PMID- 23635018
OWN - NLM
STAT- MEDLINE
DCOM- 20140325
LR  - 20191210
IS  - 1399-5618 (Electronic)
IS  - 1398-5647 (Linking)
VI  - 15
IP  - 6
DP  - 2013 Sep
TI  - A comparative study of psychopathology, symptom severity, and short-term outcome 
      of postpartum and nonpostpartum mania.
PG  - 713-8
LID - 10.1111/bdi.12076 [doi]
AB  - OBJECTIVES: Most studies acknowledge that postpartum psychosis is a variant of 
      bipolar disorder with certain unique clinical features. There have been several 
      descriptions of similarities and differences between postpartum psychosis and 
      postpartum mania to support this conclusion. However, not many studies have 
      compared postpartum-onset and nonpostpartum-onset mania. This study compared 
      short-term outcome, clinical features, and severity of symptoms between these two 
      groups. METHODS: Two groups of women (n = 30 each) matching the study criteria 
      were recruited from psychiatric inpatient units in India during the period from 
      April 2007 to August 2008. They had been systematically assessed for psychiatric 
      symptoms and symptom severity using the Comprehensive Psychopathology Rating 
      Scale (CPRS), Young Mania Rating Scale (YMRS), Hamilton Depression Rating Scale 
      (HDRS), and Global Assessment of Functioning Scale (GAF). To evaluate short-term 
      outcome, all assessments were conducted within a week of admission and were 
      repeated at six weeks. RESULTS: Women with postpartum-onset mania had higher 
      scores on the HDRS, indicating more depressive symptoms. The score on the anxiety 
      factor of the HDRS was also higher in the postpartum group. Based on CPRS 
      ratings, perplexity, muscle tension, worrying, inner tension, lability of mood, 
      lassitude, and disorientation were more common in the postpartum group, while 
      typical manic symptoms were more common in the nonpostpartum group. Duration of 
      hospital stay and short-term outcome were, however, similar in the two groups. 
      CONCLUSIONS: Symptoms of depression and anxiety are more common and more severe 
      in mania of postpartum onset and typical manic symptoms are fewer. However, 
      six-week outcomes appear similar to those of nonpostpartum mania.
CI  - (c) 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd.
FAU - Ganjekar, Sundarnag
AU  - Ganjekar S
AD  - Department of Psychiatry, MS Ramaiah Medical College, Bangalore, India.
FAU - Desai, Geetha
AU  - Desai G
FAU - Chandra, Prabha S
AU  - Chandra PS
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20130502
PL  - Denmark
TA  - Bipolar Disord
JT  - Bipolar disorders
JID - 100883596
SB  - IM
MH  - Adult
MH  - Anxiety/*psychology
MH  - Bipolar Disorder/complications/diagnosis/*psychology
MH  - Chi-Square Distribution
MH  - Female
MH  - Humans
MH  - Outcome Assessment, Health Care
MH  - *Postpartum Period
MH  - Psychiatric Status Rating Scales
MH  - *Psychopathology
MH  - Psychotic Disorders/complications/*psychology
MH  - Retrospective Studies
MH  - Time Factors
MH  - Young Adult
OTO - NOTNLM
OT  - bipolar outcome
OT  - postpartum
OT  - postpartum psychosis
OT  - treatment
OT  - women
EDAT- 2013/05/03 06:00
MHDA- 2014/03/26 06:00
CRDT- 2013/05/03 06:00
PHST- 2012/07/21 00:00 [received]
PHST- 2013/01/12 00:00 [accepted]
PHST- 2013/05/03 06:00 [entrez]
PHST- 2013/05/03 06:00 [pubmed]
PHST- 2014/03/26 06:00 [medline]
AID - 10.1111/bdi.12076 [doi]
PST - ppublish
SO  - Bipolar Disord. 2013 Sep;15(6):713-8. doi: 10.1111/bdi.12076. Epub 2013 May 2.