| OCD in the Perinatal Period: Is Postpartum OCD (ppOCD) a Distinct Subtype? A Review of the Literature. | |
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MedLine Citation:
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PMID: 21208486 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Background: It has been suggested that the perinatal period is a period of increased risk for the development and/or exacerbation of OCD and that postpartum OCD (ppOCD) presents a distinct clinical picture. This raises the possibility that ppOCD might be a distinct subtype of OCD. This review examines this contention. Method: A search using Ovid (Medline, PsycINFO and Embase), EBSCO, Cochrane Library, Web of Science (ISI), Pubmed databases and Google Scholar was carried out using the key words: âobsessive compulsive disorderâ (and derivatives), âperinatalâ, âpregnancyâ, âpostnatalâ, âpostpartumâ, âmothersâ (and derivatives), âanxiety disordersâ and âsubtypes.â These articles and their references were reviewed. Results: The majority of studies reviewed were retrospective, which makes it impossible to infer causality. Two prospective studies found a higher incidence of OCD in the postpartum period. These were carried out in Turkey and Brazil and, as such, may be limited in their applicability to other cultural groups. Conclusion: The concept of ppOCD as a specific subtype has not been robustly demonstrated. The evidence that OCD is more prevalent in the postpartum period is mixed. The evidence that OCD in the postpartum period presents a distinctive clinical picture with specific symptomatology and course is more compelling. In view of the impact of culture and religion on the expression of OCD, collaborative, international, prospective studies that take into account the methodological and definitional issues raised in this review are necessary to provide clarification. |
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Authors:
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Mary McGuinness; Jackie Blissett; Chris Jones |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-1-5 |
Journal Detail:
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Title: Behavioural and cognitive psychotherapy Volume: - ISSN: 1469-1833 ISO Abbreviation: - Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-1-6 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9418292 Medline TA: Behav Cogn Psychother Country: - |
Other Details:
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Languages: ENG Pagination: 1-26 Citation Subset: - |
Affiliation:
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University of Birmingham, and Birmingham and Solihull Mental Health Foundation Trust, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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