The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.
Risks and Predictors of Readmission for a Mental Disorder During the Postpartum Period
Abstract
CONTEXT: It has been suggested that the risk of inpatient psychiatric readmissions is elevated during the postpartum period. To our knowledge, no prior study has compared mothers and nonmothers to determine whether the risk of readmission differs between these 2 groups of women. OBJECTIVES: To compare mothers and nonmothers to assess whether childbirth increases the risk for psychiatric readmission and to identify predictors of psychiatric readmission during the postpartum period. DESIGN: A population-based cohort study merging data from the Danish Civil Registration System and the Danish Psychiatric Central Register. SETTING: The population of Denmark. PARTICIPANTS: Two partly overlapping study populations included a total of 28 124 women, 10 218 of whom were mothers, who were followed up from January 1, 1973, through June 30, 2005. Main Outcome Measure Readmission rates to psychiatric hospitals during the 12 months after childbirth (first live-born child). RESULTS: The period of highest risk of psychiatric readmission in new mothers was 10 to 19 days post partum (relative risk [RR], 2.71; 95% confidence interval [CI], 1.68-4.37), and the period of lowest risk was during pregnancy (0.54; 0.43-0.69). Childbirth was associated with an increased risk of readmission during the first postpartum month, after which risk for readmission was higher among nonmothers (RR, 1.53; 95% CI, 1.31-1.80). A previous diagnosis of bipolar affective disorder was the strongest predictor of readmissions 10 to 19 days post partum (RR, 37.22; 95% CI, 13.58-102.04). In all, 26.9% of mothers with this diagnosis were readmitted within the first postpartum year. CONCLUSIONS: Mothers with mental disorders have lower readmission rates compared with women with mental disorders who do not have children. However, the first month after childbirth is associated with increased risk of psychiatric readmission, and women with a history of bipolar affective disorder are at particular risk of postpartum psychiatric readmissions.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Women are vulnerable to affective psychoses after birth more than at any other time during their lives [28].”
From Perinatal mental illness: Definition, description and aetiology (2014) · cites this paper as [28]
Citations
Cites
Rates and risk of postpartum depression – a meta-analysis
O'hara, M. W., & Swain, A. M. (1996) · International Review of Psychiatry · doi:10.3109/09540269609037816 · Cited by 3,116
Statistical Models Based on Counting Processes
Bry, X., Andersen, P. K., Borgan, Ø., Gill, R. D., Keiding, N., & Borgan, Ø. (1997) · Population · doi:10.2307/1534625 · Cited by 2,884
Antenatal risk factors for postpartum depression: a synthesis of recent literature
Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2004.02.006 · Cited by 1,886
The Danish Civil Registration System. A cohort of eight million persons.
Pedersen, C. B., Gøtzsche, H., Møller, J. O., & Mortensen, P. B. (2006) · PubMed · Cited by 1,617
Self-citation- Statistical Models for Epidemiology
Broemeling, L. D. (2013) · Chapman & Hall/CRC eBooks · doi:10.1201/b15382-9 · Cited by 1,346
Cohort study of depressed mood during pregnancy and after childbirth
Evans, J., Heron, J., Francomb, H., Oke, S., & Golding, J. (2001) · BMJ · doi:10.1136/bmj.323.7307.257 · Cited by 1,273
Epidemiology of Puerperal Psychoses
Kendell, R. E., Chalmers, J. C., & Platz, C. (1987) · British Journal of Psychiatry · doi:10.1192/bjp.150.5.662 · Cited by 1,119
Cohen, L. S. (2006) · JAMA · doi:10.1001/jama.295.5.499 · Cited by 1,031
New Parents and Mental Disorders: A Population-Based Register Study
Munk-Olsen, T., Laursen, T. M., Pedersen, C. B., Mors, O., & Mortensen, P. B. (2006) · JAMA · doi:10.1001/jama.296.21.2582 · Cited by 727
Self-citationThe Danish Psychiatric Central Register.
Munk‐Jørgensen, P., & Mortensen, P. B. (1997) · PubMed · Cited by 698
Self-citationWisner, K. L., Parry, B. L., & Piontek, C. M. (2002) · New England Journal of Medicine · doi:10.1056/nejmcp011542 · Cited by 666
Viguera, A. C., Whitfield, T., Baldessarini, R. J., Newport, D. J., Stowe, Z., Reminick, A., Zurick, A., & Cohen, L. S. (2007) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2007.06101639 · Cited by 599
Covariance Analysis of Censored Survival Data Using Log-Linear Analysis Techniques
Laird, N. M., & Olivier, D. (1981) · Journal of the American Statistical Association · doi:10.1080/01621459.1981.10477634 · Cited by 580
Viguera, A. C., Nonacs, R., Cohen, L. S., Tondo, L., Murray, A., & Baldessarini, R. J. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.2.179 · Cited by 488
A Meta-Analysis of Predictors of Postpartum Depression
Beck, C. T. (1996) · Nursing Research · doi:10.1097/00006199-199609000-00008 · Cited by 440
Management of bipolar disorder during pregnancy and the postpartum period
Yonkers, K. A., Wisner, K. L., Stowe, Z., Leibenluft, E., Cohen, L., Miller, L., Manber, R., Viguera, A., Suppes, T., & Altshuler, L. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.4.608 · Cited by 394
Familiality of the Puerperal Trigger in Bipolar Disorder: Results of a Family Study
Jones, I. D., & Craddock, N. J. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.6.913 · Cited by 337
Brockington, I., & Guédeney, A. (1999) · Infant Observation · doi:10.1080/13698039908400552 · Cited by 308
The Impact of Reproductive Events on the Course of Bipolar Disorder in Women
Freeman, M. P., Smith, K. W., Freeman, S. A., McElroy, S. L., Kmetz, G. F., Wright, R., & Keck, P. E. (2002) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v63n0403 · Cited by 286
Harlow, B. L., Vitonis, A. F., Sparén, P., Cnattingius, S., Joffe, H., & Hultman, C. M. (2007) · Archives of General Psychiatry · doi:10.1001/archpsyc.64.1.42 · Cited by 210
Validity of diagnoses and other clinical register data in patients with affective disorder
Kessing, L. V. (1998) · European Psychiatry · doi:10.1016/s0924-9338(99)80685-3 · Cited by 210
Reliability of clinical ICD-10 schizophrenia diagnoses
Jakobsen, K. D., Nordgaard, J., Hansen, T. F., Jansson, L., Parnas, J., & Werge, T. M. (2005) · Nordic Journal of Psychiatry · doi:10.1080/08039480510027698 · Cited by 170
The Relationship Between Postpartum Psychosis and Bipolar Disorder
Chaudron, L. H., & Pies, R. W. (2003) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v64n1102 · Cited by 167
Early postpartum symptoms in puerperal psychosis
Heron, J., McGuinness, M., Blackmore, E. R., Craddock, N. J., & Jones, I. R. (2008) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2007.01563.x · Cited by 153
O’Keane, V., & Marsh, M. S. (2007) · BMJ · doi:10.1136/bmj.39189.662581.55 · Cited by 142
Predictors for readmission risk in schizophrenia
Mortensen, P. B., & Eaton, W. W. (1994) · Psychological Medicine · doi:10.1017/s0033291700026982 · Cited by 111
Self-citationFertility and pregnancy in women with psychotic disorders
Howard, L. M. (2004) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2004.06.026 · Cited by 107
Reproductive Decisions by Women With Bipolar Disorder After Prepregnancy Psychiatric Consultation
Viguera, A. C., Cohen, L. S., Bouffard, S. M., Whitfield, T. H., & Baldessarini, R. J. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.12.2102 · Cited by 101
No ‘latent period’ in the onset of bipolar affective puerperal psychosis
Heron, J., Blackmore, E. R., McGuinness, M., Craddock, N. J., & Jones, I. R. (2007) · Archives of Women s Mental Health · doi:10.1007/s00737-007-0174-z · Cited by 75
Pathways to care for patients with bipolar disorder
Bhugra, D., & Flick, G. R. (2005) · Bipolar Disorders · doi:10.1111/j.1399-5618.2005.00202.x · Cited by 45
Family and Partner Psychopathology and the Risk of Postpartum Mental Disorders
Munk‐Olsen, T., & Laursen, T. M. (2007) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v68n1217 · Cited by 36
Self-citationPredictors of recurrence in affective disorder — analyses accounting for individual heterogeneity
Kessing, L. V., Andersen, E. W., & Andersen, P. K. (2000) · Journal of Affective Disorders · doi:10.1016/s0165-0327(99)00080-4 · Cited by 27
Incidence of Hospitalization for Postpartum Psychotic and Bipolar Episodes
Jones, I. R., Heron, J., Blackmore, E. R., & Craddock, N. J. (2008) · Archives of General Psychiatry · doi:10.1001/archpsyc.65.3.356-a · Cited by 26
Saarento, O., Christiansen, L. K., Göstas, G., Hakko, H. H., Lönnerberg, O., Muus, S., Sandlund, M., Øiesvold, T., & Hansson, L. I. (1998) · European Psychiatry · doi:10.1016/s0924-9338(99)80684-1 · Cited by 5
Cited by
Sorted by citations
Yatham, L. N., Kennedy, S. H., Parikh, S. V., Schaffer, A., Beaulieu, S., Alda, M., O’Donovan, C., MacQUEEN, G. M., McIntyre, R. S., Sharma, V., et al. (2012) · Bipolar Disorders · doi:10.1111/bdi.12025 · Cited by 1,230
“2), with 27% of women with BD being readmitted within the first year (213).”
BackgroundWisner, K. L., Sit, D. K. Y., McShea, M. C., Rizzo, D. M., Zoretich, R. A., Hughes, C. L., Eng, H. F., Luther, J. F., Wisniewski, S. R., Costantino, M. L., et al. (2013) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2013.87 · Cited by 1,091
Perinatal mental illness: Definition, description and aetiology
O'Hara, M. W., & Wisner, K. L. (2014) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2013.09.002 · Cited by 986
Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period
Jones, I., Chandra, P. S., Dazzan, P., & Howard, L. M. (2014) · The Lancet · doi:10.1016/s0140-6736(14)61278-2 · Cited by 644
Barnes, T. R. E., Drake, R., Paton, C., Cooper, S. J., Deakin, J. F. W., Ferrier, I. N., Gregory, C. J., Haddad, P. M., Howes, O. D., Jones, I. R., et al. (2019) · Journal of Psychopharmacology · doi:10.1177/0269881119889296 · Cited by 615
Metadata
- Authors
- Munk-Olsen, T., Laursen, T. M., Mendelson, T., Pedersen, C. B., Mors, O., & Mortensen, P. B.
- Affiliations
- Aarhus University (DK)
- Johns Hopkins University (US)
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2009-02-01
- Volume
- 66
- Issue
- 2
- Pages
- 189
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2066961699
- Cited by
- 299
- References
- 34
- Citations by year
- 2026: 7 · 2025: 13 · 2024: 9 · 2023: 20 · 2022: 16 · 2021: 30 · 2020: 19 · 2019: 21 · 2018: 20 · 2017: 16 · 2016: 17 · 2015: 20 · 2014: 17 · 2013: 17 · 2012: 17
- FWCI
- 18.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- postpartum period, psychiatric readmission, maternal mental illness, bipolar disorder, childbirth, predictors of readmission, pregnancy, psychiatric hospitalization
- MeSH terms
- Adjustment Disorders, Adult, Feeding and Eating Disorders, Mental Disorders, Bipolar Disorder, Cross-Sectional Studies, Denmark, Female, Hospitals, Psychiatric, Humans, Patient Readmission, Personality Disorders, Pregnancy, Puerperal Disorders, Recurrence, Risk, Schizophrenia, Cohort Studies, Incidence, Depression, Postpartum, Substance-Related Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review