产前强迫观念预测产后强迫症状：一项前瞻性研究。
Prenatal obsessive beliefs predict postpartum obsessive-compulsive symptoms: a prospective study.
作者信息
Abramowitz Jonathan S, Hellberg Samantha N, Krasnow Janice, Friedman Joseph B, Myers Nicholas S, Nestadt Paul S, Ojalehto Heidi J, Juel Emily K, Samuels Jack, Kimmel Mary E, Osborne Lauren M, Storch Eric A, Nestadt Gerald, Musci Rashelle J
机构信息
Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
出版信息
Psychiatry Res. 2025 Jun 30;351:116620. doi: 10.1016/j.psychres.2025.116620.
This longitudinal study examined whether specific cognitive patterns during pregnancy predict postpartum obsessive-compulsive (OC) symptoms. A diverse sample of 256 women was assessed at 20 weeks of pregnancy (Time 1), 6 weeks postpartum (Time 2; n = 233), and 6 months postpartum (Time 3; n = 231). At each point, participants completed interview and/or self-report measures of OC symptoms, psychological distress, and obsessive beliefs (i.e., cognitive patterns related to OC symptoms). Postpartum OC symptoms were common, reported by 87.1 % at Time 2 and 74.5 % at Time 3. Stronger prenatal obsessive beliefs during pregnancy predicted greater postpartum OC symptom severity and higher likelihood of an OCD diagnosis at Time 3, even after controlling for baseline OC symptoms and distress. Findings highlight the clinical importance of prenatal cognitive risk factors and support cognitive-behavioral models of postpartum OCD.
这项纵向研究考察了孕期特定的认知模式是否能预测产后强迫症（OC）症状。对256名女性的多样化样本在妊娠20周（时间1）、产后6周（时间2；n = 233）和产后6个月（时间3；n = 231）进行了评估。在每个时间点，参与者完成了关于OC症状、心理困扰和强迫观念（即与OC症状相关的认知模式）的访谈和/或自我报告测量。产后OC症状很常见，在时间2有87.1%的人报告有该症状，在时间3为74.5%。即使在控制了基线OC症状和困扰之后，孕期较强的产前强迫观念仍能预测产后OC症状在时间3时更严重以及被诊断为强迫症的可能性更高。研究结果凸显了产前认知风险因素的临床重要性，并支持产后强迫症的认知行为模型。
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