TY - JOUR
T1 - Obsessive-compulsive disorder in the perinatal period
T2 - Epidemiology, phenomenology, pathogenesis, and treatment
AU - Frías, Álvaro
AU - Palma, Carolina
AU - Barón, Francisco
AU - Varela, Paloma
AU - Álvarez, Ana
AU - Salvador, Ana
N1 - Publisher Copyright:
© 2015: Servicio de Publicaciones de la Universidad de Murcia.
PY - 2015
Y1 - 2015
N2 - The aim of this review is to describe the main theoretical find-ings and research conclusions about obsessive-compulsive disorder (OCD) in the perinatal period. On one hand, epidemiological studies show that the risk of OCD onset and/or exacerbation could increase in this period, par-ticularly in the puerperium. Phenomenologically, in this stage aggressive and contamination obsessions are very common and are related to the fe-tus or newborn. On the other hand, regarding OCD pathogenesis in this period, there is indirect evidence to suggest the participation of neuroendo-crine (e.g. female gonadal steroids and oxytocin) and cognitive behavioural variables (e.g. hyper-responsibility, threat overestimation, and mental con-trol). In terms of research, more empirical studies are needed to contrast these specific vulnerability factors. Moreover, no empirically validated psy-chotherapeutic treatments (controlled trials) adapted to this OCD sub-group were found, although some studies highlight the role of cognitive behavioural therapy (CBT) as an effective intervention in the context of se-lective primary prevention.
AB - The aim of this review is to describe the main theoretical find-ings and research conclusions about obsessive-compulsive disorder (OCD) in the perinatal period. On one hand, epidemiological studies show that the risk of OCD onset and/or exacerbation could increase in this period, par-ticularly in the puerperium. Phenomenologically, in this stage aggressive and contamination obsessions are very common and are related to the fe-tus or newborn. On the other hand, regarding OCD pathogenesis in this period, there is indirect evidence to suggest the participation of neuroendo-crine (e.g. female gonadal steroids and oxytocin) and cognitive behavioural variables (e.g. hyper-responsibility, threat overestimation, and mental con-trol). In terms of research, more empirical studies are needed to contrast these specific vulnerability factors. Moreover, no empirically validated psy-chotherapeutic treatments (controlled trials) adapted to this OCD sub-group were found, although some studies highlight the role of cognitive behavioural therapy (CBT) as an effective intervention in the context of se-lective primary prevention.
KW - trastorno obsesivo-compulsivo durante el período perinatal
KW - epidemiología
KW - fenomenología
KW - etiopatogenia
KW - tratamiento
KW - Obsessive-compulsive disorder
KW - perinatal period
KW - primary prevention
KW - cognitive behavioural therapy
KW - theoretical study
UR - http://www.scopus.com/inward/record.url?scp=84920947671&partnerID=8YFLogxK
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=pure_univeritat_ramon_llull&SrcAuth=WosAPI&KeyUT=WOS:000346819000001&DestLinkType=FullRecord&DestApp=WOS_CPL
U2 - 10.6018/analesps.31.1.168511
DO - 10.6018/analesps.31.1.168511
M3 - Article
AN - SCOPUS:84920947671
SN - 0212-9728
VL - 31
SP - 1
EP - 7
JO - Anales de Psicologia
JF - Anales de Psicologia
IS - 1
ER -