When we hear “postpartum” it is usually followed by “depression”. While the postpartum period IS often associated with depression, other disorders are overlooked. Outside the scope of obsessions harming infants, the effects of Obsessive-Compulsive Disorder (OCD) have limited investigation into pregnancy and the postpartum period. This is concerning for two reasons. One, research shows that obsessive compulsive symptoms (OCSs) can be as severely debilitating as other disorders, including schizophrenia. Two, clinical research reflects psychological disorders, commonly depression, cause poor infant outcomes. It is alarming OCD is often overlooked due to the potential impact on infant outcomes. Pregnancy and parenthood constitute major events that create major life obstacles. Studies show these periods can create a greater risk of causing and increasing the severity of OCSs. OCSs are associated with the overall well-being of the infant (House et al., 2015).
House et al. (2015) examined if preexisting OCSs increased throughout the perinatal period. Researchers followed 56 women diagnosed with OCD over a period of 52 weeks postpartum. The study relied on assessment measures for OCD and follow-up with clinicians. Researchers found the severity of OCSs did not increase or fluctuate throughout the pregnancy and postpartum period, unlike other disorders. Maternity age and delivery method were both associated with predictors of increased OCSs. Women who gave birth having a cesarean section showed an increase in OCSs postpartum, and younger woman were associated more with OCSs. Future studies would replicate this data and include comorbid disorders.
By Perry Leynor, MA, LPC-A – Behavior Therapist with Better Living Center for Behavioral Health
House SJ., Tripathi SP., Knight BT., Morris N., Newport DJ., Stowe ZN. (2015). Obsessive-compulsive disorder in pregnancy and the postpartum period: Course of illness and obstetrical outcome. https://pubmed.ncbi.nlm.nih.gov/26173597/
According to Google Trends, “Mindfulness” has become an increasingly popular search term over the past decade, and a variety of resources are available to date, including books, blogs, videos, and courses. In addition to its popularity, mindfulness has been studied empirically and become an evidence-based treatment for common problems such as anxiety and depression. Generally speaking, mindfulness involves bringing intentional focus to the present moment and observing the things you are experiencing at that moment for what they are, without judgment. Your observations may involve noticing thoughts, feelings, or bodily sensations. Mindfulness interventions are commonly carried out in person, but this form of intervention is difficult for people who live in rural areas and has become particularly challenging due to the COVID-19 pandemic which has restricted social interactions. Fortunately, a group of researchers found that the positive effects of mindfulness could also be achieved via an online platform.
In 2013, Krusche and colleagues evaluated the effects of a web-based mindfulness course for stress, anxiety, and depression with 273 participants. The authors developed 10 online interactive sessions led by mindfulness instructors, and participants participated for at least 4 weeks, but the course was designed to follow the same sequence as an 8-week mindfulness course. Participants were also given audio and video clips for guided meditation and assigned work to complete outside of sessions, including informal practice of mindfulness (i.e., being present while doing an everyday task such as washing the dishes). After the course had ended, results showed significant decreases in scores related to stress, anxiety, and depression, and these effects maintained at a 1-month follow up. The results of this study are promising and suggest that many people experiencing emotional challenges during this time might benefit from online interventions such as telehealth and video-based mindfulness instruction and guide practice.
Krusche, A., Cyhlarova, E., & Williams, J. M. G. (2013). Mindfulness online: An evaluation of the feasibility of a web-based mindfulness course for stress, anxiety and depression. BMJ Open Science. doi:10.1136/bmjopen-2013-003498