Abstract
The postpartum period has been associated with elevated rates of onset of obsessive-compulsive disorder (OCD) among women, with a prevalence of 2–9%. Postpartum OCD is often characterized by recurrent, unwanted, and highly distressing thoughts, images, or impulses of deliberate infant harm. This study investigated health practitioners’ recognition of, and clinical management strategies for, postpartum obsessive-compulsive symptoms (OCS). Ninety-four perinatal health practitioners from a range of disciplines and professional backgrounds completed a survey comprised of a hypothetical case vignette and questions eliciting their responses to a clinical presentation of postpartum infant harming obsessions. Almost 70% of participants did not accurately identify OCS within the case. Furthermore, the majority of practitioners endorsed at least one contraindicated clinical management strategy likely to aggravate postpartum OCS. Accurate recognition of OCS was associated with the selection of fewer contraindicated strategies. Some aspects of practitioner training and experience were associated with correct OCS identification. These findings underscore the need for targeted, interdisciplinary education to improve the detection and management of women experiencing postpartum OCS.
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The authors wish to thank the health practitioners who participated in this study.
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This study was completed as part of the first author’s PhD studies, supported through an Australian Government Research Training Program Scholarship.
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Participants provided informed written consent prior to undertaking the study. Approval was obtained from the Curtin University Human Research Ethics Committee before the study was commenced.
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Mulcahy, M., Rees, C., Galbally, M. et al. Health practitioners’ recognition and management of postpartum obsessive-compulsive thoughts of infant harm. Arch Womens Ment Health 23, 719–726 (2020). https://doi.org/10.1007/s00737-020-01026-y
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DOI: https://doi.org/10.1007/s00737-020-01026-y