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Psychiatric Morbidity in Spouses of Women Admitted to a Mother and Baby Unit

Published online by Cambridge University Press:  02 January 2018

Ian Harvey
Affiliation:
King's College Hospital
Graeme McGrath*
Affiliation:
University Hospital of South Manchester
*
Department of Psychiatry, University Hospital of South Manchester, Nell Lane, West Didsbury, Manchester M20 8LR

Abstract

The spouses of 40 women admitted to a psychiatric Mother and Baby Unit were interviewed to detect psychiatric morbidity, and aspects of their social and marital functioning. This group was compared with 25 men whose wives had not shown obvious psychiatric disorder in the puerperium. Psychiatric morbidity, using DSM-III (American Psychiatric Association, 1980) criteria, was present in 42% of the index group, and 4% of the comparison group. The main diagnoses were major depressive episode and generalised anxiety disorder. This was associated with poorer marital and social function in the index group. Male psychopathology after delivery has been studied little but may be significant in the management of postpartum syndromes.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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References

Alanen, Y. O. & Kinnunen, P. (1975) Marriage and the development of schizophrenia. Psychiatry, 38, 346365.Google Scholar
Altman, D. G. (1980) Statistics and ethics in medical research VII – interpreting results. British Medical Journal, 281, 16121614.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorder (3rd edn) (DSM-III). Washington, DC: APA.Google Scholar
Atkinson, A. K. & Rickel, A. U. (1984) Postpartum depression in primiparous parents. Journal of Abnormal Psychology 93, 115119.Google Scholar
Brown, G. W. & Harris, T. (1978) Social origins of depression. London: Tavistock Publications.Google Scholar
Cicchetti, D. V. (1976) Assessing inter-rater reliability for rating scales – resolving some basic issues. British Journal of Psychiatry, 129, 452456.CrossRefGoogle ScholarPubMed
Cox, J. L., Connor, Y. & Kendell, R. E. (1982) Prospective study of the psychiatric disorders of childbirth. British Journal of Psychiatry, 140, 111117.Google Scholar
Dean, C., Surtees, P. G. & Sashidharan, S. P. (1983) Comparison of research diagnostic systems in an Edinburgh community sample. British Journal of Psychiatry, 143, 247256.Google Scholar
Dunner, D. L., Fleiss, J. & Addonizio, G. (1976) Assortative mating in primary affective disorders. Biological Psychiatry, 11, 4351.Google Scholar
Fowler, R. C. & Tsuang, M. T. (1975) Spouses of schizophrenics – a blind comparative study. Comprehensive Psychiatry, 16, 339342.Google Scholar
Gershon, E. S., Mark, A. & Cohen, N. (1975) Transmitted factors in the morbid risk of affective disorders – a controlled study. Journal of Psychiatric Research, 12, 283299.CrossRefGoogle Scholar
Goldberg, D. P. (1972) The Detection of Psychiatric Illness by Questionnaire. London: Oxford University Press.Google Scholar
Goldberg, D., Kay, C. & Thompson, L. (1976) Psychiatric morbidity in general practice and the community. Psychological Medicine, 6, 565569.CrossRefGoogle ScholarPubMed
Greenblatt, M., Becerra, R. M. & Serafetinides, F. A. (1982) Social networks and mental health – an overview. American Journal of Psychiatry, 139, 977984.Google Scholar
Hagnell, O. & Kreitman, N. (1974) Mental illness in married pairs in a total population. British Journal of Psychiatry, 125, 293302.CrossRefGoogle Scholar
Hall, J. N. (1974) Inter-rater reliability of ward rating scales. British Journal of Psychiatry, 125, 248255.Google Scholar
Jenkins, R., Mann, A. H. & Belsey, E. (1981) The background design and use of a short interview to assess social stress and support in research and clinical settings. Social Science and Medicine, 15, 195203.Google Scholar
Kendell, R. E., Wainwright, S., Hailey, A. & Shannon, B. (1976) The influence of childbirth on psychiatric morbidity. Psychological Medicine, 6, 297302.Google Scholar
Kreitman, N., Collins, J., Nelson, B. & Troop, J. (1970) Neurosis and marital interaction (parts 1 and 2). British Journal of Psychiatry, 117, 3358.Google Scholar
Kumar, R. & Robson, K. M. (1984) A prospective study of emotional disorders in childbearing women. British Journal of Psychiatry, 144, 3547.CrossRefGoogle ScholarPubMed
Nie, N. H., Hull, C. H., Jenkins, J. G., Steinbrenner, K. & Bent, D. H. (1975) Statistical Package for the Social Sciences. New York: McGraw-Hill Inc.Google Scholar
Nielsen, J. (1964) Mental disorders in married couples. British Journal of Psychiatry, 110, 683697.CrossRefGoogle ScholarPubMed
O'Hara, M. W., Rehm, L. P. & Campbell, S. B. (1983) Postpartum depression – a role for social network and life stress variables. Journal of Nervous and Mental Disease, 171, 336341.Google Scholar
Ovenstone, I. M. (1973) The development of neurosis in the wives of neurotic men, part I. British Journal of Psychiatry, 122, 3545.Google Scholar
Parnas, J. (1985) Mates of schizophrenic mothers. British Journal of Psychiatry, 146, 490497.Google Scholar
Paykel, E. S. (1973) Social adjustment and depression – a longitudinal study. Archives of General Psychiatry, 28, 659663.Google Scholar
Paykel, E. S. Emms, E. M., Fletcher, J. & Rassaby, E. S. (1980) Life events and social support in puerperal depression. British Journal of Psychiatry, 136, 339346.Google Scholar
Pitt, B. (1968) Atypical depression following childbirth. British Journal of Psychiatry, 114, 13251335.Google Scholar
Rees, W. D. & Lutkins, S. G. (1971) Parental depression before and after childbirth. Journal of the Royal College of General Practitioners, 21, 2631.Google Scholar
Waring, E. M. & Patton, D. (1984) Marital intimacy and depression. British Journal of Psychiatry, 145, 641644.Google Scholar
Watson, J. P., Elliott, S. A., Rugg, A. J. & Brough, D. I. (1984) Psychiatric disorder in pregnancy and first postnatal year. British Journal of Psychiatry, 144, 453462.CrossRefGoogle ScholarPubMed
World Health Organization (1978) Mental Disorders: Glossary and Guide to their classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD-9). Geneva: WHO.Google Scholar
Zilboorg, G. (1931) Depressive reactions related to parenthood. American Journal of Psychiatry, 10, 927962.Google Scholar
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