A Panel Network Analysis of Posttraumatic Stress Disorder and Obsessive-Compulsive Disorder Symptoms Across the Perinatal Period.
The perinatal period is marked by a higher risk of experiencing depressive, anxiety, and/or trauma-related symptoms, a phenomenon that affects millions of individuals each year. Obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD) symptoms commonly co-occur but have rarely be...
| Publicado en: | Journal of Psychopathology & Clinical Science Vol. 133; no. 6; pp. 445 - 456 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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American Psychological Association
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=178736257&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 178736257 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 27697541 MXAZ jtl: Journal of Psychopathology & Clinical Science issn: 27697541 maglogo: N pubinfo: dt: Aug2024 vid: 133 iid: 6 pid: 34 pub: American Psychological Association artinfo: ui: 178736257 10.1037/abn0000916 ppf: 445 ppct: 11 formats: tig: atl: A Panel Network Analysis of Posttraumatic Stress Disorder and Obsessive-Compulsive Disorder Symptoms Across the Perinatal Period. aug: au: Miller, Michelle L. Hsu, Ti Markon, Kristian E. Grekin, Rebecca Thomas, Emily B. K. affil: Department of Psychiatry, Indiana University School of Medicine Department of Psychological and Brain Sciences, University of Iowa Department of Psychology, University of Minnesota Twin Cities su: Medical personnel Obsessive-compulsive disorder Post-traumatic stress disorder Vector autoregression model Academic medical centers Perinatal period sug: subj: Medical personnel Obsessive-compulsive disorder Post-traumatic stress disorder Vector autoregression model Academic medical centers Perinatal period keyword: network analysis obsessive-compulsive disorder postpartum period posttraumatic stress disorder pregnancy network analysis obsessive-compulsive disorder postpartum period posttraumatic stress disorder pregnancy ab: The perinatal period is marked by a higher risk of experiencing depressive, anxiety, and/or trauma-related symptoms, a phenomenon that affects millions of individuals each year. Obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD) symptoms commonly co-occur but have rarely been examined together beyond prevalence estimates in the perinatal period. Our study aimed to explore patterns of associations among OCD and PTSD symptoms to elucidate within- and between-person effects and how these effects may change over time. Participants (N = 270) were recruited during pregnancy from an academic medical center affiliated with a midwestern university. PTSD, OCD, and depressive symptoms were assessed at pregnancy, 4, 8, and 12 weeks postpartum. A panel graphical vector autoregression model was used to estimate networks. The temporal network provided information regarding directed predictive effects between symptoms, and hyperarousal, neutralizing, and ordering were the most stable and predictive symptoms across time. The contemporaneous network, which yields undirected partial correlations between symptoms at a given moment, indicated that there were positive associations between intrusions and avoidance, hyperarousal and negative alterations in cognitions and mood, as well as between hyperarousal and dysphoria. This study identified hyperarousal and neutralizing as the PTSD and OCD symptoms with the strongest stability, predictive power, and association with other symptoms. Clinically, this indicates that screening for hyperarousal and neutralizing symptoms may identify individuals who could maximally benefit from treatment in the perinatal period. General Scientific Summary: This study elucidates the posttraumatic stress disorder and obsessive-compulsive disorder symptoms most important to assess during pregnancy and the postpartum period. Network analysis determined that negative alterations in cognitions and mood, obsessing, checking, and avoidance symptoms as the symptoms with the highest relative importance in the between-person network, while hyperarousal, neutralizing, and ordering symptoms were the most stable and predictive symptoms across time. Posttraumatic stress disorder and obsessive-compulsive disorder symptoms are not routinely assessed by health care professionals, yet results suggest identified symptoms warrant closer attention in clinical and obstetric settings. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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