Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-22T08:17:46.363Z Has data issue: false hasContentIssue false

Prospective Study of the Psychiatric Disorders of Childbirth

Published online by Cambridge University Press:  29 January 2018

R. E. Kendell
Affiliation:
Edinburgh University Department of Psychiatry, Royal Edinburgh Hospital, Morningside Park, Edinburgh EH10 5HF, Scotland

Summary

A representative sample of 105 women were assessed by Goldberg's Standardised Psychiatric Interview (SPI) on two occasions during pregnancy and twice more in the puerperium. Total SPI scores increased significantly after childbirth. Thirteen out of the sample had a severe postnatal depression and a further 17 women had milder depression, which in 15 lasted at least four weeks. Marked deterioration of their marital relationships was reported by the depressed women but no other social or obstetric characteristics of postnatal depression were found. Women with severe postnatal blues were particularly at risk of developing persistent depressive symptoms subsequently. The only two women referred to a psychiatrist had personality disorders rather than depressive illnesses.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1982 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cox, J. L. (1979) Psychiatric morbidity and pregnancy: A controlled study of 263 semi-rural Ugandan women. British Journal of Psychiatry, 134, 401–5.CrossRefGoogle ScholarPubMed
Cox, J. L. Postnatal depression: A prospective study of Ugandan women. Social Psychiatry (in press).Google Scholar
Dalton, K. (1971) A prospective study into puerperal depression. British Journal of Psychiatry, 118, 689–92.CrossRefGoogle ScholarPubMed
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, H. B. & Shepherd, M. (1970) A standardized psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine, 24, 1823.Google ScholarPubMed
Kendell, R. E., McGuire, R. J., Connor, Y. & Cox, J. L. Mood changes in the first three weeks after childbirth. Journal of Affective Disorders (in press).Google Scholar
Kumar, R. & Robson, K. (1979) Neurotic disturbance during pregnancy and the puerperium: Preliminary report of a prospective study of 119 primaegravida. In Mental Illness in Pregnancy and the Puerperium (ed. Sandler, M.). Oxford.Google Scholar
Myles, M. (1975) Textbook for Midwives (Eighth Edition). Edinburgh: Churchill Livingstone.Google Scholar
Nilsson, A. & Almgren, P. E. (1970) Paranatal emotional adjustment: A prospective investigation of 165 women. Acta Psychiatrica Scandinavica, Supplement 220.Google Scholar
Pitt, B. (1968) ‘Atypical’ depression following childbirth. British Journal of Psychiatry, 114, 1325–35.CrossRefGoogle ScholarPubMed
Pitt, B. (1973) Maternity blues. British Journal of Psychiatry, 122, 431–3.CrossRefGoogle ScholarPubMed
Robin, A. (1962) Psychological changes in normal parturition. Psychiatric Quarterly, 36, 129–50.CrossRefGoogle ScholarPubMed
Schachter, S. & Singer, J. E. (1962) Cognitive, social and physiological determinants of emotional state. Psychology Review, 69, 379–99.Google Scholar
Tod, E. D. M. (1964) Puerperal depression: A prospective epidemiological study. Lancet, ii, 1264–6.Google Scholar
Yalom, I. D., Lunde, D. T., Moss, R. H. & Hamburg, D. A. (1968) ‘Postpartum blues’ syndrome. Archives of General Psychiatry, 18, 1627.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.