Obsessive-compulsive symptoms in pregnancy and the puerperium:
Abstract
In this article, we review the available research on postpartum obsessive-compulsive disorder (OCD). Most studies are retrospective in nature, thus not answering questions as to overall prevalence of such symptoms. However, there are consistent findings with regard to symptom profile: obsessional thoughts in postpartum OCD tend to concern fears of harm to the infant. We discuss distinctions between postpartum OCD symptoms and postpartum depression and psychosis. Although preliminary, research on treatments for postpartum OCD indicates the effectiveness of medications and cognitive-behavioral therapy. We explore the relationship between OCD symptoms and postpartum depression and offer possible directions for future study. We also consider the proposed etiological models and offer a fresh conceptualization of this condition.
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Women with OCD but without psychosis or severe personality disorder are not at increased risk of aggressive harm to their infants.
“Women with OCD without psychosis or severe personality disorder have no increased risk of aggressive harm to their infants [21,43,45].”
From Perinatal mental illness: Definition, description and aetiology (2014) · cites this paper as [45]
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- Authors
- Abramowitz, J. S., Schwartz, S. A., Moore, K. M., & Luenzmann, K. R.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Abramowitz, Jonathan S
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2003-01
- Volume
- 17
- Issue
- 4
- Pages
- 461-478
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W169283672
- Cited by
- 242
- References
- 48
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 5 · 2023: 6 · 2022: 12 · 2021: 11 · 2020: 10 · 2019: 13 · 2018: 5 · 2017: 18 · 2016: 10 · 2015: 24 · 2014: 9 · 2013: 10 · 2012: 9
- FWCI
- 4.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- postpartum obsessive-compulsive disorder, obsessive-compulsive symptoms, pregnancy, postpartum period, obsessional thoughts, postpartum depression, postpartum psychosis, cognitive behavioral therapy, pharmacotherapy, etiology, symptom profiles
- MeSH terms
- Adult, Major Depressive Disorder, Diagnosis, Differential, Female, Humans, Obsessive-Compulsive Disorder, Pregnancy, Retrospective Studies, Severity of Illness Index, Comorbidity, Prevalence, Depression, Postpartum
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