Sleep loss and postpartum psychosis

Sharma, Verinder; Mazmanian, Dwight

doi:10.1034/j.1399-5618.2003.00015.x

Cited by 124 publications

(66 citation statements)

References 70 publications

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“…23 Similar symptoms have been found in studies of the early warning signs of nonpuerperal bipolar disorder. 24 Hypomanic symptoms, irritability, anxiety and lability (mood swings and tearfulness) are common features heralding bipolar disorder relapse.…”

Section: Discussionsupporting

confidence: 68%

Early postpartum symptoms in puerperal psychosis

Heron

McGuinness

Blackmore

et al. 2008

BJOG

110

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Objective To examine the nature of the earliest reported symptoms in women who develop a bipolar affective puerperal psychosis (PP).Design A retrospective interview study.Setting Women were recruited for clinical and molecular genetic studies of PP from a national PP network, articles in the national press and referrals from UK specialist perinatal psychiatry services.Sample One hundred and twenty-seven women met the criteria for an episode of strictly defined bipolar affective PP developing within 4 weeks of childbirth.Methods Participants were interviewed using the Schedule for clinical assessment in neuropsychiatry and hospital records were reviewed. Lifetime and puerperal episode diagnoses were made according to Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) based on all the available information. During interview, participants were asked to describe the earliest symptoms they believed to be related to their illness onset. The day of onset for each symptom was recorded.Main outcome measures We present subjectively experienced emotional and behavioural changes occurring within 3 days of childbirth, reported by four or more women.Results Seventy-three percent of women recalled experiencing an onset of symptoms by day 3. The most commonly recalled symptoms were feeling excited, elated or high (52%), not needing to sleep or not able to sleep (48%), feeling active or energetic (37%) and talking more or feeling very chatty (31%).Conclusions Hypomanic symptoms are particularly characteristic of the early postpartum in women who develop PP. These types of symptoms should be carefully monitored in individuals at high risk of PP episodes.

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Section: Discussionsupporting

confidence: 68%

Early postpartum symptoms in puerperal psychosis

Heron

McGuinness

Blackmore

et al. 2008

BJOG

110

View full text Add to dashboard Cite

show abstract

“…Other researchers have identified inability to sleep or the inability to sleep as an early indicator in PPP. [17][18][19][20][21][22] The inability or lack of desire to sleep at all, however, is a unique sign that may be an earlier indicator of PPP. Lewis and colleagues have noted the overlap in sleep disruption and circadian systems disruption in individuals with bipolar disorders.…”

Section: Discussionmentioning

confidence: 99%

Identifying Prodromal Symptomology in Women Who Experienced Postpartum Psychosis: A Grounded Research Study

Davidson¹,

Samspon²,

Davidson³

2017

IPCB

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Objective: The aim of this study was to identify prodromal postpartum psychosis symptoms that are experienced by women prior to the diagnosis of postpartum psychosis.Methods: A qualitative, retrospective approach was utilized using grounded theory to conduct interviews with 13 women who had a history of postpartum psychosis. The interviews were transcribed and identification of categories, properties, and iterative hypothesis development and testing through the use of constant comparative analysis was performed. Demographic variables including age, marital, status, level of education, gravity, parity, and a history of mental health diagnosis and family history of mental illness were obtained.Results: Participants identified symptoms that fell within four major core themed groups. Participants identified the following themes in the period prior to diagnosis of postpartum psychosis: Sleep disturbances were characterized as an inability to sleep or no desire to sleep. Significant mood changes were categorized as either excitement or hyperactivity or anxiety or depression. Alteration in thought processes were expressed as being in a fog and having racing thoughts. Psychological stress was identified by the participants as feeling crazy and being completely paranoid. A conceptual model naturally emerged from the core categories identified in the study. Conclusion:Four core categories of prodromal postpartum psychosis symptoms were identified. Practitioners who care for pregnant women should assess for risk factor for postpartum mood and anxiety disorders when performing perinatal depression screenings. Women at risk should undergo additional monitoring in the postpartum period for prodromal symptoms of postpartum psychosis. Education of prenatal practitioners can help increase awareness of early symptoms of postpartum psychosis.

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“…Povišene faktore rizika imaju: prvorotke, samohrane majke, porođaj per vias abdominalis, zatim žene sa istorijom psihičkih bolesti uključujući prethodni postpartalni poremećaj, pozitivan hereditet (naročito ako su majka ili sestra imale postpartalni poremećaj), stresan životni događaj u toku trudnoće i/ili porođaja, seksualno zlostavljanje u anamnezi, vulnerabilne crte ličnosti [9,20]. Takođe, nedostatak podrške, bračne rezmirice, nezaposlenost, neplanirana trudnoća, kao i mlađe životno doba značajno doprinose razvoju postpartalnih poremećaja [21].…”

Section: Etiologijaunclassified

Four cases of successfully treated women suffering from postpartum psychosis

Jovičić¹,

Pavicevic²

2016

Engrami

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UVODDonošenje deteta na svet je verovatno najkompleksniji događaj u životu, psihološki posmatrano, sa kojim nastaju korenite promene u životu žene. Trudnoća i babinje mogu biti okidač za javljanje psihičkog oboljenja, svakako predstavljaju period povećane vulnerabilnosti. Po literaturi žene imaju 22 puta veću šansu da dožive psihotičnu epizodu u prvom mesecu po porođaju nego bilo kada u životu [1]. IstorijatJoš je Hipokrat (Ἱπποκράτης) u 4 veku pne opisao slučaj žene koja je razvila insomniju i nemir šesti dan po rođenju blizanaca, 11.ti dan delirijum, potom "komatozno stanje" i 17.og Kratak sadržajRođenje deteta je stresogeni događaj koji u vulnerabilnih žena može biti i precipitirajući za razvoj mentalnih oboljenja u puerperijumu koji se u savremenoj literaturi klasifikuju u 5 velikih kategorija: postpartalna-tuga, depresija i psihoza, postpartalni posttraumatski stresni poremećaj, postpartalni anksiozni i opsesivno kompulzivni poremećaji. Postpartalna psihoza se karakteriše naglom i dramatičnom izmenom u funkcionisanju žene i obično nastaje u drugoj nedelji po porođaju. Smatra se urgentnim stanjem i zahteva neodložno psihijatrijsko lečenje.U radu su prikazana četiri slučaja žena lečenih hospitalno od postpartalne psihoze i nakon toga nastavljenim vanbolničkim tretmanom. Od riziko faktora pacijentkinje su imale pozitivan hereditet u tri slučaja, sve su bile prvorotke, tri sa komplikovanom trudnoćom i porođajem, dve su imale neposredni stresogeni događaj. Farmakoterpjski režim je uključivao antipsihotike, benzodiazepine i psihostabilizatore.

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Sleep loss and postpartum psychosis

Cited by 124 publications

References 70 publications

Early postpartum symptoms in puerperal psychosis

Early postpartum symptoms in puerperal psychosis

Identifying Prodromal Symptomology in Women Who Experienced Postpartum Psychosis: A Grounded Research Study

Four cases of successfully treated women suffering from postpartum psychosis

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