Postpartum onset obsessive-compulsive disorder: Diagnosis and management

被引：55
作者：
Brandes M. [1 ,2 ]
Soares C.N. [1 ]
Cohen L.S. [1 ]
机构：
[1] Massachusetts General Hospital, Department of Psychiatry, Harvard Medical School, Boston, MA
[2] Perinatal/Repro. Psychiat. C. R. P., Massachusetts General Hospital, Department of Psychiatry, Boston, MA 02114
来源：
Archives of Women’s Mental Health | 2004年 / 7卷 / 2期
关键词：
Breastfeeding; Diagnosis; Management; Obsessive-compulsive disorder; Postpartum;
D O I：
10.1007/s00737-003-0035-3
中图分类号：
学科分类号：
摘要：
The postpartum period is associated with an increased risk of developing obsessive-compulsive disorder (OCD) in women. Postpartum onset OCD is often undiagnosed and untreated resulting in serious consequences for the patient, her family and the newborn. The symptoms of postpartum onset OCD may consist of obsessional intrusive thoughts about harming the newborn without compulsions or with both obsessions and compulsions. In this review, the phenomenology of postpartum onset OCD is described as well as strategies for screening and diagnosis. The review also characterizes the differences between postpartum onset OCD and postpartum depression and postpartum psychosis and explores strategies for managing postpartum onset OCD patients. Issues regarding pharmacologic treatment of OCD in breastfeeding mothers are also reviewed.
引用
收藏
页码：99 / 110
页数：11
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