV criteria for OCD. The 2 clinical interviews with women who delivered were performed face-to-face on the first day after childbirth and at 6 weeks postnatally. OCD and comorbid Axis II disorders were diagnosed by means of the Structured Clinical Interview for DSM-IV and the Structured Clinical Interview for DSM-III-R Personality Disorders, respectively. Obsessive-compulsive symptomatology was assessed with the Yale-Brown Obsessive Compulsive Scale. Results: The incidence of PPOCD was 4% at 6 weeks postnatally. The most common obsessions in women with PPOCD were contamination (75%), aggressive (33.3%), and symmetry/exactness (33.3%), and the most common compulsions were cleaning/washing (66.7%) and checking (58.3%). The patients with PPOCD had significantly more frequent aggressive obsessions (p=.039) and less severe obsessive-compulsive symptoms (p=.013) than the OCD patients without postpartum onset. The predictors of PPOCD were avoidant (p=.000) and obsessive-compulsive (p=.004) personality disorders. Conclusions: This study suggests that the puerperium is a risk period in terms of new-onset OCD and that avoidant and obsessive-compulsive personality disorders predict PPOCD.en_US
dc.identifier.doi10.4088/JCP.v68n0118en_US
dc.identifier.endpage138en_US
dc.identifier.issn0160-6689en_US
dc.identifier.issue1en_US
dc.identifier.pmid17284141en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage132en_US
dc.identifier.urihttps://dx.doi.org/10.4088/JCP.v68n0118
dc.identifier.urihttps://hdl.handle.net/20.500.12395/21538
dc.identifier.volume68en_US
dc.identifier.wosWOS:000243898400017en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherPHYSICIANS POSTGRADUATE PRESSen_US
dc.relation.ispartofJOURNAL OF CLINICAL PSYCHIATRYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.titlePostpartum-onset obsessive-compulsive disorder: Incidence, clinical features, and related factorsen_US
dc.typeArticleen_US

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