Symptomatology of affective and psychotic llnesses related to childbearing
Abstract
Symptom patterns in women with childbearing-related onset illnesses (CBROI) and nonchildbearing-related onset illnesses (NCBROI) were compared. Women with diagnoses of Affective Disorders and Psychoses (n = 762) were divided into four groups: CBROI with psychosis, CBROI with non-psychotic affective illnesses, NCBROI with psychosis, and NCBROI with non-psychotic affective illness. Principal components analysis of 64 symptoms revealed 9 factors. The most dramatic result was the high score for psychotic women with CBROI on the factor cognitive disorganization/psychosis. Psychotic women with CBROI also reported homicidal ideation more frequently. Symptoms of non-psychotic women with CBROI and NCBROI did not differ.
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Postpartum psychosis appears rapidly after birth with mood fluctuation, confusion, marked cognitive impairment suggestive of delirium, bizarre behaviour, insomnia, visual and auditory hallucinations, and unusual tactile or olfactory hallucinations.
“Postpartum psychosis presents rapidly after birth, with mood fluctuation, confusion, and marked cognitive impairment suggestive of delirium, bizarre behaviour, insomnia, visual and auditory hallucinations, and unusual (i.e. tactile and olfactory) hallucinations [25].”
From Perinatal mental illness: Definition, description and aetiology (2014) · cites this paper as [25]
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- Authors
- Wisner, K. L., Peindl, K., & Hanusa, B. H.
- Affiliations
- University of Pittsburgh (US)
- Corresponding author
- Wisner, Katherine L.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 1994-02
- Volume
- 30
- Issue
- 2
- Pages
- 77-87
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2065155097
- Cited by
- 122
- References
- 27
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 6 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 7 · 2016: 3 · 2015: 5 · 2014: 7 · 2013: 4 · 2012: 9
- FWCI
- 3.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r29mh044287-05)
- National Institute of Mental Health (NIMH MH30915, NIMH MH-44287)
- NIH Clinical Center
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- mood disorders, psychosis, postpartum psychosis, symptomatology, symptom profiles, cognitive disorganization, homicidal ideation
- MeSH terms
- Adjustment Disorders, Adolescent, Adult, Affective Disorders, Psychotic, Bipolar Disorder, Cyclothymic Disorder, Depressive Disorder, Female, Humans, Pregnancy, Pregnancy Complications, Psychiatric Status Rating Scales, Psychometrics, Psychotic Disorders, Puerperal Disorders
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