High lifelong relapse rate of psychiatric disorders among women with postpartum psychosis
(2013) In Nordic Journal of Psychiatry 67(1). p.53-58- Abstract
- Nager A, Szulkin R, Johansson S-E, Johansson L-M, Sundquist K. High lifelong relapse rate of psychiatric disorders among women with postpartum psychosis. Nord J Psychiatry 2013;67:53-58. Background: The relapse rate for psychiatric disorders after postpartum psychosis is high. Apart from subsequent puerperal periods, previous studies have not examined when relapses in psychiatric disorders occur. In addition, little is known about the impact of certain individual factors on the risk of non-puerperal readmission among women with previous postpartum psychosis. Aims: The first aim was to examine the association between non-puerperal readmission due to psychiatric disorders and years of follow-up (in total, 30 years) in women with postpartum... (More)
- Nager A, Szulkin R, Johansson S-E, Johansson L-M, Sundquist K. High lifelong relapse rate of psychiatric disorders among women with postpartum psychosis. Nord J Psychiatry 2013;67:53-58. Background: The relapse rate for psychiatric disorders after postpartum psychosis is high. Apart from subsequent puerperal periods, previous studies have not examined when relapses in psychiatric disorders occur. In addition, little is known about the impact of certain individual factors on the risk of non-puerperal readmission among women with previous postpartum psychosis. Aims: The first aim was to examine the association between non-puerperal readmission due to psychiatric disorders and years of follow-up (in total, 30 years) in women with postpartum psychosis. The second aim was to examine the impact of age, type of psychosis, previous hospitalization for psychiatric disorders and level of education on the risk of non-puerperal readmission due to psychiatric disorders. Methods: All Swedish women aged 20-44 with postpartum psychosis (n = 3140) were followed between 1975 and 2004 for non-puerperal readmission due to psychiatric disorders. A Cox frailty regression model was used to estimate hazard ratios for non-puerperal readmission. Results: The risk of non-puerperal readmission, although gradually decreasing with time, remained high many years after the postpartum psychosis. The risk of non-puerperal readmission was significantly higher among women with schizophrenia, lower levels of education and previous psychiatric hospitalization. Conclusions: Postpartum psychosis is often part of a lifelong recurrent psychiatric disorder. Women with schizophrenia, lower levels of education and hospitalization due to a psychiatric disorder prior to postpartum psychosis have a higher risk of non-puerperal readmission. Clinical implications: The findings constitute important knowledge for all healthcare workers encountering women with a previous postpartum psychosis. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3590262
- author
- Nager, Anna ; Szulkin, Robert ; Johansson, Sven-Erik LU ; Johansson, Leena-Maria and Sundquist, Kristina LU
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Psychiatric disorders, puerperal disorders, schizophrenia, Sweden
- in
- Nordic Journal of Psychiatry
- volume
- 67
- issue
- 1
- pages
- 53 - 58
- publisher
- Informa Healthcare
- external identifiers
-
- wos:000314066300010
- scopus:84873030080
- pmid:22563736
- ISSN
- 1502-4725
- DOI
- 10.3109/08039488.2012.675590
- language
- English
- LU publication?
- yes
- id
- c52422e8-68b7-4d98-a7b1-338539548a87 (old id 3590262)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/22563736
- date added to LUP
- 2016-04-01 10:28:27
- date last changed
- 2022-04-12 06:44:48
@article{c52422e8-68b7-4d98-a7b1-338539548a87,
abstract = {{Nager A, Szulkin R, Johansson S-E, Johansson L-M, Sundquist K. High lifelong relapse rate of psychiatric disorders among women with postpartum psychosis. Nord J Psychiatry 2013;67:53-58. Background: The relapse rate for psychiatric disorders after postpartum psychosis is high. Apart from subsequent puerperal periods, previous studies have not examined when relapses in psychiatric disorders occur. In addition, little is known about the impact of certain individual factors on the risk of non-puerperal readmission among women with previous postpartum psychosis. Aims: The first aim was to examine the association between non-puerperal readmission due to psychiatric disorders and years of follow-up (in total, 30 years) in women with postpartum psychosis. The second aim was to examine the impact of age, type of psychosis, previous hospitalization for psychiatric disorders and level of education on the risk of non-puerperal readmission due to psychiatric disorders. Methods: All Swedish women aged 20-44 with postpartum psychosis (n = 3140) were followed between 1975 and 2004 for non-puerperal readmission due to psychiatric disorders. A Cox frailty regression model was used to estimate hazard ratios for non-puerperal readmission. Results: The risk of non-puerperal readmission, although gradually decreasing with time, remained high many years after the postpartum psychosis. The risk of non-puerperal readmission was significantly higher among women with schizophrenia, lower levels of education and previous psychiatric hospitalization. Conclusions: Postpartum psychosis is often part of a lifelong recurrent psychiatric disorder. Women with schizophrenia, lower levels of education and hospitalization due to a psychiatric disorder prior to postpartum psychosis have a higher risk of non-puerperal readmission. Clinical implications: The findings constitute important knowledge for all healthcare workers encountering women with a previous postpartum psychosis.}},
author = {{Nager, Anna and Szulkin, Robert and Johansson, Sven-Erik and Johansson, Leena-Maria and Sundquist, Kristina}},
issn = {{1502-4725}},
keywords = {{Psychiatric disorders; puerperal disorders; schizophrenia; Sweden}},
language = {{eng}},
number = {{1}},
pages = {{53--58}},
publisher = {{Informa Healthcare}},
series = {{Nordic Journal of Psychiatry}},
title = {{High lifelong relapse rate of psychiatric disorders among women with postpartum psychosis}},
url = {{http://dx.doi.org/10.3109/08039488.2012.675590}},
doi = {{10.3109/08039488.2012.675590}},
volume = {{67}},
year = {{2013}},
}