Parenting and mother-infant interactions in the context of maternal postpartum obsessive-compulsive disorder: Effects of obsessional symptoms and mood |
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| Institution: | 1. Department of Psychiatry, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey;2. Department of Neonatology, Konya Research and Training Hospital, Konya, Turkey;3. Department of Obstetrics and Gynecology, Konya Research and Training Hospital, Konya, Turkey;4. Department of Obstetrics and Gynecology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey;5. Department of Biochemistry, Konya Research and Training Hospital, Konya, Turkey;6. Department of Biochemistry, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey;1. Department of Psychology, Loyola University, Baltimore, MD;2. Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD;3. Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD;4. Department of Psychiatry and Human Behavior, Brown Medical School, Butler Hospital, Providence, Rhode Island;5. Department of Psychiatry, College of Physicians and Surgeons at Columbia University and the New York State Psychiatric Institute, New York City, NY;6. Department of Psychiatry, University of Southern California School of Medicine, Los Angeles, CA;7. Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, School of Medicine, Los Angeles, CA;8. Department of Psychiatry, Harvard Medical School, Boston, MA;9. Department of Psychiatry and Psychiatric and Neurodevelopmental Genetics Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA;10. Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver;11. Laboratory of Clinical Science, National Institute of Mental Health, National Institute of Health, Bethesda, MD;12. Unit of Statistical Genomics, Division of Intramural Research, National Institute of Mental Health, Bethesda, MD;1. Neuroscience Graduate Program, McMaster University, Ontario, Canada;2. Women''s Health Concerns Clinic, St. Joseph''s Healthcare Hamilton, Ontario, Canada;3. Department of Psychology, Neuroscience, and Behaviour, McMaster University, Ontario, Canada;4. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Ontario, Canada;5. Mood Disorders Program, St. Joseph''s Healthcare Hamilton, Ontario, Canada;1. Department of Family Medicine, University of Michigan, 1018 Fuller Street, Ann Arbor, MI 48104-1213;2. Department of Obstetrics and Gynecology, University of Michigan, 1018 Fuller Street, Ann Arbor, MI 48104-1213;3. Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA;4. Women and Infants Mental Health Clinic, Department of Psychiatry, University of Michigan;5. Department of Family Medicine and Department of Biostatistics University of Michigan |
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| Abstract: | BackgroundMaternal mental illness is associated with negative effects on the infant and child. Increased attention has been paid to the effects of specific perinatal disorders on parenting and interactions as an important mechanism of influence. OCD can be a debilitating disorder for the sufferer and those around them. Although OCD is a common perinatal illness, no previous studies have characterized parenting and mother infant interactions in detail for mothers with OCD.Methods37 mothers with postpartum OCD and a 6 month old infant were compared with 37 community control dyads on a variety of measures of psychological distress and parenting. Observed mother-infant interactions were assessed independently.ResultsObsessions and compulsions were reported in both groups, although they did not cause interference in the control group. Mothers with OCD were troubled by their symptoms for a mean of 9.6 hours/day. Mothers with OCD were less confident, reported more marital distress and less social support than healthy peers and were less likely to be breastfeeding. Infant temperament ratings did not differ. Mothers with OCD were rated as less sensitive in interactions than the comparison group, partly attributable to levels of concurrent depression.ConclusionsMaternal postpartum OCD is a disorder that can affect experiences of parenting and mother-infant interactions although this may not be driven by OCD symptoms. Longitudinal studies are required to assess the trajectory and impact of maternal difficulties as the infant develops. |
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| Keywords: | Postpartum Anxiety Obsessive-compulsive disorder Depression Mother-infant interactions Parenting |
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