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Journal article
Consensus recommendations for the assessment and treatment of perinatal obsessive–compulsive disorder (OCD): A Delphi study
Archives of women's mental health, Vol.26(3), pp.389-399
2023
PMID: 37138166
Abstract
The perinatal period is one of increased vulnerability to parents experiencing the onset of, or an increase of existing, obsessive–compulsive disorder (OCD) symptoms. Existing OCD and perinatal mental health best practice guidelines do not detail specific considerations relevant to OCD in the perinatal period (‘Perinatal OCD’). Perinatal OCD risks being undiagnosed or misdiagnosed, and subsequently untreated or mistreated, with potential negative impacts for individuals and families experiencing this problem, highlighting the importance of specific guidance. This study employed a modified Delphi survey methodology to establish recommended best practice for the assessment and treatment of perinatal OCD. A literature review identified 103 initial best practice recommendations, and participants suggested 18 further recommendations. These recommendations were rated for importance over three survey rounds by two expert panels, comprising of 15 professionals with clinical or research expertise in perinatal OCD and 14 consumers with lived experience of perinatal OCD. One-hundred and two statements were endorsed for inclusion in the final set of recommendations for clinical best practice with perinatal OCD. These recommendations inform practice across eight themes; psychoeducation, screening, assessment, differential diagnosis, case care considerations, treatment, partners & families, and culture & diversity. This novel study is the first to collate and outline a set of clinical best practice recommendations, developed using the consensus perspectives of both individuals with lived experience and professionals with relevant expertise, for supporting individuals with perinatal OCD and their families. Differences between panel perspectives, and directions for future research are also discussed.
Details
- Title
- Consensus recommendations for the assessment and treatment of perinatal obsessive–compulsive disorder (OCD): A Delphi study
- Authors/Creators
- Melissa Mulcahy - Discipline of Psychology, School of Population Health, enAble Institute, Faculty of Health Sciences, Curtin UniversityChristian Long - Curtin UniversityTeagan Morrow - Curtin UniversityMegan Galbally - Murdoch University, Centre for Computational and Systems MedicineClare Rees - Curtin UniversityRebecca Anderson - Curtin University
- Publication Details
- Archives of women's mental health, Vol.26(3), pp.389-399
- Publisher
- Springer Vienna
- Grant note
- Research Training Program Scholarship / Australian Government Curtin University
- Identifiers
- 991005581770007891
- Copyright
- © 2023 The Author(s)
- Murdoch Affiliation
- Murdoch University
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.21 Psychiatry
- 1.21.952 Obsessive-Compulsive Disorder
- Web Of Science research areas
- Psychiatry
- ESI research areas
- Psychiatry/Psychology