Abstract:
:Puerperal psychoses do not represent a nosological entity, but rather a selection of puerperally triggered "ordinary" functional psychoses with cycloid psychoses predominating and schizophrenias occurring very rarely. The prognosis is basically favorable concerning symptom remission and social and occupational functioning. However, there is a considerable frequency of relapses and an increased suicide rate. The most important risk factors for an episode of a puerperal psychosis are being primiparous and having suffered a previous episode of a psychosis, particularly a cycloid psychosis. Controlled treatment studies up to now are absent. Case studies suggest in acute episodes the efficacy of a symptom-oriented pharmacologic treatment where ablactation is recommended. With respect to prophylactic treatment some authors propose to apply lithium in late pregnancy or immediately after delivery. Because of its possible teratogenic effects and the altogether rather sparse data, the authors however cannot recommend the use of lithium during pregnancy. Applying estradiol after delivery may be beneficial and safe, but further studies are necessary to clarify these issues.
journal_name
Curr Psychiatry Repjournal_title
Current psychiatry reportsauthors
Pfuhlmann B,Stoeber G,Beckmann Hdoi
10.1007/s11920-002-0025-6keywords:
subject
Has Abstractpub_date
2002-06-01 00:00:00pages
185-90issue
3eissn
1523-3812issn
1535-1645journal_volume
4pub_type
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journal_title:Current psychiatry reports
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journal_title:Current psychiatry reports
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journal_title:Current psychiatry reports
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pub_type: 历史文章,杂志文章
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
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journal_title:Current psychiatry reports
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-017-0861-z
更新日期:2017-11-25 00:00:00
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
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更新日期:2010-10-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2014-09-01 00:00:00
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journal_title:Current psychiatry reports
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
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更新日期:2005-08-01 00:00:00
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
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更新日期:2018-05-18 00:00:00
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-009-0045-6
更新日期:2009-08-01 00:00:00
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
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更新日期:2017-01-01 00:00:00
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
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journal_title:Current psychiatry reports
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更新日期:2010-02-01 00:00:00
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
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更新日期:2004-06-01 00:00:00
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
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更新日期:2015-06-01 00:00:00
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-008-0076-4
更新日期:2008-12-01 00:00:00
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
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更新日期:2014-02-01 00:00:00
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
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更新日期:2015-02-01 00:00:00
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
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更新日期:2019-08-13 00:00:00
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journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
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更新日期:2016-02-01 00:00:00