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Stress and Puerperal Psychosis

Published online by Cambridge University Press:  02 January 2018

I. F. Brockington*
Affiliation:
Department of Psychiatry, Birmingham University, Queen Elizabeth Medical Centre, Birmingham B15 2TH
C. Martin
Affiliation:
Research Unit in Health and Behavioural Change, Edinburgh
G. W. Brown
Affiliation:
Department of Social Policy and Social Science, Royal Holloway and Bedford New College, University of London, 11 Bedford Square, London WC1B 3RA
D. Goldberg
Affiliation:
Department of Psychiatry, University Hospital of South Manchester, Manchester M20 8LR
F. Margison
Affiliation:
Central Manchester Health Authority, Gaskell House, Manchester
*
Correspondence

Extract

Eighty-eight in-patients admitted to a psychiatric mother-and-baby unit and 80 randomly selected recently delivered women in the general population were interviewed using the LEDS. Only five of 33 patients (15%) with puerperal psychosis had provoking agents, which is less than the figure for women in the community (36%). Provoking agents were present in only 8 of 25 patients with post-natal depression, but they were present in seven of nine patients with pre-natal depression and eight of nine women in the community with pre-natal depression.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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References

Brockington, I. F., Cernik, K. F., Schofield, E. M., et al (1981) Puerperal psychosis: phenomena and diagnosis. Archives of General Psychiatry, 38, 829833.CrossRefGoogle ScholarPubMed
Brockington, I. F., Winokur, G. & Dean, C. (1982) Puerperal psychosis. In Motherhood and Mental Illness (eds I. F. Brockington & R. Kumar), pp. 3769. London: Academic Press.Google Scholar
Brown, G. W. & Birley, J. L. T. (1968) Crises and life changes and the onset of schizophrenia. Journal of Health and Social Behaviour, 9, 203214.Google Scholar
Brown, G. W., Sklair, F., Harris, T. O., et al (1973) Life events and psychiatric disorder: 1. Some methodological issues. Psychological Medicine, 3, 7487.CrossRefGoogle ScholarPubMed
Brown, G. W., & Harris, T. (1978) Social Origins of Depression. London: Tavistock.Google Scholar
Esquirol, E. (1845) Mental Maladies. A Treatise on Insanity (trans. Hunt, E. K.). Philadelphia: Lea & Blanchard.Google Scholar
Finlay-Jones, R., Brown, G. W., Duncan-Jones, P., et al (1980). Depression and anxiety in the community – replicating the diagnosis of a case. Psychological Medicine, 10, 445454.Google Scholar
Gundry, R. (1859) Observations on puerperal insanity. American Journal of Insanity, 16, 294320.Google Scholar
Hamilton, J. A. (1962) Postpartum Psychiatric Problems. St Louis: Mosby.Google Scholar
Kendell, R. E., Wainwright, S., Hailey, A., et al (1976) The influence of childbirth on psychiatric morbidity. Psychological Medicine, 11, 342350.Google Scholar
Kendell, R. E., Rennie, D., Clarke, J. A., et al (1981) The social and obstetric correlates of psychiatric admission in the puerperium. Psychological Medicine, 1, 341350.CrossRefGoogle Scholar
Kendell, R. E., Chalmers, J. C. & Platz, D. (1987) Epidemiology of puerperal psychosis. British Journal of Psychiatry, 150, 662673.CrossRefGoogle Scholar
Kumar, R. & Robson, K. (1984) A prospective study of emotional disorders in childbearing women. British Journal of Psychiatry, 144, 3547.Google Scholar
March, L. V. (1858) Traité de la Folies des Femmes Enceintes, des Nouvelles Accouchées et des Nourrices. Paris: Baillière.Google Scholar
Martin, C. T., Brown, G. W., Goldberg, D. P., et al (1989) Psycho-social stress and puerperal depression. Journal of Affective Disorders, 16, 283293.Google Scholar
O'Hara, M. W. & Zekoski, E. M. (1988) Postpartum depression: a comprehensive review. In Motherhood and Mental Illness (eds R. Kumar & I. F. Brockington). Guildford: Butterworths Google Scholar
Paffenbarger, R. S. Jr (1961) The picture puzzle of the postpartum psychoses. Journal of Chronic Diseases, 13, 161173 CrossRefGoogle ScholarPubMed
Paykel, E. S., Emms, E. M., Fletcher, J., et al (1980) Life events and social support in puerperal depression. British Journal of Psychiatry, 136, 339346.Google Scholar
Spitzer, R., Endicott, J. & Robins, E. (1975) Research Diagnostic Criteria. New York: New York State Psychiatric Institute.Google ScholarPubMed
Tetlow, C. (1955) Psychoses of childbearing. Journal of Mental Science, 101, 629639.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) An Instruction Manual for the Present State Examination and catego Programme. Cambridge: Cambridge University Press.Google Scholar
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