Non-Psychotic Psychiatric Disorder After Childbirth: A Prospective Study of Prevalence, Incidence, Course and Nature
Abstract
The psychiatric state of 483 women was examined antenatally and at 3, 6, and 12 months postpartum. Comprehensive assessments were made of all women antenatally and of subgroups of the full sample postnatally. Psychiatric state was assessed using the General Health Questionnaire, the Present State Examination and the Montgomery and åsberg Depression Rating Scale. In terms of PSE criteria, the point prevalence of non-psychotic psychiatric disorder antenatally was found to be 6.0%; and postnatally it was estimated to be 8.7% at 3 months, 8.8% at 6 months and 5.2% at 12 months after delivery. These prevalence rates were compared to the rate in a general population sample of non-puerperal women and found to be no greater. In a subgroup of the full sample, the incidence of psychiatric disorder in the year following delivery was estimated to be 15.1%, which is close to a figure previously reported for women in the community. The onset of psychiatric disturbance was soon after delivery in most instances; and, for the majority, the episode of disturbance lasted for 3 months or less. The distribution of PSE Catego classes and syndromes among the antenatal and postnatal samples were found to be similar to those in the non-puerperal comparison sample. Thus, the prevalence, incidence, and nature of non-psychotic psychiatric disorder in the 12 months following delivery do not appear to distinguish it from such disorders arising at other times.
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Studies of perinatal depression with control groups of non-pregnant and non-postpartum women have not found different depression rates across groups.
“For example, studies of perinatal depression that included control groups of non-pregnant and non-postpartum women have not found different rates of depression across groups [52,53].”
From Perinatal mental illness: Definition, description and aetiology (2014) · cites this paper as [52]
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- Authors
- Cooper, P. J., Campbell, E. A., Day, A., Kennerley, H., & Bond, A.
- Affiliations
- University of Cambridge (GB)
- University of Surrey (GB)
- Warneford Hospital (GB)
- Corresponding author
- Cooper, Peter J.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1988-06
- Volume
- 152
- Issue
- 6
- Pages
- 799-806
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2057049271
- Semantic Scholar
- 5f2ea7af06aafb995f52ff94a57774760aae7eb2
- Cited by
- 425
- References
- 40
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 4 · 2021: 6 · 2020: 7 · 2019: 3 · 2018: 6 · 2017: 3 · 2016: 4 · 2015: 9 · 2014: 13 · 2013: 10 · 2012: 4
- FWCI
- 15.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- postpartum mental disorders, postpartum depression, prevalence, incidence, psychiatric syndromes, women's mental health
- MeSH terms
- Adolescent, Adult, Mental Disorders, England, Female, Humans, Pregnancy, Prospective Studies, Puerperal Disorders, Stress, Psychological, Time Factors
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