© 2005 The Royal College of Psychiatrists
SHORT REPORTS |
Risk of puerperal and non-puerperal recurrence of illness following bipolar affective puerperal (post-partum) psychosis
Department of Psychiatry, University of Birmingham, Birmingham, UK and Women’s Health Program, University Health Network, Toronto, Canada
Department of Psychiatry, University of Birmingham and Neuropsychiatric Genetics Unit, Department of Psychological Medicine, School of Medicine, Cardiff University, Cardiff
Department of Psychiatry
School of Mathematics and Statistics, University of Birmingham
Department of Psychiatry, University of Birmingham and Neuropsychiatric Genetics Unit, Department of Psychological Medicine, School of Medicine, Cardiff University, Cardiff, UK
Correspondence: Dr Ian Jones, Neuropsychiatric Genetics Unit, Department of Psychological Medicine, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK. Tel: +44 (0)29 2074 4663; fax: +44 (0)29 2074 6554; e-mail: jonesirl{at}cf.ac.uk
Funding detailed in Acknowledgements.
ABSTRACT
Summary The clinical value of information on the risk of future psychiatric illness in women who have experienced puerperal (post-partum) psychosis has been limited by inconsistencies in terminology and nosology. Here we report rates of subsequent puerperal and non-puerperal episodes, in a well characterised sample of women diagnosed with clearly defined bipolar affective puerperal psychosis (n=103). Out of 54 women having further children, 31(57%; 95% CI 44-69) experienced an additional puerperal psychotic episode, and 64 of 103 women (62%; 95% CI 52-71) experienced a non-puerperal affective episode during the follow-up period (mean duration 9 years). A history of bipolar episodes prior to the puerperal psychosis did not predict risk following subsequent pregnancies, but positive family history of mental illness predicted shorter time to non-puerperal relapse.
This article has been cited by other articles:
 |
|
 |
|
  I. Jones and S. Smith Puerperal psychosis: identifying and caring for women at risk Adv. Psychiatr. Treat., November 1, 2009; 15(6): 411 - 418. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Durrani and R. Cantwell Characteristics of patients seen by a community perinatal mental health service Psychiatr. Bull., October 1, 2009; 33(10): 368 - 370. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Goodwin and Consensus Group of the British Association for Psy Evidence-based guidelines for treating bipolar disorder: revised second edition--recommendations from the British Association for Psychopharmacology J Psychopharmacol, June 1, 2009; 23(4): 346 - 388. [Abstract] [PDF]
|
|
|
|
 |
|
 A. C. Viguera, A. D. Emmerich, and L. S. Cohen Case 24-2008 -- A 35-Year-Old Woman with Postpartum Confusion, Agitation, and Delusions N. Engl. J. Med., July 31, 2008; 359(5): 509 - 515. [Full Text] [PDF]
|
|
|
|
 |
|
 M. Oates Postnatal affective disorders. Part 1: an introduction Obstet Gynaecol (Lond), July 1, 2008; 10(3): 145 - 150. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Munk-Olsen, T. M. Laursen, C. B. Pedersen, O. Mors, and P. B. Mortensen New Parents and Mental Disorders: A Population-Based Register Study JAMA, December 6, 2006; 296(21): 2582 - 2589. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. R. BLACKMORE, I. JONES, M. DOSHI, S. HAQUE, R. HOLDER, I. BROCKINGTON, and N. CRADDOCK Obstetric variables associated with bipolar affective puerperal psychosis The British Journal of Psychiatry, January 1, 2006; 188(1): 32 - 36. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. O'Keane, I. Jones, E. Robertson-Blackmore, and N. Craddock Recurrence of post-partum and non-post-partum psychosis * Authors' reply The British Journal of Psychiatry, September 1, 2005; 187(3): 288 - 289. [Full Text] [PDF]
|
|
|
|
|
|
I. JONES and N. CRADDOCK Bipolar disorder and childbirth: the importance of recognising risk The British Journal of Psychiatry, June 1, 2005; 186(6): 453 - 454. [Full Text] [PDF]
|
|
|
|
 |
|
 Minerva BMJ, April 2, 2005; 330(7494): 798 - 798. [Full Text] [PDF]
|
|