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Abstract
Women are more likely to experience psychosis during the period following childbirth than at any other time in their lives. Postpartum psychosis appears to be a heterogeneous group of mood and psychotic disorders. These disorders have in common the emergence of psychotic symptoms such as delusions and hallucinations in the first weeks postpartum, although some women may present several months later, usually with psychotic depression. The onset of psychosis during the postpartum period constitutes a medical emergency. Women with postpartum psychosis are more likely to commit suicide or infanticide than the general population. Acute management emphasizes hospitalization to ensure safety, mobilizing the family to ensure care of the newborn, antipsychotic medication, and treatment of the underlying disorder. This article focuses on Diagnostic Statistical Mannual of Mental Disorde-5 Revision (DSM-5) update and major clinical issues regarding postpartum psychosis.
Keywords: Postpartum, Psychosis, Peripartum, Depression, Bipolar disorder, Onset.##plugins.themes.academic_pro.article.details##
How to Cite
G, R. (2014). Postpartum Psychosis: Diagnostic Statistical Manual of Mental Disorder-5 Revision Updates. International Journal of Emerging Trends in Science and Technology, 1(07). Retrieved from https://igmpublication.org/ijetst.in/index.php/ijetst/article/view/349
References
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2. Kendell RE, Chalmers JC, Platz C. Epidemiology of puerperal psychoses [published correction appears in Br J Psychiatry. 1987;151:135]. Br J Psychiatry. 1987;150:662-673.
3. Jones I, Craddock N. Familiality of the puerperal trigger in bipolar disorder: results of a family study. Am J Psychiatry. 2001;158:913-917.
4. Sharma V. Pharmacotherapy of postpartum psychosis. Expert Opin Pharmacother. 2003;4:1651-1658.
5. Blackmore ER, Rubinow DR, O’Connor TG, et al. Reproductive outcomes and risk of subsequent illness in women diagnosed with postpartum psychosis. Bipolar Disord. 2013 May 7; [Epub ahead of print].
6. Chaudron LH, Pies RW. The relationship between postpartum psychosis and bipolar disorder: a review. J Clin Psychiatry. 2003;64:1284-1292.
7. Heron J, Robertson Blackmore E, McGuinness M, et al. No “latent period†in the onset of bipolar affective puerperal psychosis. Arch Womens Ment Health. 2007;10:79-81.
8. Spinelli MG. Postpartum psychosis: detection of risk and management. Am J Psychiatry. 2009;166:405-408.
9. Wisner KL, Peindl K, Hanusa BH. Symptomatology of affective and psychotic illnesses related to childbearing. J Affect Disord. 1994;30:77-87.
10. Friedman SH, Cavney J, Resnick PJ. Child murder by parents and evolutionary psychology. Psychiatr Clin North Am. 2012;35:781-795.
11. Jones I, Craddock N. Searching for the puerperal trigger: molecular genetic studies of bipolar affective puerperal psychosis. Psychopharmacol Bull. 2007;40:115-128.
12. Coyle N, Jones I, Robertson E, et al. Variation at the serotonin transporter gene influences susceptibility to bipolar affective puerperal psychosis. Lancet. 2000;356:1490-1491.
13. Kumar HB, Purushottam M, Kubendran S, et al. Serotonergic candidate genes and puerperal psychosis: an association study [published correction appears in Psychiatr Genet. 2007;17:360]. Psychiatr Genet. 2007;17:253-260.
14. Jones I, Hamshere M, Nangle JM, et al. Bipolar affective puerperal psychosis: genome-wide significant evidence for linkage to chromosome 16. Am J Psychiatry. 2007;164:1099-1104.
15. Sharma V, Mazmanian D. Sleep loss and postpartum psychosis. Bipolar Disord. 2003;5:98-105.
16. Bergink V, Kushner SA, Pop V, et al. Prevalence of autoimmune thyroid dysfunction in postpartum psychosis. Br J Psychiatry. 2011;198:264-268.
17. Bergink V, Burgerhout KM, Weigelt K, et al. Immune system dysregulation in first-onset postpartum psychosis. Biol Psychiatry. 2013;73:1000-1007.
18. Sachs HC; Committee on Drugs. The transfer of drugs and therapeutics into human breast milk: an update on selected topics. Pediatrics. 2013;132:e796-e809.
19. Klinger G, Stahl B, Fusar-Poli P, Merlob P. Antipsychotic drugs and breastfeeding. Pediatr Endocrinol Rev. 2013;10:308-317.
20. Bergink V, Lambregtse-van den Berg MP, Koorengevel KM, et al. First-onset psychosis occurring in the postpartum period: a prospective cohort study. J Clin Psychiatry. 2011;72:1531-1537.
21. Focht A, Kellner CH. Electroconvulsive therapy (ECT) in the treatment of postpartum psychosis. J ECT. 2012;28:31-33.
22. Heron J, Gilbert N, Dolman C, et al. Information and support needs during recovery from postpartum psychosis. Arch Womens Ment Health. 2012;15:155-165.
23. Doucet S, Jones I, Letourneau N, et al. Interventions for the prevention and treatment of postpartum psychosis: a systematic review. Arch Womens Ment Health. 2011;14:89-98.
24. Bergink V, Bouvy PF, Vervoort JS, et al. Prevention of postpartum psychosis and mania in women at high risk. Am J Psychiatry. 2012;169:609-615
2. Kendell RE, Chalmers JC, Platz C. Epidemiology of puerperal psychoses [published correction appears in Br J Psychiatry. 1987;151:135]. Br J Psychiatry. 1987;150:662-673.
3. Jones I, Craddock N. Familiality of the puerperal trigger in bipolar disorder: results of a family study. Am J Psychiatry. 2001;158:913-917.
4. Sharma V. Pharmacotherapy of postpartum psychosis. Expert Opin Pharmacother. 2003;4:1651-1658.
5. Blackmore ER, Rubinow DR, O’Connor TG, et al. Reproductive outcomes and risk of subsequent illness in women diagnosed with postpartum psychosis. Bipolar Disord. 2013 May 7; [Epub ahead of print].
6. Chaudron LH, Pies RW. The relationship between postpartum psychosis and bipolar disorder: a review. J Clin Psychiatry. 2003;64:1284-1292.
7. Heron J, Robertson Blackmore E, McGuinness M, et al. No “latent period†in the onset of bipolar affective puerperal psychosis. Arch Womens Ment Health. 2007;10:79-81.
8. Spinelli MG. Postpartum psychosis: detection of risk and management. Am J Psychiatry. 2009;166:405-408.
9. Wisner KL, Peindl K, Hanusa BH. Symptomatology of affective and psychotic illnesses related to childbearing. J Affect Disord. 1994;30:77-87.
10. Friedman SH, Cavney J, Resnick PJ. Child murder by parents and evolutionary psychology. Psychiatr Clin North Am. 2012;35:781-795.
11. Jones I, Craddock N. Searching for the puerperal trigger: molecular genetic studies of bipolar affective puerperal psychosis. Psychopharmacol Bull. 2007;40:115-128.
12. Coyle N, Jones I, Robertson E, et al. Variation at the serotonin transporter gene influences susceptibility to bipolar affective puerperal psychosis. Lancet. 2000;356:1490-1491.
13. Kumar HB, Purushottam M, Kubendran S, et al. Serotonergic candidate genes and puerperal psychosis: an association study [published correction appears in Psychiatr Genet. 2007;17:360]. Psychiatr Genet. 2007;17:253-260.
14. Jones I, Hamshere M, Nangle JM, et al. Bipolar affective puerperal psychosis: genome-wide significant evidence for linkage to chromosome 16. Am J Psychiatry. 2007;164:1099-1104.
15. Sharma V, Mazmanian D. Sleep loss and postpartum psychosis. Bipolar Disord. 2003;5:98-105.
16. Bergink V, Kushner SA, Pop V, et al. Prevalence of autoimmune thyroid dysfunction in postpartum psychosis. Br J Psychiatry. 2011;198:264-268.
17. Bergink V, Burgerhout KM, Weigelt K, et al. Immune system dysregulation in first-onset postpartum psychosis. Biol Psychiatry. 2013;73:1000-1007.
18. Sachs HC; Committee on Drugs. The transfer of drugs and therapeutics into human breast milk: an update on selected topics. Pediatrics. 2013;132:e796-e809.
19. Klinger G, Stahl B, Fusar-Poli P, Merlob P. Antipsychotic drugs and breastfeeding. Pediatr Endocrinol Rev. 2013;10:308-317.
20. Bergink V, Lambregtse-van den Berg MP, Koorengevel KM, et al. First-onset psychosis occurring in the postpartum period: a prospective cohort study. J Clin Psychiatry. 2011;72:1531-1537.
21. Focht A, Kellner CH. Electroconvulsive therapy (ECT) in the treatment of postpartum psychosis. J ECT. 2012;28:31-33.
22. Heron J, Gilbert N, Dolman C, et al. Information and support needs during recovery from postpartum psychosis. Arch Womens Ment Health. 2012;15:155-165.
23. Doucet S, Jones I, Letourneau N, et al. Interventions for the prevention and treatment of postpartum psychosis: a systematic review. Arch Womens Ment Health. 2011;14:89-98.
24. Bergink V, Bouvy PF, Vervoort JS, et al. Prevention of postpartum psychosis and mania in women at high risk. Am J Psychiatry. 2012;169:609-615