Epidemiology and clinical features of obsessive-compulsive disorder during pregnancy and postpartum period: a review
Year 2011,
Volume: 1 Issue: 4, 178 - 86, 01.04.2011
Faruk Uguz
Medine Gıynas Ayhan
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.
References
- Bijl R.V, Ravelli A, van Zessen G. Prevalence of psychiatric disorder in the general population: results of the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Social Psychiatry Psychiatr Epidemiol. 1998; 33:587-595.
- Cho M.J, Kim J.K, Jeon H.J, Suh, T, Chung, I.W, Hong, J.P. et al. Lifetime and 12-month prevalence of DSM-IV psychiatric disorders among Korean adults. J Nerv Ment Dis. 2007; 195:203 210.
- Vicente B, Kohn R, Rioseco P, Saldivia S, Levav I, & Torres S. Lifetime and 12-month prevalence of DSM-III-R disorders in the Chile Psychiatric Prevalence Study. Am J Psychiatry. 2006; 163:1362-1370.
- Canino G.J, Bird H.R, Shrout P.E. et al. The prevalence of spesific psychiatric disorders in Puerto Rico. Arch Gen Psychiatry. 1987; 44:727-735.
- Kessler R.C, Berglund P, Demler O, Jim R, Merikangas KR, Walters E.E. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arc Gen Psychiatry. 2005; 62:593-602.
- Karno M, Golding J.M, Sorenson S.B, Burnam A. The epidemiology of obsessive-compulsive disorder in five US communities. Arch Gen Psychiatry. 1988; 45:1094-1099.
- Huppert J.D, Simpson H.B, Nissenson K.J, Liebowitz M.R, Foa E.B. Quality of life and functional impairment in obsessive-compulsive disorder: A comparison of patients with and without comorbidity, patients in remission, and healthy controls. Depress Anxiety. 2009; 26: 39-45.
- Kıvırcık Akdede B.B, Alptekin K, Akvardar Y, Kitis A. . Quality of life in patients with obsessive-compulsive disorder: Relations with cognitive functions and clinical symptoms. Turk Psikiyatri Derg. 2005; 16:13-19.
- Bobes J, Gonzalez M.P, Bascarân M.T, Arango C, Sâiz P.A, Bousono M. Quality of life and disability in patients with obsessive compulsive disorder. Eur Psychiatry. 2001; 16:239-245.
- Weissman M.M, Bland R.C, Canino G.J, Greenwald S, Hwu H.G, Lee C.K. et al. The cross national epidemiology of obsessive kompulsive disorder. J Clin Psychiatry. 1994; 55:5-10.
- Çilli A.S, Telcioğlu M, Aşkın R, Kaya N, Bodur S, Kucur R. Twelve month prevalence of obsessive-compulsive disorder in Konya, Turkey. Compr Psychiatry. 2004; 45:367-374.
- Burke K.C, Burke J.D, Regier D.A, Rae D.S. Age at onset of selected mental disorders in five community populations. Arch Gen Psychiatry. 1990; 47:511-518.
- Neziroglu F, Anemone R, Yaryura-Tobias J.A. Onset of obsessive compulsive disorder in pregnancy. Am J Psychiatry. 1992; 149:947 950.
- Sichel D.A, Cohen L.S, Dimmock J.A, Rosenbaum J.F. Postpartum obsessive-compulsive disorder: a case series. J Clin Psychiatry. 1993; 54156-159.
- Sichel D, Cohen L.S, Rosenbaum J.F, Driscoll J. Postpartum-onset obsessive-compulsive disorder. J Clin Psychiatry. 1993; 34:277 279.
- Hertzberg T, Leo R.J, Kim K.Y. Recurrent obsessive compulsive disorder associated with pregnancy and childbirth. Psychosomatics. 1997; 38:386-388.
- Chelmow D, Halfin V.P. Pregnancy complicated by obsessive compulsive disorder. J Matern Fetal Med. 1997; 6:31-34.
- Andersson L, Sundstrom-Poromaa I, Bixo M, Wulff M, Bondestam K, Astrom M. Point prevalence of psychiatric disorders during the second trimester of pregnancy: A population-based study. Am J Obstet Gynecol, 2003; 189:148-154.
- Andersson L, Sundstrom-Poromaa I, Wulff M, Astrom M, Bixo M. Depression and anxiety disorder during pregnancy and six months postpartum: a follow-up study. Acta Obstet Gynecol Scand. 2006; 85:937-944.
- Zar M, Wijma K, Wijma B. Relations between anxiety disorders and fear of childbirth during late pregnancy. Clin Psychol Psychother. 2002; 9:122-130.
- Sutter-Dallay A.L, Giaconne-Marcesche V, Glatigny-Dallay E, Verdeoux H. Women with anxiety disorders during pregnancy are at increased risk of intense postnatal depressive symptoms: a prospective survey of the MATQUID cohort. Eur Psychiatry. 2004; 19:459-463.
- Adewuya A.O, Ola B.A, Aloba O.O, Mapayi B.M. Anxiety disorders among Nigerian women in late pregnancy: a controlled study. Arch Womens Ment Health. 2006; 9:325-328.
- Felice E, Saliba J, Grech, V, Cox J, Calleja N. Antenatal psychiatric morbidity in Maltase women. Gen Hosp Psychiatry. 2007; 29:501 505.
- Borri, C., Mauri, M., Oppo, A., Banti, S., Rambelli, C., Ramacciotti, D., et al. (2008). Axis I psychopathology and functional impairment at the third month of pregnancy: results from the Perinatal Depression-Research and Screening Unit (PND-ReScU) Study. J Clin Psychiatry. 2008; 69:1617-1624. 25. Uguz F, Gezginc K, Zeytinci I.E, Karatayli S, Karatayli R, Aksin R, Guler O, Gecici O. Obsessive-compulsive disorder in pregnant women during the third trimester of pregnancy. Compr Psychiatry. 2007; 48:441-445.
- Chaudron L.H, Nirodi N. The obsessive-compulsive spectrum in the perinatal period: a prospective pilot study. Arch Womens Ment Health. 2010; 13:403-410.
- Fontenelle L.F, Mendlowicz MV, Versiani M. The descriptive epidemiology of obsessive-compulsive disorder. Progress Neuro psychopharmacol Biol Psychiatry. 2006; 30:327-337.
- Brockington I.F, Macdonald E, Wainscott G. Anxiety, obsessions and morbid preoccupations in pregnancy and puerperium. Arch Womens Ment Health. 2006; 9:253-263.
- Faisal-Cury A, Menezes P, Araya R, Zugaib M. Common mental disorders during pregnancy: prevalence and associated factros among low-income women in Sao Paulo, Brazil. Arch Womens Ment Health. 2009; 12:335-339.
- Wenzel A, Haugen E.N, Jackson L.C, Brendle J.R. Anxiety symptoms and disorders at eight weeks postpartum. J Anxiety Disord. 2005; 19:295-311.
- Wenzel A, Gorman L.L, O'Hara M.W, Stuart S. The occurence of panic and obsessive-compulsive symptoms in women with postpartum dsyphoria: a prospective study. Arch Womens Ment Health. 2001; 4:5-12.
- Navarro P, Garcia-Esteve L, Ascaso C, Aguado J, Gelabert E, Martin-Santos R. Non-psychotic psychiatric disorders after childbirth: Prevalence and comorbidity in a community sample. J Affect Disord. 2008; 109:171-176.
- Zambaldi C.F, Cantilino A, Montenegro A.C, Paes J.A, de Albuquerque T.L, Sougey E.B. Postpartum obsessive-compulsive disorder: prevalence and clinical characteristics. Compr Psychiatry. 2009; 50:503-509.
- Abramowitz J.S, Schwartz S.A, Moore K.M. Obsessional thouhts in postpartum females and their partners: content, severity, and relationship with depression. J Clin Psychol Med Settings. 2003; 10:157-164.
- Abramowitz J.S, Schwartz S.A, Moore K.M, Luenzmann K.R. Obsessive-compulsive symptoms in pregnancy and the puerperium: A review of the literature. J Anxiety Disord. 2003; 17:461-478.
- Abramowitz J.S, Nelson C.A, Rygwall R, Khandker M. The cognitive mediation of obsessive-compulsive symptoms: A longitidunal study. J Anxiety Disord. 2007; 21:91-104.
- Abramowitz J.S, Khandker M, Nelson C.A, Deacon B.J, Rygwall R. The role of cognitive factors in pathogenesis of obsessive compulsive symptoms: A prospective study. Behav Res Ther. 2006; 44: 361-1374.
- Andrade L, Walters E.E, Gentil V, Laurenti R. Prevalence of ICD 10 mental disorders in a cathcment area in the city of Sao Paulo, Brazil. Soc Psychiatry Psychiatr Epidemiol. 2002; 37:316-325.
- Vicente B, Kohn R, Rioseco P, Saldivia S, Baker C, Torres S. Population prevalence of psychiatric disorders in Chile: 6-month and 1-month rates. Br J Psychiatry. 2004; 84:299-305.
- Faravelli C, Degl'Innocenti B.G, Giardinelli L. Epidemiology of anxiety disorders in Florence. Acta Psychiatr Scand. 1989; 79:308-312.
- Faravelli C, Abrardi L, Bartolozzi D, Cecchi C, Cosci F, D'Adamo D, et al. The Sesto Fiorentino Study: Point and one-year prevalences of psychiatric disorders in an Italian community sample using clinical interviewers. Psychother Psychosomatics. 2004; 73:226-234.
- Gureje O, Lasebikan V.O, Kola L, & Makanjuola V.A. Lifetime and 12-month prevalence of mental disorders in the Nigerian Survey of Mental Health and well-being. Br J Psychiatry. 2006; 188:465-471.
- Uguz F, Gezginc K, Kayhan F, Sari S, Büyüköz D. Is pregnancy associated with mood and anxiety disorders? A cross-sectional study. Gen Hosp Psychiatry. 2010; 32:213-215.
- Vesga-Lopez O, Blanco C, Keyes K, Olfson M, Grant B.F, Hasin D. Psychiatric disorders in pregnant and postpartum women in United States. Arch Gen Psychiatry. 2008; 65: 805-815.
- Kitamura T, Yoshida K, Okano T, Kinoshita K, Hayashi M, Toyoda N, et al. Multicentre prospective study of perinatal depression in Japan: incidence and correlates of antenatal and postnatal depression. Arch Womens Ment Health. 2006; 9:121-130.
- Labad J, Menchon J.M, Alonso P, Segalas C, Jimenez S, Vallejo J. Female reproductive cycle and obsessive-compulsive disorder. J Clin Psychiatry. 2005; 66:428-435.
- Williams K.E, Koran L.M. Obsessive-compulsive disorder in pregnancy, the puerperium, and the prementruum. J Clin Psychiatry. 1997; 58: 330-334.
- Labad J, Alonso P, Segalas C, Reval E, Jimenez S, Bueno B, et al. Distinct correlates of hoarding and cleaning symptom dimensions in relation to onset of obsessive-compulsive disorder at menarche or perinatal period. Arch Womens Ment Health. 2010; 13:75-81.
- Forray A, Focseneanu M, Pittman B, McDougle C.J, Epperson C.N. Onset and exacerbation of obsessive-compulsive disorder in pregnancy and the postpartum period. J Clin Psychaitry. 2010; 71:1061-1068.
- Kalra H, Tandon R, Trivedi J.K, Janca A. Pregnancy-induced obsessive-compulsive disorder: a case report. Ann Gen Psychiatry. 2005;4: 12.
- Uguz F, Akman C, Kaya N, Cilli A.S. Postpartum-onset obsessive compulsive disorder: Incidence, clinical features, and related factors. J Clin Psychiatry. 2007; 68: 132-138.
- Mirsi S, Milis L. Obsessive-compulsive disorder in the postpartum. Open-label trial of quetiapine augmentation. J Clin Psychopharmacol. 2004; 24:624-627.
- Maina G, Albert U, Bogetto F, Vaschetto P, Ravizza L. et al. Recent life events and obsessive-compulsive disorder (OCD): the role of pregnancy delivery. Psychiatry Res. 1999; 89:49-58.
- Matsunaga H, Kiriike N, Miyata A, Iwasaki Y, Matsui T, Nagata T, Takei Y, Yamagami S. Personality disorders in patients with obsessive-compulsive disorder in Japan. Acta Psychiatr Scand. 1998; 98:128-134.
- Arnold L.M. A case series of women with postpartum-onset obsessive-compulsive disorder. Primary Care Companion J Clin Psychiatry. 1999; 1:103-108.
- Samuels J, Nestadt G, Bienvenu J, Costa P.T, Riddle M.A, Liang K.Y, Hoehn-Saric R, Cullen B.A. Personality disorder and normal personality dimensions in obsessive-compulsive disorder. Br J Pychiatry. 2000; 177:457-462.
- Bejerot S, Ekselius L, von Knorring L. Comorbidity between obsessive-compulsive disorder (OCD) and personality disorders. Acta Psychiatr Scand. 1998; 97:398-402.
- Ross L.E, McLean L.M. Anxiety disorders during pregnancy and the postpartum period: A systematic review. J Clin Psychiatry. 2006; 67:1285-1298.
- Jennings K.D, Ross S, Popper S, Elmore M. Thoughts of harming infants in depressed and nondepressed mothers. J Affect Disord. 1999; 54 21-28.
- Wisner K.L, Peindl K.S, Gigliotti T, Hanusa B.H. Obsessions and compulsions in women with postpartum depression. J Clin Psychiatry. 1997; 60 176-180.
- Humenik A.L, Fingerhut R. A pilot study assessing the relationship between child harming thoughts and postpartum depression. J Clin Psychol Med Settings. 2007; 14:360-366.
- Fairbrother N, Woody S.R. New mothers’ thoughts of harm related to the newborn. Arch Womens Ment Health. 2008; 11:221-229.
- Abramowitz J.S, Meltzer-Brody S, Leserman J, Killenberg S, Rinaldi K, Mahaffey B.L, Pedersen C. Obsessional thoughts and compulsive behaviors in a sample of women with postpartum mood symptoms. Arch Womens Ment Health. 2010; 13:523-530.
- Leckman J.F, Mayes L.C, Feldman R, Evans D.W, King R.A, Cohen D.J. Early parental preoccupations and behaviors and their possible relationship to the symptoms of obsessive-compulsive disorder. Acta Psychiatr Scand, 1999; 100:1-26.
- Uguz F, Kaya V, Gezginc K, Kayhan F, Çiçek E. Clinical correlates worsening in obsessive-compulsive symptoms during pregnancy. Gen Hosp Psychiatry. 2011; 33:197-99.
- Vulink N.C, Denys D, Bus L, Westenberg H.G. Female hormones affect symptom severity in obsessive-compulsive disorder. Int Clin Psychopharmacol, 2006; 21:171-175.
- Uguz F, Gezginc K, Zeytinci I.E, Karatayli S, Karat ayli R, Askin R, Guler O, Gecici O. Course of obsessive-compulsive disorder during early postpartum period: a prospective analysis of 16 cases. Compr Psychiatry. 2007; 48:558-561.
- Uguz F, Kaya N, Sahingoz M, Cilli A.S, Akman C. One year follow up of postpartum-onset obsessive-compulsive disorder: A case series. Progress Neuro--Ppsychopharmacol Biol Psychiatry. 2008; 32:1091-1092.
Gebelik ve postpartum dönemde obsesif kompulsif bozukluğun epidemiyolojisi ve klinik özelikleri: Bir gözden geçirme
Year 2011,
Volume: 1 Issue: 4, 178 - 86, 01.04.2011
Faruk Uguz
Medine Gıynas Ayhan
Abstract
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.
References
- Bijl R.V, Ravelli A, van Zessen G. Prevalence of psychiatric disorder in the general population: results of the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Social Psychiatry Psychiatr Epidemiol. 1998; 33:587-595.
- Cho M.J, Kim J.K, Jeon H.J, Suh, T, Chung, I.W, Hong, J.P. et al. Lifetime and 12-month prevalence of DSM-IV psychiatric disorders among Korean adults. J Nerv Ment Dis. 2007; 195:203 210.
- Vicente B, Kohn R, Rioseco P, Saldivia S, Levav I, & Torres S. Lifetime and 12-month prevalence of DSM-III-R disorders in the Chile Psychiatric Prevalence Study. Am J Psychiatry. 2006; 163:1362-1370.
- Canino G.J, Bird H.R, Shrout P.E. et al. The prevalence of spesific psychiatric disorders in Puerto Rico. Arch Gen Psychiatry. 1987; 44:727-735.
- Kessler R.C, Berglund P, Demler O, Jim R, Merikangas KR, Walters E.E. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arc Gen Psychiatry. 2005; 62:593-602.
- Karno M, Golding J.M, Sorenson S.B, Burnam A. The epidemiology of obsessive-compulsive disorder in five US communities. Arch Gen Psychiatry. 1988; 45:1094-1099.
- Huppert J.D, Simpson H.B, Nissenson K.J, Liebowitz M.R, Foa E.B. Quality of life and functional impairment in obsessive-compulsive disorder: A comparison of patients with and without comorbidity, patients in remission, and healthy controls. Depress Anxiety. 2009; 26: 39-45.
- Kıvırcık Akdede B.B, Alptekin K, Akvardar Y, Kitis A. . Quality of life in patients with obsessive-compulsive disorder: Relations with cognitive functions and clinical symptoms. Turk Psikiyatri Derg. 2005; 16:13-19.
- Bobes J, Gonzalez M.P, Bascarân M.T, Arango C, Sâiz P.A, Bousono M. Quality of life and disability in patients with obsessive compulsive disorder. Eur Psychiatry. 2001; 16:239-245.
- Weissman M.M, Bland R.C, Canino G.J, Greenwald S, Hwu H.G, Lee C.K. et al. The cross national epidemiology of obsessive kompulsive disorder. J Clin Psychiatry. 1994; 55:5-10.
- Çilli A.S, Telcioğlu M, Aşkın R, Kaya N, Bodur S, Kucur R. Twelve month prevalence of obsessive-compulsive disorder in Konya, Turkey. Compr Psychiatry. 2004; 45:367-374.
- Burke K.C, Burke J.D, Regier D.A, Rae D.S. Age at onset of selected mental disorders in five community populations. Arch Gen Psychiatry. 1990; 47:511-518.
- Neziroglu F, Anemone R, Yaryura-Tobias J.A. Onset of obsessive compulsive disorder in pregnancy. Am J Psychiatry. 1992; 149:947 950.
- Sichel D.A, Cohen L.S, Dimmock J.A, Rosenbaum J.F. Postpartum obsessive-compulsive disorder: a case series. J Clin Psychiatry. 1993; 54156-159.
- Sichel D, Cohen L.S, Rosenbaum J.F, Driscoll J. Postpartum-onset obsessive-compulsive disorder. J Clin Psychiatry. 1993; 34:277 279.
- Hertzberg T, Leo R.J, Kim K.Y. Recurrent obsessive compulsive disorder associated with pregnancy and childbirth. Psychosomatics. 1997; 38:386-388.
- Chelmow D, Halfin V.P. Pregnancy complicated by obsessive compulsive disorder. J Matern Fetal Med. 1997; 6:31-34.
- Andersson L, Sundstrom-Poromaa I, Bixo M, Wulff M, Bondestam K, Astrom M. Point prevalence of psychiatric disorders during the second trimester of pregnancy: A population-based study. Am J Obstet Gynecol, 2003; 189:148-154.
- Andersson L, Sundstrom-Poromaa I, Wulff M, Astrom M, Bixo M. Depression and anxiety disorder during pregnancy and six months postpartum: a follow-up study. Acta Obstet Gynecol Scand. 2006; 85:937-944.
- Zar M, Wijma K, Wijma B. Relations between anxiety disorders and fear of childbirth during late pregnancy. Clin Psychol Psychother. 2002; 9:122-130.
- Sutter-Dallay A.L, Giaconne-Marcesche V, Glatigny-Dallay E, Verdeoux H. Women with anxiety disorders during pregnancy are at increased risk of intense postnatal depressive symptoms: a prospective survey of the MATQUID cohort. Eur Psychiatry. 2004; 19:459-463.
- Adewuya A.O, Ola B.A, Aloba O.O, Mapayi B.M. Anxiety disorders among Nigerian women in late pregnancy: a controlled study. Arch Womens Ment Health. 2006; 9:325-328.
- Felice E, Saliba J, Grech, V, Cox J, Calleja N. Antenatal psychiatric morbidity in Maltase women. Gen Hosp Psychiatry. 2007; 29:501 505.
- Borri, C., Mauri, M., Oppo, A., Banti, S., Rambelli, C., Ramacciotti, D., et al. (2008). Axis I psychopathology and functional impairment at the third month of pregnancy: results from the Perinatal Depression-Research and Screening Unit (PND-ReScU) Study. J Clin Psychiatry. 2008; 69:1617-1624. 25. Uguz F, Gezginc K, Zeytinci I.E, Karatayli S, Karatayli R, Aksin R, Guler O, Gecici O. Obsessive-compulsive disorder in pregnant women during the third trimester of pregnancy. Compr Psychiatry. 2007; 48:441-445.
- Chaudron L.H, Nirodi N. The obsessive-compulsive spectrum in the perinatal period: a prospective pilot study. Arch Womens Ment Health. 2010; 13:403-410.
- Fontenelle L.F, Mendlowicz MV, Versiani M. The descriptive epidemiology of obsessive-compulsive disorder. Progress Neuro psychopharmacol Biol Psychiatry. 2006; 30:327-337.
- Brockington I.F, Macdonald E, Wainscott G. Anxiety, obsessions and morbid preoccupations in pregnancy and puerperium. Arch Womens Ment Health. 2006; 9:253-263.
- Faisal-Cury A, Menezes P, Araya R, Zugaib M. Common mental disorders during pregnancy: prevalence and associated factros among low-income women in Sao Paulo, Brazil. Arch Womens Ment Health. 2009; 12:335-339.
- Wenzel A, Haugen E.N, Jackson L.C, Brendle J.R. Anxiety symptoms and disorders at eight weeks postpartum. J Anxiety Disord. 2005; 19:295-311.
- Wenzel A, Gorman L.L, O'Hara M.W, Stuart S. The occurence of panic and obsessive-compulsive symptoms in women with postpartum dsyphoria: a prospective study. Arch Womens Ment Health. 2001; 4:5-12.
- Navarro P, Garcia-Esteve L, Ascaso C, Aguado J, Gelabert E, Martin-Santos R. Non-psychotic psychiatric disorders after childbirth: Prevalence and comorbidity in a community sample. J Affect Disord. 2008; 109:171-176.
- Zambaldi C.F, Cantilino A, Montenegro A.C, Paes J.A, de Albuquerque T.L, Sougey E.B. Postpartum obsessive-compulsive disorder: prevalence and clinical characteristics. Compr Psychiatry. 2009; 50:503-509.
- Abramowitz J.S, Schwartz S.A, Moore K.M. Obsessional thouhts in postpartum females and their partners: content, severity, and relationship with depression. J Clin Psychol Med Settings. 2003; 10:157-164.
- Abramowitz J.S, Schwartz S.A, Moore K.M, Luenzmann K.R. Obsessive-compulsive symptoms in pregnancy and the puerperium: A review of the literature. J Anxiety Disord. 2003; 17:461-478.
- Abramowitz J.S, Nelson C.A, Rygwall R, Khandker M. The cognitive mediation of obsessive-compulsive symptoms: A longitidunal study. J Anxiety Disord. 2007; 21:91-104.
- Abramowitz J.S, Khandker M, Nelson C.A, Deacon B.J, Rygwall R. The role of cognitive factors in pathogenesis of obsessive compulsive symptoms: A prospective study. Behav Res Ther. 2006; 44: 361-1374.
- Andrade L, Walters E.E, Gentil V, Laurenti R. Prevalence of ICD 10 mental disorders in a cathcment area in the city of Sao Paulo, Brazil. Soc Psychiatry Psychiatr Epidemiol. 2002; 37:316-325.
- Vicente B, Kohn R, Rioseco P, Saldivia S, Baker C, Torres S. Population prevalence of psychiatric disorders in Chile: 6-month and 1-month rates. Br J Psychiatry. 2004; 84:299-305.
- Faravelli C, Degl'Innocenti B.G, Giardinelli L. Epidemiology of anxiety disorders in Florence. Acta Psychiatr Scand. 1989; 79:308-312.
- Faravelli C, Abrardi L, Bartolozzi D, Cecchi C, Cosci F, D'Adamo D, et al. The Sesto Fiorentino Study: Point and one-year prevalences of psychiatric disorders in an Italian community sample using clinical interviewers. Psychother Psychosomatics. 2004; 73:226-234.
- Gureje O, Lasebikan V.O, Kola L, & Makanjuola V.A. Lifetime and 12-month prevalence of mental disorders in the Nigerian Survey of Mental Health and well-being. Br J Psychiatry. 2006; 188:465-471.
- Uguz F, Gezginc K, Kayhan F, Sari S, Büyüköz D. Is pregnancy associated with mood and anxiety disorders? A cross-sectional study. Gen Hosp Psychiatry. 2010; 32:213-215.
- Vesga-Lopez O, Blanco C, Keyes K, Olfson M, Grant B.F, Hasin D. Psychiatric disorders in pregnant and postpartum women in United States. Arch Gen Psychiatry. 2008; 65: 805-815.
- Kitamura T, Yoshida K, Okano T, Kinoshita K, Hayashi M, Toyoda N, et al. Multicentre prospective study of perinatal depression in Japan: incidence and correlates of antenatal and postnatal depression. Arch Womens Ment Health. 2006; 9:121-130.
- Labad J, Menchon J.M, Alonso P, Segalas C, Jimenez S, Vallejo J. Female reproductive cycle and obsessive-compulsive disorder. J Clin Psychiatry. 2005; 66:428-435.
- Williams K.E, Koran L.M. Obsessive-compulsive disorder in pregnancy, the puerperium, and the prementruum. J Clin Psychiatry. 1997; 58: 330-334.
- Labad J, Alonso P, Segalas C, Reval E, Jimenez S, Bueno B, et al. Distinct correlates of hoarding and cleaning symptom dimensions in relation to onset of obsessive-compulsive disorder at menarche or perinatal period. Arch Womens Ment Health. 2010; 13:75-81.
- Forray A, Focseneanu M, Pittman B, McDougle C.J, Epperson C.N. Onset and exacerbation of obsessive-compulsive disorder in pregnancy and the postpartum period. J Clin Psychaitry. 2010; 71:1061-1068.
- Kalra H, Tandon R, Trivedi J.K, Janca A. Pregnancy-induced obsessive-compulsive disorder: a case report. Ann Gen Psychiatry. 2005;4: 12.
- Uguz F, Akman C, Kaya N, Cilli A.S. Postpartum-onset obsessive compulsive disorder: Incidence, clinical features, and related factors. J Clin Psychiatry. 2007; 68: 132-138.
- Mirsi S, Milis L. Obsessive-compulsive disorder in the postpartum. Open-label trial of quetiapine augmentation. J Clin Psychopharmacol. 2004; 24:624-627.
- Maina G, Albert U, Bogetto F, Vaschetto P, Ravizza L. et al. Recent life events and obsessive-compulsive disorder (OCD): the role of pregnancy delivery. Psychiatry Res. 1999; 89:49-58.
- Matsunaga H, Kiriike N, Miyata A, Iwasaki Y, Matsui T, Nagata T, Takei Y, Yamagami S. Personality disorders in patients with obsessive-compulsive disorder in Japan. Acta Psychiatr Scand. 1998; 98:128-134.
- Arnold L.M. A case series of women with postpartum-onset obsessive-compulsive disorder. Primary Care Companion J Clin Psychiatry. 1999; 1:103-108.
- Samuels J, Nestadt G, Bienvenu J, Costa P.T, Riddle M.A, Liang K.Y, Hoehn-Saric R, Cullen B.A. Personality disorder and normal personality dimensions in obsessive-compulsive disorder. Br J Pychiatry. 2000; 177:457-462.
- Bejerot S, Ekselius L, von Knorring L. Comorbidity between obsessive-compulsive disorder (OCD) and personality disorders. Acta Psychiatr Scand. 1998; 97:398-402.
- Ross L.E, McLean L.M. Anxiety disorders during pregnancy and the postpartum period: A systematic review. J Clin Psychiatry. 2006; 67:1285-1298.
- Jennings K.D, Ross S, Popper S, Elmore M. Thoughts of harming infants in depressed and nondepressed mothers. J Affect Disord. 1999; 54 21-28.
- Wisner K.L, Peindl K.S, Gigliotti T, Hanusa B.H. Obsessions and compulsions in women with postpartum depression. J Clin Psychiatry. 1997; 60 176-180.
- Humenik A.L, Fingerhut R. A pilot study assessing the relationship between child harming thoughts and postpartum depression. J Clin Psychol Med Settings. 2007; 14:360-366.
- Fairbrother N, Woody S.R. New mothers’ thoughts of harm related to the newborn. Arch Womens Ment Health. 2008; 11:221-229.
- Abramowitz J.S, Meltzer-Brody S, Leserman J, Killenberg S, Rinaldi K, Mahaffey B.L, Pedersen C. Obsessional thoughts and compulsive behaviors in a sample of women with postpartum mood symptoms. Arch Womens Ment Health. 2010; 13:523-530.
- Leckman J.F, Mayes L.C, Feldman R, Evans D.W, King R.A, Cohen D.J. Early parental preoccupations and behaviors and their possible relationship to the symptoms of obsessive-compulsive disorder. Acta Psychiatr Scand, 1999; 100:1-26.
- Uguz F, Kaya V, Gezginc K, Kayhan F, Çiçek E. Clinical correlates worsening in obsessive-compulsive symptoms during pregnancy. Gen Hosp Psychiatry. 2011; 33:197-99.
- Vulink N.C, Denys D, Bus L, Westenberg H.G. Female hormones affect symptom severity in obsessive-compulsive disorder. Int Clin Psychopharmacol, 2006; 21:171-175.
- Uguz F, Gezginc K, Zeytinci I.E, Karatayli S, Karat ayli R, Askin R, Guler O, Gecici O. Course of obsessive-compulsive disorder during early postpartum period: a prospective analysis of 16 cases. Compr Psychiatry. 2007; 48:558-561.
- Uguz F, Kaya N, Sahingoz M, Cilli A.S, Akman C. One year follow up of postpartum-onset obsessive-compulsive disorder: A case series. Progress Neuro--Ppsychopharmacol Biol Psychiatry. 2008; 32:1091-1092.