Transtorno obsessivo-compulsivo no período perinatal

Autores

  • Luísa Caropreso Médica psiquiatra. Fellow em Saúde Mental da Mulher, Departamento de Psiquiatria, McMaster University, Hamilton, Canadá.
  • Joel Rennó Jr Médico psiquiatra. Diretor, Programa de Saúde Mental da Mulher (ProMulher), Instituto de Psiquiatria, Hospital das Clínicas, Universidade de São Paulo (USP), São Paulo, SP. Doutor em Psiquiatria pela FMUSP. Membro fundador, International Association for Women’s Mental Health. https://orcid.org/0000-0003-1954-5898
  • Renan Rocha Médico psiquiatra. Coordenador, Serviço de Saúde Mental da Mulher, Clínicas Integradas, Universidade do Extremo Sul Catarinense (UNESC), Criciúma, SC. https://orcid.org/0000-0002-9533-4059
  • Juliana Pire Cavalsan Psiquiatra, Programa de Saúde Mental da Mulher (ProMulher), Instituto de Psiquiatria, Hospital das Clínicas, USP, São Paulo, SP.
  • Jerônimo de Almeida Mendes Ribeiro Médico psiquiatra. Pesquisador, Grupo de Psiquiatria – Transtornos Relacionados ao Puerpério, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS.
  • Hewdy Lobo Ribeiro Psiquiatra forense, psicogeriatra e psicoterapeuta pela ABP. Psiquiatra, ProMulher, Instituto de Psiquiatria, USP, São Paulo, SP.
  • Amaury Cantilino Diretor, Programa de Saúde Mental da Mulher, Universidade Federal de Pernambuco (UFPE), Recife, PE.
  • Gislene Valadares Médica psiquiatra pela ABP. Membro fundador, Serviço de Saúde Mental da Mulher e Ambulatório de Acolhimento e Tratamento de Famílias Incestuosas (AMEFI), Hospital das Clínicas da Universidade Federal de Minas Gerais (HC-UFMG), Belo Horizonte, MG. https://orcid.org/0000-0001-8515-0937
  • Antônio Geraldo da Silva Psiquiatra. Especialista em Psiquiatria e ARTIGO Psiquiatria Forense pela ABP. Diretor Científico, Programa de Atualização em Psiquiatria (PROPSIQ). Presidente da ABP, 2010-2013. https://orcid.org/0000-0003-3423-7076

DOI:

https://doi.org/10.25118/2236-918X-8-1-4

Palavras-chave:

Tanstorno obsessivo-compulsivo, gravidez, período pós-parto

Resumo

O transtorno obsessivo-compulsivo (TOC) é um transtorno psiquiátrico relativamente comum no período perinatal. Nesse período, o TOC pode ser desencadeadoou pode ocorrer a exacerbação da doença pré-existente,com prevalências de até 9% de TOC no período pós-parto. Estima-se que haja uma associação com a flutuaçãodos hormônios gonadais, além da influência de outrosfatores psicológicos e sociais. A apresentação clínicado TOC parece diferir durante a gestação e o período pós-parto, existindo uma predominância de obsessõesde contaminação e compulsões por limpeza durantea gestação, enquanto que, no período pós-parto, os sintomas mais frequentemente encontrados na literatura científica foram as obsessões egodistônicas de conteúdo agressivo. Existem poucos estudos específicos sobre o tratamento do TOC no período perinatal, de forma quese recomenda seguir os protocolos de tratamento para a população geral, porém levando-se em consideração os potenciais efeitos adversos das medicações para o feto e/ou lactente. O presente artigo consiste em uma revisão narrativa acerca do TOC no período perinatal e tem como objetivo alertar os profissionais de saúde para a presença de sintomas obsessivos-compulsivos e do TOC nesse período, além de auxiliar o clínico a melhor reconhecer, compreender e tratar esse transtorno.

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Publicado

2018-02-28

Como Citar

1.
Caropreso L, Rennó Jr J, Rocha R, Cavalsan JP, Ribeiro J de AM, Ribeiro HL, Cantilino A, Valadares G, Silva AG da. Transtorno obsessivo-compulsivo no período perinatal. Debates em Psiquiatria [Internet]. 28º de fevereiro de 2018 [citado 22º de dezembro de 2024];8(1):31-40. Disponível em: https://revistardp.org.br/revista/article/view/303

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v. 8 n. 1 (2018)

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Artigos de Revisão

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