Obsessive-compulsive disorder in the perinatal period: Epidemiology, phenomenology, pathogenesis, and treatment

Álvaro Frías; Carolina Palma; Francisco Barón; Paloma Varela; Ana Álvarez; Ana Salvador

doi:10.6018/analesps.31.1.168511

Obsessive-compulsive disorder in the perinatal period: Epidemiology, phenomenology, pathogenesis, and treatment

Título traducido de la contribución: Trastorno obsesivo-compulsivo durante el período perinatal: Epi-demiología, fenomenología, etiopatogenia y tratamiento

Álvaro Frías^*
, Carolina Palma
, Francisco Barón
, Paloma Varela
, Ana Álvarez
, Ana Salvador

^*Autor/a de correspondencia de este trabajo

Producción científica: Artículo en revista indizada › Artículo › revisión exhaustiva

13 Citas (Scopus)

Resumen

El objetivo de la presente revisión teórica es describir los prin-cipales hallazgos e investigaciones sobre el trastorno obsesivo-compulsivo (TOC) durante el período perinatal. Por una parte, los estudios epidemioló-gicos señalan que enesta etapa aumenta el riesgo de debut y/o exacerba-ción del TOC, especialmente en el puerperio. A nivel fenomenológico, pre-dominan las obsesiones agresivas y de contaminación relacionadas con la figura del feto o neonato. En cuanto a su etiopatogenia, existen evidencias indirectas para postular la participación de variables neuroendocrinas (p.e. esteroides gonadales femeninos y oxitocina) y cognitivo-conductuales (p.e. hiperresponsabilidad, sobreestimación de la amenaza y control mental), siendo necesaria una mayor contrastación empírica de estos correlatos y/o factores de vulnerabilidad específicos. En el ámbito interventivo, se carece de ensayos clínicos aleatorizados con grupo control adaptados a las caracte-rísticas idiosincrásicas de este subgrupo de sujetos con TOC. Así mismo, se destaca el papel de la terapia cognitivo-conductual (TCC) en el marco de la prevención primaria selectiva.

Título traducido de la contribución	Trastorno obsesivo-compulsivo durante el período perinatal: Epi-demiología, fenomenología, etiopatogenia y tratamiento
Idioma original	Inglés
Páginas (desde-hasta)	1-7
Número de páginas	7
Publicación	Anales de Psicologia
Volumen	31
N.º	1
DOI	https://doi.org/10.6018/analesps.31.1.168511
Estado	Publicada - 2015

Palabras clave

trastorno obsesivo-compulsivo durante el período perinatal
epidemiología
fenomenología
etiopatogenia
tratamiento

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10.6018/analesps.31.1.168511

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abstract = "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.",

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AU - Álvarez, Ana

AU - Salvador, Ana

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Obsessive-compulsive disorder in the perinatal period: Epidemiology, phenomenology, pathogenesis, and treatment

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