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Related Experiment Videos

Stress and puerperal psychosis.

I F Brockington1, C Martin, G W Brown

  • 1Department of Psychiatry, Birmingham University, Queen Elizabeth Medical Centre.

The British Journal of Psychiatry : the Journal of Mental Science
|September 1, 1990
PubMed
Summary

Provoking agents were less common in women with puerperal psychosis and post-natal depression compared to the general community. Pre-natal depression showed similar rates of provoking agents in both patient and community groups.

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Area of Science:

  • Psychiatry
  • Perinatal Mental Health
  • Psychology

Background:

  • Perinatal mental health conditions, including puerperal psychosis, post-natal depression, and pre-natal depression, significantly impact maternal well-being.
  • Understanding the role of external stressors or 'provoking agents' is crucial for developing effective interventions.

Purpose of the Study:

  • To investigate the prevalence of provoking agents in women experiencing different perinatal mental health conditions.
  • To compare the presence of provoking agents in psychiatric patients versus the general population.

Main Methods:

  • Utilized the Life Events and Difficulties Schedule (LEDS) for interviews.
  • Compared 88 in-patients from a psychiatric mother-and-baby unit with 80 randomly selected women from the general population.

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Main Results:

  • Only 15% of patients with puerperal psychosis had provoking agents, compared to 36% in the community.
  • Provoking agents were found in 8 of 25 patients with post-natal depression.
  • Pre-natal depression showed high rates of provoking agents in both patients (7/9) and the community (8/9).

Conclusions:

  • Provoking agents appear less frequently associated with puerperal psychosis and post-natal depression than previously assumed.
  • Pre-natal depression, in contrast, demonstrates a strong association with provoking agents across both clinical and community samples.