Is Postpartum Psychosis Incidence Increasing During the COVID-19 Pandemic?

Jansen, Madeline; Mukerji, Emily H.; Nykamp, Madeline J; L’Ecuyer, Suzanne; Lenze, Shannon N.; Rogers, Cynthia

doi:10.1016/j.bpsgos.2021.05.006

Cited by 2 publications

(4 citation statements)

References 19 publications

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“…The COVID-19 pandemic has had a negative impact on mental health. It has been suggested that in women with COVID-19, the mental and biological factors associated with it may induce PP [ 17 , 48 , 160 – 162 ]. Cases of psychosis associated with SARS-CoV-2 infection have been reported [ 163 ].…”

Section: Psychosocial Aspects Of Postpartum Psychosismentioning

confidence: 99%

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Postpartum Psychosis: A Review of Risk Factors, Clinical Picture, Management, Prevention, and Psychosocial Determinants

Michalczyk,

Miłosz,

Soroka

2023

Med Sci Monit

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Postpartum psychosis is rare, but is a serious clinical and social problem. On its own, it is not included in DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) or ICD-10 (International Statistical Classification of Diseases and Related Health Problems) as a disease entity, and current diagnostic criteria equate it with other psychoses. This poses a serious legal problem and makes it difficult to classify. The disorder is caused by a complex combination of biological, environmental, and cultural factors. The exact pathophysiological mechanisms of postpartum psychosis remain very poorly understood. There is a need for further research and increased knowledge of the medical sector in the prevention and early detection of psychosis to prevent stigmatization of female patients during a psychiatric episode. It is necessary to regulate its position in the DSM5 and ICD-10. Attention should be paid to the social education of expectant mothers and their families. This article aims to review the current status of risk factors, prevention, and management of postpartum psychosis.

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Section: Psychosocial Aspects Of Postpartum Psychosismentioning

confidence: 99%

“…It can affect women without a pre-established mental illness. Studies indicate that isolated postpartum psychosis is diagnosed in 40% of women with PP [ 16 , 17 , 19 ]. The condition is caused by a complex combination of biological environmental and cultural factors.…”

Section: Introductionmentioning

confidence: 99%

Postpartum Psychosis: A Review of Risk Factors, Clinical Picture, Management, Prevention, and Psychosocial Determinants

Michalczyk,

Miłosz,

Soroka

2023

Med Sci Monit

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“…It is important to note that the recent COVID-19 pandemic has been associated with psychosis in general, 69 and case reports have documented a potential relationship between COVID-19 infection and PPP 70 . One study from a single hospital system presents preliminary findings that the incidence of PPP during the COVID-19 pandemic increased 71 . It is possible that COVID-19 viral infection itself is a potential etiologic factor; however, cases have been shown in women in absence of infection 72 .…”

Section: Risk Factorsmentioning

confidence: 99%

“…70 One study from a single hospital system presents preliminary findings that the incidence of PPP during the COVID-19 pandemic increased. 71 It is possible that COVID-19 viral infection itself is a potential etiologic factor; however, cases have been shown in women in absence of infection. 72 It is possible that pandemicrelated psychosocial stressors and fears 69 and the stress response impact functioning in biological systems, such as the HPA axis, which have been implicated in the development of psychosis.…”

Section: Risk Factorsmentioning

confidence: 99%

Postpartum Psychosis: The Role of Women’s Health Care Providers and the Health Care System

Stacy

Schulkin

2022

Obstetrical &Amp; Gynecological Survey

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Importance: The postpartum period is a time of high risk for serious psychiatric symptoms and hospitalization. Postpartum psychosis (PPP) is the most severe disorder that emerges during this time, with significant and wide-ranging consequences that can include suicide and infanticide.Evidence Acquisition: A PubMed, MEDLINE, and PsycINFO search was completed for English-language publications about PPP, including subtopics (eg, infanticide, maternal suicide). Citations in these articles were also reviewed for relevant references.Results: Although it is clear that the triggering event for PPP is childbirth, the processes by which this occurs are not fully understood, which is a critical need for being able to predict, prevent, and manage PPP. There are risk factors that contribute to PPP, and specific groups of women may be at increased risk (eg, women with bipolar disorder). Many questions and challenges remain related to the phenomenology, nosology, prevention, and treatment of PPP. However, there are changes that women's health care providers and systems can take to improve the care of women at risk of and experiencing PPP.Conclusions and Relevance: Postpartum psychosis is a rare but serious condition. However, recovery is possible. Women's health care providers and systems can improve the care by better understanding the needs of women and families, offering patient-centered discussions and options for care, particularly those that promote recovery, minimize risk, and limit the interruption of the maternal-infant bond. Improving the prevention and treatment of PPP can have a broad impact for women, children, and families.Target Audience: Obstetricians and gynecologists, family physicians Learning Objectives: After participating in this activity, readers should be better able to describe risk factors that contribute to the onset of PPP; discuss best practices for preventing and treating PPP; and identify at least one way in which health care providers or health care systems can improve the care offered to women and families who experience PPP.

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Is Postpartum Psychosis Incidence Increasing During the COVID-19 Pandemic?

Cited by 2 publications

References 19 publications

Postpartum Psychosis: A Review of Risk Factors, Clinical Picture, Management, Prevention, and Psychosocial Determinants

Postpartum Psychosis: A Review of Risk Factors, Clinical Picture, Management, Prevention, and Psychosocial Determinants

Postpartum Psychosis: The Role of Women’s Health Care Providers and the Health Care System

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