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First-case postpartum psychoses in Eastern Turkey: a clinical case and follow-up study
I Kirpinar1, I Coşkun, A Cayköylü
1Department of Psychiatry, Faculty of Medicine, Atatürk University, Erzurum, Turkey.
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.