Document Detail


Long-term course and outcome of severe postpartum psychiatric disorders.
MedLine Citation:
PMID:  10364729     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirty-nine women who had suffered from a severe first-episode postpartum psychiatric illness were re-examined after a period of 6-26 years (averaging 12.5 years). Diagnoses were established according to ICD-10 and Leonhard's classification, revealing a marked predominance of cycloid psychoses (54%) according to Leonhard. There was no evidence of the nosological independence of postpartum psychosis. Only 4 patients (10%) had never recovered fully since the onset of the illness. In contrast, 6 patients had undergone a monophasic course without any further psychopathology. In 20 cases (51%) the illness had run a multiphasic course. The average number of episodes per patient was 2.5 (range 2-6). The course was not determinable in 4 patients (10%). Nineteen women (49%) had 22 further deliveries after the first manifestation of the illness. The frequency of a relapse in connection with further pregnancy or delivery was 50%. Applying the Strauss-Carpenter Outcome Scale, we found a favourable outcome for the total sample with a mean value of 14.1 (SD = 2.6). The vast majority of patients (75%) showed no persistent alterations. Our findings provide further evidence of a favourable prognosis of severe postpartum psychiatric disorder despite the remarkably high rate of puerperal relapses.
Authors:
B Pfuhlmann; E Franzek; H Beckmann; G Stöber
Related Documents :
310699 - Size of cerebral ventricles in 66 psychiatric patients.
3985229 - Psychotherapeutic treatment of chronic insomnia.
11474059 - Factors associated with readmission to a psychiatric facility.
10868469 - Long-term psychiatric patients in vocational rehabilitation programmes: a naturalistic ...
2017539 - On transferred permissive or approving superego functions: the analysis of the ego's su...
9932949 - Influence of family history on clinical expression of tourette's syndrome.
3523539 - Prostacyclin synthesis stimulating plasma factor in patients with primary hyperlipoprot...
1439349 - Spinal cord stimulation for multiple sclerosis: quantifiable benefits.
8002089 - Impaired neutrophil function in the cutaneous form of anthrax.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Psychopathology     Volume:  32     ISSN:  0254-4962     ISO Abbreviation:  Psychopathology     Publication Date:    1999 Jul-Aug
Date Detail:
Created Date:  1999-09-08     Completed Date:  1999-09-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8401537     Medline TA:  Psychopathology     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  192-202     Citation Subset:  IM    
Affiliation:
Department of Psychiatry, University of Würzburg, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Depression, Postpartum / psychology*
Female
Follow-Up Studies
Humans
Middle Aged
Pregnancy
Prognosis
Psychotic Disorders / psychology*
Recurrence
Severity of Illness Index
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Clinical homogeneity of DSM-IV schizophrenic disorders.
Next Document:  Capgras syndrome and functional psychosis in 2 survivors of torture.