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Cited by 84Maternal Mental Health During Pregnancy and PostpartumSchizophrenia research and treatmentHistorical Psychiatry and Medical Practices

A matched-control follow-up and family study of ‘puerperal psychoses’

Platz, C., Kendell, R. E.·1988·British Journal of Psychiatry
DOI 10.1192/bjp.153.1.90
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Abstract

A hundred and ten women admitted to a psychiatric hospital within 90 days of childbirth were individually matched for age, psychiatric syndrome, and year of admission with women admitted to the same hospital with illnesses unrelated to childbirth. Both groups were followed up after a mean interval of nine years, and 72 matched pairs of patients for whom adequate information was obtained were then compared. The previous and subsequent psychiatric morbidity of these two groups, their subsequent obstetric careers, and the psychiatric morbidity of their first-degree relatives were all very similar. However, the puerperal women had significantly fewer relapses in the follow-up period, fewer committed suicide, and the psychiatric morbidity of their relatives tended to be lower. This better outcome was most marked in puerperal subjects with major depressions; those with manic disorders fared no better than controls. These results suggest that puerperal psychoses are basically the same as affective illnesses occurring at other times but, because childbirth is a uniquely potent precipitant of affective illness, some of those who develop puerperal episodes have a lesser genetic predisposition to affective illness than the generality of women with affective disorders.

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Crossref · 10.1192/bjp.153.1.90

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  • Symptom patterns in postpartum psychosis consistently differ from those in psychosis unrelated to childbearing.

    “The symptom patterns in women with postpartum psychosis have consistently been reported to differ from women with psychosis not related to childbearing [22–24].”

    From Perinatal mental illness: Definition, description and aetiology (2014) · cites this paper as [24]

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Related

Authors
Platz, C., & Kendell, R. E.
Affiliations
  • Dartford And Gravesham NHS Trust (GB)
  • University of Edinburgh (GB)
Corresponding author
Kendell, R. E.
Venue
British Journal of Psychiatry
Publisher
Royal College of Psychiatrists
Published
1988-07
Volume
153
Issue
1
Pages
90-94
ISSN
  • 0007-1250 (ISSN-L)
  • 1472-1465
DOI
10.1192/bjp.153.1.90
OpenAlex
W2152448656
Cited by
84
References
11
Citations by year
2026: 1 · 2025: 1 · 2023: 1 · 2022: 2 · 2019: 2 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 3
FWCI
6.82
Type
journal article
Language
en
Open access
closed
Licence
www.cambridge.org/core/terms (unspecified, 10777 d)
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 › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
Keywords
postpartum psychosis, postpartum depression, mood disorders, major depressive disorder, manic disorder, suicide, relapse, family history (medicine), genetic susceptibility, long-term outcomes
MeSH terms
Affective Disorders, Psychotic, Bipolar Disorder, Depressive Disorder, Family Health, Female, Follow-Up Studies, Humans, Pregnancy, Psychotic Disorders, Puerperal Disorders

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