Abstract:
In a community sample of trauma-exposed postpartum individuals (N = 167; mean age = 30, 90% White; 61.7% completed bachelor\'s degree or higher) longitudinally completed self-report measures on PTSD, depressive, and Obsessive-compulsive disorder (OCD) symptoms (specifically checking, ordering, washing, and obsessing symptoms), preoccupation with intrusive postpartum thoughts/neutralising strategies, and trauma exposure at 4 and 12 weeks postpartum. PTSD symptoms were strongly associated with all OCD symptoms (r = 0.32- 0.49, p < 0.001), preoccupation with postpartum-specific intrusive thoughts (r = 0.32-0.45, p < 0.001), and preoccupation with neutralising strategies (r = 0.21-0.29, p < 0.05) at both time points. PTSD symptoms were also predictive of checking and obsessing symptoms. This study identified PTSD symptoms as a new correlate for preoccupation with postpartum-specific intrusive thoughts and neutralising strategies in the postpartum period in a community sample. These findings add to the evidence suggesting a strong association between PTSD and OCD symptoms across the lifespan, including in non-clinical samples. Future research should examine best practices to assess and treat a variety of postpartum psychopathology symptoms, not just depression.
摘要:
在创伤暴露产后个体的社区样本中(N=167;平均年龄=30,90%白人;61.7%完成学士学位或更高)纵向完成了创伤后应激障碍的自我报告措施,抑郁,和强迫症(OCD)症状(特别是检查,ordering,washing,和痴迷症状),专注于侵入性产后思维/中和策略,和创伤暴露在产后4周和12周。PTSD症状与所有强迫症症状密切相关(r=0.32-0.49,p<0.001)。关注产后特定的侵入性思维(r=0.32-0.45,p<0.001),并且在两个时间点都专注于中和策略(r=0.21-0.29,p<0.05)。PTSD症状也可以预测检查和困扰症状。这项研究将PTSD症状确定为社区样本中产后特定的侵入性思维和中和策略的新关联。这些发现增加了证据,表明在整个生命周期中,PTSD和OCD症状之间存在很强的关联,包括非临床样本。未来的研究应该检查最佳实践,以评估和治疗各种产后精神病理学症状,不仅仅是抑郁症。