Epidemiology and clinical features of obsessive-compulsive disorder during pregnancy and postpartum period: a review

Abstract

In this study we reviewed the current literature on the epidemiology and clinical features of obsessive-compulsive disorder (OCD) during pregnancy and postpartum period. The available reports on this topic have significant limitations and heterogenous methods. However, the prevalence and incidence rates of OCD reported during these two reproductive periods are higher than the rates estimated in the general population. The most common obsessions in pregnancy and puerperium were contamination and aggressive obsessions. Aggressive obsessions are observed more frequently in postpartum women compared to non-postpartum women. Pregnancy and postpartum periods appear to be risk periods for new-onset OCD. For this reason, pregnant and postpartum women should be screened with respect to OCD.

Keywords

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Gebelik ve postpartum dönemde obsesif kompulsif bozukluğun epidemiyolojisi ve klinik özelikleri: Bir gözden geçirme

Öz

Bu makale obsesif kompulsif bozukluğun (OKB) gebelik ve postpartum dönemde epidemiyolojisi ve klinik özellikleri ile ilgili güncel literatürü gözden geçirmektedir. Konu ile ilgili bildiriler önemli sınırlılıklar ve farklı sonuçlara içermektedir. Bununla birlikte OKB’nin prevalans ve insidans oranları genel toplumda bildirilenlere göre bu iki dönemde daha yüksektir. Gebelik ve puerperiumda en sık obsesyonlar bulaşma ve saldırganlık obsesyonlarıdır. Saldırganlık obsesyonları postpartum dönemdeki kadınlarda bu dönemde olmayan kadınlara göre daha sık gözlenmektedir. Sonuç olarak, gebelik ve postpartum dönemler OKB’nin ortaya çıkmasında riskli dönemler olarak görünmektedir. Dolayısıyla bu dönemde olan kadınlar OKB yönünden taranmalıdır.

Anahtar Kelimeler

• obsesif kompulsif bozukluk, kadın, gebelik, postpartum dönem

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