PDF(Pubmed)
Abstract：
The perinatal period is one of increased vulnerability to parents experiencing the onset of, or an increase of existing, obsessive-compulsive disorder (OCD) symptoms. Existing OCD and perinatal mental health best practice guidelines do not detail specific considerations relevant to OCD in the perinatal period (\'Perinatal OCD\'). Perinatal OCD risks being undiagnosed or misdiagnosed, and subsequently untreated or mistreated, with potential negative impacts for individuals and families experiencing this problem, highlighting the importance of specific guidance. This study employed a modified Delphi survey methodology to establish recommended best practice for the assessment and treatment of perinatal OCD. A literature review identified 103 initial best practice recommendations, and participants suggested 18 further recommendations. These recommendations were rated for importance over three survey rounds by two expert panels, comprising of 15 professionals with clinical or research expertise in perinatal OCD and 14 consumers with lived experience of perinatal OCD. One-hundred and two statements were endorsed for inclusion in the final set of recommendations for clinical best practice with perinatal OCD. These recommendations inform practice across eight themes; psychoeducation, screening, assessment, differential diagnosis, case care considerations, treatment, partners & families, and culture & diversity. This novel study is the first to collate and outline a set of clinical best practice recommendations, developed using the consensus perspectives of both individuals with lived experience and professionals with relevant expertise, for supporting individuals with perinatal OCD and their families. Differences between panel perspectives, and directions for future research are also discussed.
摘要：
围产期是父母经历的增加的脆弱性之一，或者增加现有的，强迫症（OCD）症状。现有的OCD和围产期心理健康最佳实践指南没有详细说明与围产期OCD相关的具体考虑因素（“围产期OCD”）。围产期强迫症有未诊断或误诊的风险，随后未经治疗或虐待，对遇到这个问题的个人和家庭有潜在的负面影响，强调具体指导的重要性。这项研究采用了改良的德尔菲调查方法，以建立评估和治疗围产期强迫症的推荐最佳实践。文献综述确定了103项初始最佳实践建议，与会者提出了18项进一步建议。两个专家小组在三轮调查中对这些建议的重要性进行了评级，由15名具有围产期OCD临床或研究专业知识的专业人员和14名具有围产期OCD生活经验的消费者组成。一百零二份声明被批准纳入围产期OCD临床最佳实践的最终建议。这些建议为八个主题的实践提供了信息；心理教育，筛选,评估，鉴别诊断,病例护理考虑因素，治疗,合作伙伴和家庭,文化和多样性。这项新颖的研究是第一个整理和概述一套临床最佳实践建议，使用具有生活经验的个人和具有相关专业知识的专业人士的共识观点开发，支持围产期强迫症患者及其家人。面板透视图之间的差异，并对未来的研究方向进行了讨论。
