Pregnancy-induced obsessive compulsive disorder a case report 英文参考文献.docVIP

Annals of General Psychiatry BioMedCentral Case report Open Access Pregnancy-induced obsessive compulsive disorder: a case report Harish Kalra1, Rajul Tandon2, Jitendra kumar Trivedi3 and Aleksandar Janca*1,4 Address: 1Department of Psychiatry, Royal Perth Hospital, Perth WA 6000, Australia, 2Grampians Psychiatric Services, Ballarat Health Services, Ballarat VIC 3350, Australia, 3Department of Psychiatry, King George Medical University, Lucknow – 226003, U.P., India and 4University of Western Australia, School of Psychiatry and Clinical Neurosciences, Perth WA 6000, Australia Email: Harish Kalra - kalra_harish@; Rajul Tandon - rajultandon@; Jitendra kumar Trivedi - jktrivedi@; Aleksandar Janca* - ajanca@.au * Corresponding author Published: 15 June 2005 Received: 17 May 2005 Accepted: 15 June 2005 Annals of General Psychiatry 2005, 4:12 doi:10.1186/1744-859X-4-12 This article is available from: /content/4/1/12 ? 2005 Kalra et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Pregnancy is a well-recognised risk factor in precipitating obsessive-compulsive disorder. We present and discuss a case with the onset of obsessive-compulsive disorder in the fourth month of gestation, which fully recovered two weeks after delivery. The phenomenology of the observed disorder was similar to earlier reports of obsessive-compulsive disorder in pregnancy, i.e. the obsessions and compulsions were predominantly related to the concern of contaminating the foetus resulting in washing compulsions. Despite the initial success with anti-obsessional drugs, the patient stopped the medication in the last month of gestation. Nevertheless, she fully recovered two weeks after the delivery without a