Vasileiou Ekaterini, Fexi Panagiota, Spyropoulou Areti, Mourikis Iraklis, Chalimourdas Theodoros, Zervas Ioannis
Women's Mental Health Clinic, First Department of Psychiatry, Eginition Hospital, Medical School, Athens University, Greece.
Special Practice of Obsessive-compulsive and related disorders, First Department of Psychiatry, Eginition Hospital, Medical School, Athens University, Greece.
Psychiatriki. 2022 Mar 28;33(1):39-48. doi: 10.22365/jpsych.2022.071. Epub 2022 Feb 21.
Literature findings are limited and inconsistent on the relationship between obsessive beliefs and obsessive-compulsive symptoms (OCS) and to our knowledge no data are available in pregnant population. Additionally, an interesting field that has not been adequately studied is the relationship between obsessive-compulsive personality traits and OCS while there are no corresponding studies in perinatal period. The aims of the study were to examine the relationship between OCS presented in pregnancy and obsessive beliefs considered to underlie them as well as their association with obsessive-compulsive personality traits. 30 pregnant women with OCS, regardless of their underlying diagnosis, were recruited from a University Psychiatric Hospital and privately. They completed the Mini International Neuropsychiatric Interview (MINI), the Yale-Brown Obsessive- Compulsive Scale (Y-BOCS), the Dysfunctional Beliefs Questionnaire-44 (OBQ-44), the Leyton Trait Scale and the Hospital Anxiety and Depression Scale (HADS). The main symptoms were aggression (73.3%), contamination (53.3%) obsessions and cleansing/washing (50%), checking (43.3%) compulsions. Pregnant women with obsessive-compulsive personality traits displayed symmetry/exactness obsessions (p=0.020) and cleansing/washing (p=0.011) compulsions as predominant types of OCS and greater severity of compulsions (p=0.049). The results of the logistic regression model suggest that obsessive beliefs of importance/control of thoughts and of responsibility/threat estimation predicted OCS while the belief of perfectionism/certainty did not predict any dimension of OCS. It is noteworthy that most observed relationships between obsessive beliefs and OCS remained even after controlling for variables of anxiety and depression, suggesting that obsessive beliefs have a specific relationship with OCS which is independent of other forms of psychopathology. Depressive symptoms comorbidity increased OCS severity, while in comorbidity with anxiety symptoms no difference in severity of OCS was found. Further research is needed to test our findings in larger and more diverse samples.
关于强迫观念与强迫症状（OCS）之间的关系，文献研究结果有限且不一致，据我们所知，尚无针对孕妇群体的数据。此外，一个尚未得到充分研究的有趣领域是强迫型人格特质与OCS之间的关系，而围产期尚无相应研究。本研究的目的是探讨孕期出现的OCS与被认为是其潜在原因的强迫观念之间的关系，以及它们与强迫型人格特质的关联。从一所大学精神病医院及私立渠道招募了30名患有OCS的孕妇，无论其潜在诊断如何。她们完成了《迷你国际神经精神病学访谈》（MINI）、《耶鲁-布朗强迫量表》（Y-BOCS）、《功能失调信念问卷-44》（OBQ-44）、《莱顿特质量表》和《医院焦虑抑郁量表》（HADS）。主要症状为攻击性（73.3%）、污染（53.3%）强迫观念以及清洁/洗涤（50%）、检查（43.3%）强迫行为。具有强迫型人格特质的孕妇表现出对称/精确强迫观念（p = 0.020）和清洁/洗涤（p = 0.011）强迫行为，是OCS的主要类型，且强迫行为的严重程度更高（p = 0.049）。逻辑回归模型的结果表明，对思想的重要性/控制以及责任/威胁评估的强迫观念可预测OCS，而完美主义/确定性信念无法预测OCS的任何维度。值得注意的是，即使在控制了焦虑和抑郁变量之后，大多数观察到的强迫观念与OCS之间的关系仍然存在，这表明强迫观念与OCS存在特定关系，独立于其他形式的精神病理学。抑郁症状共病会增加OCS的严重程度，而与焦虑症状共病时，OCS严重程度无差异。需要进一步研究以在更大、更多样化的样本中验证我们的发现。
