Document Detail

Long-term course and outcome of severe postpartum psychiatric disorders.
MedLine Citation:
PMID:  10364729     Owner:  NLM     Status:  MEDLINE    
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.
B Pfuhlmann; E Franzek; H Beckmann; G Stöber
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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    
Department of Psychiatry, University of Würzburg, Germany.
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MeSH Terms
Depression, Postpartum / psychology*
Follow-Up Studies
Middle Aged
Psychotic Disorders / psychology*
Severity of Illness Index
Treatment Outcome

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