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Psychiatric Disorder in Pregnancy and the First Postnatal Year

Published online by Cambridge University Press:  29 January 2018

J. P. Watson
Affiliation:
Guy's Hospital Medical School, London SE1 9RT
S. A. Elliott
Affiliation:
Lewisham Psychiatric Research Unit
A. J. Rugg
Affiliation:
Lewisham Psychiatric Unit; now Consultant Psychiatrist at Clifton Hospital, York
D. I. Brough
Affiliation:
Lewisham and North Southwark Health Authority

Summary

We interviewed 128 women regularly during pregnancy and the first postnatal year. Psychiatric interviews identified eight ‘cases' of psychiatric disorder (6 per cent) in early pregnancy and twenty ‘cases' (16 per cent) at six weeks after birth. Postnatal affective disorder, which accounted for 15 of these cases, was significantly associated with dissatisfaction with the marital relationship and also with previous psychiatric history. The implications of the term ‘postnatal depression’ are considered in terms of the course of the disorder in the 29 women (23 per cent) who had episodes of affective disorder at some time during pregnancy and the postnatal year. We found that the majority of episodes of affective disorder could be understood in terms of previous psychiatric history and/or reaction to life-events, including the stress of childbirth itself.

Type
Papers
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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References

Bebbington, P., Hurry, J., Tennant, C., Sturt, E. & Wing, J. K. (1981) Epidemiology of mental disorders in Camberwell. Psychological Medicine, 11, 561–97.CrossRefGoogle ScholarPubMed
Breen, D. (1975) The Birth of a First Child. London: Tavistock.Google Scholar
Brown, G. W. & Harris, T. (1978) Social Origins of Depression. London: Tavistock.Google ScholarPubMed
Brown, G. W. & Rutter, M. (1966) The measurement of family activities and relationships: a methodological study. Human Relations, 19, 241–63.CrossRefGoogle Scholar
Cox, J. L., Connor, Y. & Kendell, R. E. (1982) Prospective study of the psychiatric disorders of childbirth. British Journal of Psychiatry, 140, 111–17.Google Scholar
Dalton, K. (1971) Prospective study into puerperal depression. British Journal of Psychiatry, 118, 689–92.Google Scholar
Dalton, K. (1980) Depression After Childbirth. Oxford: Oxford University Press.Google Scholar
Elliott, S. A. (1982) Mood Change in Pregnancy and Early Motherhood. Unpublished PhD thesis, University of London.Google Scholar
Elliott, S. A., Rugg, A. J., Watson, J. P. & Brough, D. I. (1983) Mood change during pregnancy and after the birth of a child. British Journal of Clinical Psychology, 22, 295308.CrossRefGoogle ScholarPubMed
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, M. B. & Shepherd, M. (1970) A standardised psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine, 24, 1823.Google Scholar
Gordon, R. E., Gordon, K. K. & Englewood, N. J. (1959) Social factors in the prediction and treatment of emotional disorders in pregnancy. American Journal of Obstetrics and Gynecology, 77, 1074–83.Google Scholar
Gordon, R. E., Kapostins, E. E. & Gordon, K. K. (1965) Factors in postpartum emotional adjustment. Obstetrics and Gynaecology, 25, 158–66.Google ScholarPubMed
Jacobsen, L., Kau, L, & Nilsson, A. (1965) Postpartum mental disorders in an unselected sample. British Medical Journal, i, 1640–3.Google Scholar
Kendell, R. E., Wainwright, S., Hailey, A. & Shannon, B. (1976) The influence of childbirth on psychiatric morbidity. Psychological Medicine, 6, 297302.CrossRefGoogle ScholarPubMed
Kendell, R. E., Rennie, D., Clarke, S. A. & Dean, C. (1981) The social and obstetric correlates of psychiatric admission in the puerperium. Psychological Medicine, 11, 341–50.Google Scholar
Kumar, R. & Robson, K. (1978) Neurotic disturbance during pregnancy and the puerperium: preliminary report of a prospective survey of 119 primiparae. In Mental Illness in Pregnancy and the Puerperium (ed. Sandler, M.). Oxford Medical Publications.Google Scholar
Oakley, A. (1980) Women confined: towards a sociology of childbirth. Oxford: Martin Robertson.Google Scholar
Paykel, E. S., Emms, E. M., Fletcher, J. & Rassaby, E. S. (1980) Life events and social support in puerperal depression. British Journal of Psychiatry, 136, 339–46.Google Scholar
Pitt, B. (1968) Atypical depression following childbirth. British Journal of Psychiatry, 114, 1325–35.Google Scholar
Rees, W. D. & Lutkins, S. G. (1971) Parental depression before and after childbirth. Journal of The Royal College of General Practitioners, 21, 2631.Google Scholar
Ryle, A. (1961) The psychological disturbance associated with 345 pregnancies in 137 women. Journal of Mental Science, 107, 279–86.Google Scholar
Sandler, M. (ed.) (1978) Mental Illness in Pregnancy and the Puerperium. Oxford Medical Publications.Google Scholar
Tod, E. D. M. (1964) Puerperal depression—a prospective epidemiological study. Lancet, ii, 1264–6.Google Scholar
Welburn, V. (1980) Postnatal Depression. London: Fontana.Google Scholar
Wolkind, S., Zajicek, E., Coleman, E. & Ghodsian, M. (1980) Continuities in maternal depression. International Journal of Family Psychiatry, 1, 167–82.Google Scholar
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