| Postpartum psychoses: prognosis, risk factors, and treatment. | |
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MedLine Citation:
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PMID: 12003680 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Puerperal psychoses do not represent a nosological entity, but rather a selection of puerperally triggered "ordinary" functional psychoses with cycloid psychoses predominating and schizophrenias occurring very rarely. The prognosis is basically favorable concerning symptom remission and social and occupational functioning. However, there is a considerable frequency of relapses and an increased suicide rate. The most important risk factors for an episode of a puerperal psychosis are being primiparous and having suffered a previous episode of a psychosis, particularly a cycloid psychosis. Controlled treatment studies up to now are absent. Case studies suggest in acute episodes the efficacy of a symptom-oriented pharmacologic treatment where ablactation is recommended. With respect to prophylactic treatment some authors propose to apply lithium in late pregnancy or immediately after delivery. Because of its possible teratogenic effects and the altogether rather sparse data, the authors however cannot recommend the use of lithium during pregnancy. Applying estradiol after delivery may be beneficial and safe, but further studies are necessary to clarify these issues. |
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Authors:
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Bruno Pfuhlmann; Gerald Stoeber; Helmut Beckmann |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Current psychiatry reports Volume: 4 ISSN: 1523-3812 ISO Abbreviation: Curr Psychiatry Rep Publication Date: 2002 Jun |
Date Detail:
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Created Date: 2002-05-10 Completed Date: 2002-10-08 Revised Date: 2008-09-19 |
Medline Journal Info:
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Nlm Unique ID: 100888960 Medline TA: Curr Psychiatry Rep Country: United States |
Other Details:
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Languages: eng Pagination: 185-90 Citation Subset: IM |
Affiliation:
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Department of Psychiatry, University of Würzburg, Füchsleinstrasse 15, D-97080 Würzburg, Germany. bruno.pfuhlmann@mail.uni-wuerzburg.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Antipsychotic Agents / therapeutic use* Depression, Postpartum / psychology* Female Humans Prognosis Psychotic Disorders / drug therapy*, etiology* Risk Factors |
| Chemical | |
Reg. No./Substance:
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0/Antipsychotic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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