First-case postpartum psychoses in Eastern Turkey: a clinical case and follow-up study

Acta Psychiatr Scand. 1999 Sep;100(3):199-204. doi: 10.1111/j.1600-0447.1999.tb10846.x.

Abstract

Objective: The aim of this study was to investigate the clinicodemographic features and long-term course of postpartum psychosis (PPP).

Method: A total of 64 in-patients with psychotic postpartum disorder, who were admitted for the first time to a psychiatry clinic, were reexamined retrospectively and then compared with 64 control patients. Follow-up investigation was carried out either by interviewing the patients personally or with the help of general practitioners (GPs). All patients were rediagnosed according to DSM-IV.

Results: The majority of PPP patients were young, married, primiparae, had a low educational level and were living in rural areas. The mean onset time of PPP after delivery was 3.62 weeks. More than 75% of the patients with PPP had further psychotic episodes during the follow-up period of 11 years; 42% of the puerperal cases were diagnosed as schizophrenia at the follow-up investigation, and 59.3% of the patients had confuso-oneiroid syndrome.

Conclusion: These findings, unlike those of the Western studies, demonstrate that PPP is not uniform in different populations.

MeSH terms

  • Adult
  • Case-Control Studies
  • Depression, Postpartum / complications*
  • Depression, Postpartum / diagnosis
  • Depression, Postpartum / ethnology
  • Depression, Postpartum / physiopathology
  • Female
  • Follow-Up Studies
  • Humans
  • Psychiatric Status Rating Scales
  • Psychotic Disorders / complications*
  • Psychotic Disorders / diagnosis
  • Retrospective Studies
  • Risk Factors
  • Schizophrenia / complications*
  • Schizophrenia / diagnosis
  • Syndrome
  • Turkey