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The clinical picture of the depressed form of puerperal psychosis.

Abstract：

:The clinical features of 104 patients admitted to a mother and baby unit over a 5-year period with RDC diagnoses of depression or schizoaffective depression were studied by self-ratings, measurements of non-verbal behaviour from standardised videotaped interviews, and observer ratings based on multiple information sources. The hypothesis was tested that they included a large subset which represented the depressed form of a bipolar puerperal psychosis. It was deduced that these illnesses would start early in the puerperium, and would have some specific clinical features. A comparison of patients with onset of depression within 2 weeks of delivery with those with onset during pregnancy or much later in the postnatal period showed a number of significant differences. A discriminant function analysis using serial reclassification of atypical patients refined the early-onset group by the exclusion of about one third of the patients who had an atypical clinical picture; the patients who remained, who are considered to represent the depressed form of puerperal psychosis, showed less anger, less self-rated emotion and more animation than the other depressed patients.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

Brockington IF,Margison FR,Schofield E,Knight RJ

doi

10.1016/0165-0327(88)90006-7

subject

Has Abstract

pub_date

1988-07-01 00:00:00

pages

29-37

issue

1

eissn

0165-0327

issn

1573-2517

pii

0165-0327(88)90006-7

journal_volume

15

pub_type

杂志文章

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