Abstract
Among 30 women suffering from a postpartum psychosis without affective syndrome, and for whom this episode of illness was the first leading to psychiatric hospitalisation, 19 fulfilled in the long-term course the DSM-III-R criteria for schizophreniform psychosis (SCHF) or brief reactive psychosis (BRP), and 11 fulfilled the criteria for schizophrenia (SCH). The two groups were compared in order to investigate their nosological relation. Patients with SCHF or BRP more often had the symptomatology of cycloid psychoses and signs of confusion, the onset of illness was more frequently abrupt and the age at the index delivery tended to be lower (p<0.07) than in patients with SCH. No case of SCHF or BRP was observed at the index episode that later developed into SCH. These findings, together with the different liability to puerperal decompensations, suggest that SCHF and BRP beginning in the postpartum period are nosologically distinct from SCH.
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References
Arentsen K (1968) Postpartum psychoses with particular reference to the prognosis. Dan Med Bull 15:97–100
Beighley PS, Brown GR, Thompson JW (1992) DSM-III-R brief reactive psychosis among air force recruits. J Clin Psychiatry 53:283–288
Bleuler E (1916) Lehrbuch der Psychiatrie. Springer, Berlin Heidelberg New York
Bleuler M (1972) Die schizophrenen Geistesstörungen in Lichte langjähriger Kranken- und Familiengeschichten. Thieme, Stuttgart
Brockington IF, Cernik KF, Schofield EM, Downing AR, Francis AF, Keelan C (1981) Puerperal psychosis: phenomena and diagnosis. Arch Gen Psychiatry 38:829–833
Coryell W, Tsuang MT (1982) DSM-III-R schizophreniform disorder: comparisons with schizophrenia and affective disorder. Arch Gen Psychiatry 39:66–69
Dean C, Kendell RE (1981) The symptomatology of puerperal illnesses. Br J Psychiatry 139:128–133
Ey H, Bernard P, Brisset C (1978) Manucl de psychiatrie. Masson, Paris
Fogelson DL, Cohen BM, Pope GH (1982) A study of DSM-III schizophreniform disorder. Am J Psychiatry 139:1281–1285
Grosse U (1968) Diagnostische Beurteilung der im Puerperium ausbrechenden Psychosen. Psychiatr Neurol Med Psychol 20: 222–225
Jauch DA, Carpenter WT (1988 a) Reactive psychosis. I: Does the pre-DSM-III concept define a third psychosis?. J Nerv Ment Dis 176:72–81
Jauch DA, Carpenter WT (1988 b) Reactive psychosis. II: Does DSM-III define a third psychosis? J Nerv Ment Dis 176:82–86
Johnstone EC, Owens DGC, Colter N, Crow TJ (1989) The spectrum of structural changes in the brain in schizophrenia: age of onset as a predictor of clinical and cognitive impairments and their cerebral correlates. Psychol Med 19:91–103
Keith SJ, Regier DA, Rae DS (1991) Schizophrenic disorders. In: Robins LN, Regier DA (eds) Psychiatric disorders in North America. Free Press, New York, pp 33–52
Kendell RE, Chalmers JC, Platz C (1987) Epidemiology of puerperal psychoses. Br J Psychiatry 150:662–673
Kendler KS, Gruenberg AM, Tsuang MT (1986) A DSM-III family study of the nonschizophrenic psychotic disorders. Am J Psychiatry 143:1098–1105
Kraepelin E (1913) Psychiatrie. Ein Lehrbuch für Studierende und Ärzte. Barth, Leipzig
Kumar R (1993) Personal communication
Lanczik M, Fritze J, Beckmann H (1990) Puerperal and cycloid psychoses: results of a retrospective study. Psychopathology 23:220–227
Leonhard K (1986) Aufteilung der engogenen Psychosen und ihre differenzierte Ätiologie. Akademie, Berlin
Leonhard K (1985) Bemerkungen zum Beitrag von Mathias Lammel “Zur Psychopathologie und Prognose von Generationspsychosen”. Psychiatr Neurol Med Psychol 37:234–235
Meltzer ES, Kumar R (1985) Puerperal mental illness, clinical features and classification: a study of 142 mother-and-baby admissiens. Br J Psychiatry 147:647–654
Pauleikhoff B (1964) Seelische Störungen in der Schwangerschaft und nach der Geburt. Enke, Stuttgart
Perris C (1974) A study of cycloid psychoses. Acta Psychiatr Scand [Suppl] 253
Perris C (1985) The diagnostic concept of cycloid psychotic disorder. In: Shagass C et al (eds) Biological psychiatry 1985. Elsevier, Amsterdam, pp 1030–1032
Perris C (1988) The concept of cycloid psychotic disorder. Psychiatr Dev 1:37–56
Pulver AE, Brown CH, Wolyniec PA, McGrath JA, Tam D (1991) Psychiatric morbidity in the relatives of patients with DSM-III schizophreniform disorder: comparisons with the relatives of schizophrenic and bipolar disorder patients. J Psychiatr Res 25: 19–29
Sautter F, Garver D (1985) Familial differences in lithium responsive versus lithium nonresponsive psychoses. J Psychiatr Res 19:1–8
Schöpf J, Bryois C, Jonquière M, Le PK (1984) On the nosology of severe psychiatric postpartum disorders: results of a catamnestic investigation. Eur Arch Psychiatry Neurol Sci 234:54–63
Schöpf J, Rust B (1994) Follow-up and family study of postpartum psychoses. Part I: overview. Eur Arch Psychiatry Clin Neurosci 244:101–111
Schöpf J (1994) Postpartum-Psychosen: Eine Verlaufs- und familiengenetische Studie. Springer, Berlin Heidelberg New York
Taylor MA, Abrams R (1984) Mania and DSM-III schizophreniform disorder. J Affective Disord 6:19–24
Thomas CL, Gordon JE (1959) Psychosis after chilbrith: ecological aspects of a single impact stress. Am J Med Sci 238:363–388
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Schöpf, J., Rust, B. Follow-up and family study of postpartum psychoses. Eur Arch Psychiatry Clin Nuerosci 244, 141–144 (1994). https://doi.org/10.1007/BF02191889
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DOI: https://doi.org/10.1007/BF02191889