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The British Journal of Psychiatry : the... Dec 1988
Topics: Bipolar Disorder; Female; Humans; Pregnancy; Puerperal Disorders
PubMed: 3256391
DOI: 10.1192/s0007125000224549 -
Genetic, Social, and General Psychology... May 1987Though postpartum depression has been observed for years, research into it has increased recently, especially in England. Distinguishing the rarer, severe puerperal...
Though postpartum depression has been observed for years, research into it has increased recently, especially in England. Distinguishing the rarer, severe puerperal psychosis from milder, more frequent "maternity blues" has provided a clearer framework for new research. Hormonal changes, biogenic amines, stress, and lack of social support have been proposed as explanations for postpartum depression, but the etiology is still not clear. Hormones, tranquilizers, and antidepressants are some modern therapeutic measures employed, whereas electroconvulsive shock therapy was once the most frequent therapy. Fortunately, the mortality rate for childbirth-related psychiatric illness is low.
Topics: Cross-Sectional Studies; Depressive Disorder; Female; Gender Identity; Humans; Maternal Behavior; Pregnancy; Prognosis; Puerperal Disorders
PubMed: 3497074
DOI: No ID Found -
The British Journal of Psychiatry : the... Jun 1990All patients with puerperal psychosis admitted to the Royal Edinburgh Hospital within 90 days of childbirth during the periods 1880-90 and 1971-80 were compared. The... (Comparative Study)
Comparative Study
All patients with puerperal psychosis admitted to the Royal Edinburgh Hospital within 90 days of childbirth during the periods 1880-90 and 1971-80 were compared. The majority of cases in both groups had an affective illness with an acute presentation and a fixed interval of onset. The 19th-century cases had a more florid presentation and a greater length of admission (mean, 151 days) to the hospital than the 20th-century ones (mean, 39 days). The incidence of the disorder rose from 0.34 per 1000 childbirths per year in the 19th-century group to 1.04 in the 20th-century one, but this could be explained by nosocomial factors. Most 19th-century cases occurred in multigravid women, which questions the association of puerperal psychosis with primiparae.
Topics: Female; History, 19th Century; History, 20th Century; Humans; Incidence; Pregnancy; Psychotic Disorders; Puerperal Disorders; Scotland; Time Factors
PubMed: 2207517
DOI: 10.1192/bjp.156.6.861 -
Journal of Psychiatry & Neuroscience :... Sep 1991A strong tradition exists in the psychiatric literature to consider postpartum depression a distinct diagnosis. However, the empirical evidence indicates that, in terms... (Review)
Review
A strong tradition exists in the psychiatric literature to consider postpartum depression a distinct diagnosis. However, the empirical evidence indicates that, in terms of etiology and relapse rates, postpartum depression is indistinguishable from non-postpartum depression. Symptomatically, postpartum depression seems to involve a milder disturbance, suggesting that it is best seen as an adjustment disorder. This paper summarizes the empirical evidence relevant to the distinct diagnosis question, and considers the benefits to be derived from challenging the traditional view of postpartum depression.
Topics: Adjustment Disorders; Depressive Disorder; Female; Humans; Maternal Behavior; Puerperal Disorders
PubMed: 1958650
DOI: No ID Found -
The British Journal of Psychiatry : the... Mar 1991At three centres, 21 women at high risk for puerperal psychosis were given prophylactic lithium carbonate late in the third trimester of pregnancy or immediately after...
At three centres, 21 women at high risk for puerperal psychosis were given prophylactic lithium carbonate late in the third trimester of pregnancy or immediately after delivery. Only two of the women had a recurrence of their psychotic illness while on prophylactic lithium. One woman given lithium during third trimester had an unexplained stillbirth. Although a larger sample in a carefully controlled study is still required, there now seems to be grounds for the use of prophylactic lithium immediately after delivery in women not breastfeeding who have previously suffered from either puerperal psychosis or bipolar disorder.
Topics: Adolescent; Adult; Bipolar Disorder; Depressive Disorder; Female; Follow-Up Studies; Humans; Lithium; Lithium Carbonate; Psychotic Disorders; Puerperal Disorders; Recurrence; Risk Factors
PubMed: 1903666
DOI: 10.1192/bjp.158.3.393 -
Schizophrenia Bulletin 1992The conventional distinction between schizophrenia and manic depression has received little objective support from recent studies of phenomenology, outcome, or familial... (Review)
Review
The conventional distinction between schizophrenia and manic depression has received little objective support from recent studies of phenomenology, outcome, or familial homotypy. Instead, much clinical, epidemiological, and morphological evidence suggests that within the broad range of Schneiderian schizophrenia there exists one form (congenital schizophrenia) that can be distinguished from other types, the manifestations of which are confined to adult life. We hypothesize that congenital schizophrenia is a consequence of aberrant brain development during fetal and neonatal life. Such patients show structural brain changes and cognitive impairment, and in their male predominance, early onset, and poor outcome, they reflect Kraepelin's original description of dementia praecox. We contend that adult-onset schizophrenia is itself heterogeneous. One important component is a relapsing and remitting disorder that is more frequent in females than in males, exhibits positive but not negative symptoms, and has much in common etiologically with affective psychosis. There also exists a very-late-onset group in which degenerative brain disorder is implicated.
Topics: Bipolar Disorder; Child; Child, Preschool; Developmental Disabilities; Female; Humans; Infant; Infant, Newborn; Male; Pregnancy; Puerperal Disorders; Schizophrenia; Schizophrenic Psychology; Sex Factors; Terminology as Topic
PubMed: 1377834
DOI: 10.1093/schbul/18.2.319 -
Journal of Forensic Sciences Jul 2017Peripartum psychosis is a rare but serious psychiatric disorder characterized by the presence of a mood episode with psychotic features. Although controversy surrounds... (Review)
Review
Peripartum psychosis is a rare but serious psychiatric disorder characterized by the presence of a mood episode with psychotic features. Although controversy surrounds the nosological status of peripartum mental disorders, these conditions continue to be of exceptional interest to the medical and forensic mental health communities. The aim of this study was to report a rare case of prepartum psychosis which escalated to the endpoint of neonaticide and summarize literature on peripartum mental disorders and infanticide. A 30-year-old mother murdered her newborn with the spike of her serum delivery system and planned to commit suicide while in hospital after hallucinating due to an acute puerperal psychotic disorder with a prepartum onset and postpartum deterioration. Her disorder was not managed until neonaticide. Throughout this paper, the significance of a multidisciplinary approach for the optimal management of these incidents is highlighted and diagnostic as well as therapeutic issues are addressed.
Topics: Adult; Female; Humans; Infant, Newborn; Infanticide; Mothers; Pregnancy; Pregnancy Complications; Psychotic Disorders; Puerperal Disorders
PubMed: 28580656
DOI: 10.1111/1556-4029.13365 -
Revue Medicale de Bruxelles Feb 1996The four important syndromes that constitute postnatal psychiatry are chronologically: 1) Post-Traumatic Stress Disorder (PTSD), 2) Baby-blues, 3) Puerperal psychosis...
The four important syndromes that constitute postnatal psychiatry are chronologically: 1) Post-Traumatic Stress Disorder (PTSD), 2) Baby-blues, 3) Puerperal psychosis and 4) Postnatal depression. The PTSD (prevalence 1%) occurs from 24 to 48 hours after a difficult childbirth. Anxiety predominates in association with nightmares and recurrent images of the experience. Baby-blues (prevalence 80%) is a feeling of sadness that doesn't need to be treated. It occurs around the third day of post-partum. Its intensity is a predictive factor of postnatal depression. Puerperal psychosis (prevalence 0.2%) is a disturbance of psychotic or manic proportion, mainly in women with a psychiatric previous history. It occurs between the first and the third week of the post-partum period. Postnatal depression (prevalence 20%) is a major depressive state commencing four to six weeks after delivery. It is rarely diagnosed early and child abuse is one of its consequences. Prevention--the important point of the treatment--is most of the time neglected.
Topics: Adult; Depression, Postpartum; Female; Humans; Mental Disorders; Pregnancy; Psychotic Disorders; Puerperal Disorders; Stress Disorders, Post-Traumatic
PubMed: 8720970
DOI: No ID Found -
The British Journal of Psychiatry : the... Jan 1969
Topics: Adolescent; Adult; Affective Symptoms; Bipolar Disorder; Convulsive Therapy; Electroconvulsive Therapy; England; Female; Follow-Up Studies; Humans; Neurocognitive Disorders; Parity; Pregnancy; Psychotic Disorders; Puerperal Disorders; Retrospective Studies; Schizophrenia
PubMed: 5781966
DOI: 10.1192/bjp.115.518.9 -
Journal of the American Psychiatric... 2018Women with bipolar disorder have an increased risk of relapse during pregnancy and the postpartum period, and they often express broad concerns about family planning.
BACKGROUND
Women with bipolar disorder have an increased risk of relapse during pregnancy and the postpartum period, and they often express broad concerns about family planning.
OBJECTIVE
To explore the thoughts and considerations of women of childbearing age with bipolar disorder, about family planning and pregnancy.
DESIGN
A qualitative study was conducted: 15 women with bipolar I disorder were individually interviewed. Content analysis was applied.
RESULTS
Women worried about heritability of bipolar disorder, medication issues, and risk of relapse during pregnancy. They mentioned their fear to be incompetent as a mother during future mood episodes. Support of partner, family/friends, and professionals was mentioned as essential.
CONCLUSIONS
Family planning is an essential topic in the treatment of every woman with bipolar disorder of childbearing age. These women expect early consultation with professionals for support, and specific information about heritability of the illness and use of medication during and after pregnancy.
Topics: Adult; Bipolar Disorder; Family Planning Services; Female; Health Knowledge, Attitudes, Practice; Humans; Interviews as Topic; Middle Aged; Netherlands; Postpartum Period; Pregnancy; Pregnancy Complications; Puerperal Disorders; Qualitative Research; Recurrence
PubMed: 28569088
DOI: 10.1177/1078390317711251