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Related Experiment Videos

Menstrual psychosis.

Ian Brockington1

  • 1Lower Brockington Farm, Bredenbury, Bromyard, HR7 4TE Herefordshire, UK.

World Psychiatry : Official Journal of the World Psychiatric Association (WPA)
|April 25, 2006
PubMed
Summary
This summary is machine-generated.

Menstrual psychosis, a condition linked to the menstrual cycle, can trigger bipolar episodes, particularly around menarche and after childbirth. This review proposes a new classification for menstrual psychosis, highlighting its connection to manic-depressive illness.

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Area of Science:

  • Reproductive Psychiatry
  • Gynecological Endocrinology
  • Neuropsychiatry

Background:

  • Menstrual psychosis is a poorly understood condition.
  • Existing literature primarily comprises case reports, limiting statistical analysis.
  • A need exists for a standardized classification and further research into its etiology.

Purpose of the Study:

  • To review existing literature on menstrual psychosis.
  • To propose a novel classification system for menstrual psychosis.
  • To explore the relationship between menstrual cycles and psychotic episodes.

Main Methods:

  • Literature review of case reports on menstrual psychosis.
  • Adaptation of historical classification systems (v. Krafft-Ebing, 1902; Jolly, 1914).

Related Experiment Videos

  • Analysis of documented cases to identify patterns in onset and relation to the menstrual cycle.

    • Main Results:

    • Identified pre-menstrual, catamenial, paramenstrual, and mid-cycle onsets, as well as continuous illness with cyclical shifts.
    • Observed concentration of episodes around menarche and postpartum.
    • Found similarities with puerperal psychosis, suggesting a link within the manic-depressive spectrum.
    • Noted potential association with anovulatory cycles and possible diencephalic origin in pre-menarcheal cases.

    Conclusions:

    • Menstruation can act as a trigger for bipolar episodes.
    • Menstrual psychosis shares clinical features with puerperal psychosis and may be part of a broader bipolar disorder spectrum.
    • Further research is warranted to elucidate the underlying mechanisms, including potential diencephalic involvement and hormonal influences.