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Postpartum Mania

Published online by Cambridge University Press:  29 January 2018

Arnold Kadrmas
Affiliation:
Private Practice, 700 1st Avenue S., Fargo, North Dakota, 58102, U.S.A.
George Winokur
Affiliation:
Department of Psychiatry, University of Iowa College of Medicine, 500 Newton Road, Iowa City, Iowa, 52242, U.S.A.
Raymond Crowe
Affiliation:
Department of Psychiatry, University of Iowa College of Medicine, 500 Newton Road, Iowa City, Iowa 52242, U.S.A.

Summary

Twenty-one patients with bipolar affective disorder (20 manic episodes, one depressive episode) during the postpartum period were evaluated. They were compared to an unselected group of women with bipolar histories, as well as to a matched control group. The postpartum group had significantly more Schneiderian symptoms and fewer recurrences of illness within the three-year period after the index admission. There was a notable trend toward postpartum patients having fewer affectively ill relatives than the controls. The practical significance of these findings with regards to lithium therapy is discussed, as is the theoretical significance in terms of heterogeneity of the bipolar syndrome.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1979 

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References

Feighner, J., Robins, E., Guze, S. B., Woodruff, R. A., Winokur, G. & Munoz, R. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5763.CrossRefGoogle ScholarPubMed
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Taylor, M. A. (1972) Schneiderian first-rank symptoms and clinical prognostic features in schizophrenia. Archives of General Psychiatry, 26, 64–6.CrossRefGoogle ScholarPubMed
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