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Postpartum psychosis: two cohorts compared, 1875-1924 and 1994-2005

机译：产后精神病：两个队列比较，1875-1924年和1994-2005年

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Background. There has been a long-standing debate as to whether postpartum psychoses are distinct from other psychoses. While the outcomes of postpartum psychosis are in general thought to be good, the disorder is linked to a high rate of suicide. Method. We have utilized a database of 3872 admissions to the North Wales Asylum during the period 1875-1924 to extract data on the prevalence, course and clinical features of postpartum psychoses during this period. We have collected first admissions for postpartum psychosis between 1994 and 2005 in North West Wales to establish a current incidence rate for the disorder. Results. The incidence of psychoses with a first onset in the postpartum period in North West Wales has fallen in the modern period, while the incidence of postpartum psychoses in women with a pre-existing mental illness remains the same. Some features of the clinical picture and course of postpartum psychoses differ from other psychoses, but may be gender rather than disorder linked. Conclusions. These findings suggest that psychoses with their first onset in the postpartum period may be vanishing. If replicated, this would support claims that these disorders are distinct from other disorders. Alternately, if regarded as affective disorders, establishing the basis for the apparent decline in frequency of these disorders may have implications for other affective disorders.
机译：背景。关于产后精神病是否与其他精神病截然不同的争论已久。一般认为，产后精神病的预后良好，但该疾病与自杀率高有关。方法。我们利用了1875年至1924年期间收录的3872名北威尔士收容所的数据库来提取有关此期间产后精神病的患病率，病程和临床特征的数据。我们收集了1994年至2005年间在西北威尔士的首次产后精神病患者，以建立该疾病的当前发病率。结果。西北威尔士产后精神病的发病率在现代时期有所下降，而已有精神病的妇女产后精神病的发病率保持不变。产后精神病的临床表现和病程的某些特征与其他精神病有所不同，但可能与性别有关，而不是与疾病有关。结论。这些发现表明，在产后首次发作的精神病可能会消失。如果被复制，这将支持这些疾病不同于其他疾病的说法。或者，如果将其视为情感障碍，则为这些障碍的频率明显下降奠定基础可能会对其他情感障碍产生影响。

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