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“Atypical” Depression Following Childbirth

Published online by Cambridge University Press:  29 January 2018

Brice Pitt*
Affiliation:
The Warneford Hospital, Oxford

Extract

It is common knowledge that women often get depressed after childbirth. Yet there has been little evaluation of what this depression amounts to. Transitory tearfulness in the early puerperium, as observed in maternity wards, is commonplace; has been designated “the Blues”—3rd, 4th or 10th day, Maternity or Mother's—and is generally regarded as a normal phenomenon. It has been variously attributed to psychological difficulties and physical discomfort at the onset of lactation, “narcissistic loss before rediscovery of the child” (Sclare, 1955), perineal soreness and hormonal changes.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1968 

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References

Brooke, E. M. (1959). “National statistics in the epidemiology of mental illness.” J. ment. Sci., 105, 893.CrossRefGoogle Scholar
Coppen, A. J., and Metcalfe, M. (1965). “Effect of depressive illness on M.P.I. scores.” Brit. J. Psychiat., 111, 155.CrossRefGoogle Scholar
Carne, S. (1966). “The influence of the mother's health on her child.” Proc. Roy. Soc. Med., 59, 1013.Google Scholar
Douglas, G. (1963). “Puerperal depression and excessive compliance with the mother.” Brit. J. med. Psychol., 36, 271.CrossRefGoogle Scholar
Eysenck, H. J. (1952). The Scientific Study of Personality. London: Routledge and Kegan Paul.Google Scholar
Eysenck, H. J. (1959). Manual of the M.P.I. London.Google Scholar
Hamilton, M. (1960). “A rating scale for depression.” J. Neurol. Neurosurg. Psychiat., 23, 560.CrossRefGoogle Scholar
Hemphill, R. E. (1952). “The incidence and nature of puerperal mental illness.” Brit. med. J., 2, 1232.CrossRefGoogle Scholar
Irvine, E. S. (1948). “A contribution to the psychology of pregnancy and lactation.” Brit. J. psychiat. soc. Work, 2.Google Scholar
Jacobson, L., Kaij, L., and Nilsson, A. (1965). “Post-partum mental disorders in an unselected sample.” Brit. med. J., 1, 1640.CrossRefGoogle Scholar
Jansson, B. (1964). “Psychic insufficiencies associated with childbearing.” Acta psychiat. Scand., Supp. 172.Google Scholar
Karnosh, L. J., and Hope, J. M. (1937). “Puerperal psychoses and their sequelae.” Amer. J. Psychiat., 94, 537.Google Scholar
Kessel, W. I. N. (1960). “Psychiatric morbidity in a London general practice.” Brit. J. prev. soc. Med., 14, 16.Google Scholar
Lomas, P. (1959). “The husband–wife relationship in cases of puerperal breakdown.” Brit. J. med. Psychol., 32, 117.Google Scholar
Lomas, P. (1960a). “Defensive organization and puerperal breakdown.” Brit. J. med. Psychol., 33, 61.CrossRefGoogle Scholar
Lomas, P. (1960b). “Dread of envy as an aetiological factor in puerperal breakdown.” Brit. J. med. Psychol., 33, 105.CrossRefGoogle Scholar
Malleson, J. (1953). “An endocrine factor in certain affective disorders.” Lancet, ii, 158.CrossRefGoogle Scholar
Osmond, T. G. (1953). “Post-partum anaemia.” Practitioner, 171, 77.Google Scholar
Pollitt, J. (1965). Depression and its Treatment. London.Google Scholar
Pugh, T. F., Jerath, B. K., Schmidt, W. M., and Reed, R. B. (1963). “Rates of mental disease related to childbearing.” New Eng. J. Med., 268, 1224.CrossRefGoogle Scholar
Robin, A. A. (1962). “Psychological changes of normal parturition.” Psychiat. Quart., 36, 129.Google Scholar
Ryle, A. (1960). “Neurosis in a general practice population.” J. Coll. gen. Pract., 3, 313.Google Scholar
Ryle, A. (1961). “The psychological disturbances associated with 345 pregnancies in 137 women.” J. ment. Sci., 107, 279.Google Scholar
Sargant, W. (1961). “Drugs in the treatment of depression.” Brit. med. J., i, 225.CrossRefGoogle Scholar
Sclare, A. B. (1955). “Psychiatric aspects of pregnancy and childbirth.” Practitioner, 175, 146.Google Scholar
Sheehan, H. L. (1939). “Simmonds' disease due to post-partum neurosis of the anterior pituitary.” Quart. J. Med. (n.s. 8), 32, 277309.Google Scholar
Sim, M. (1963). “Abortion and the psychiatrist.” Brit. med. J., ii, 145.CrossRefGoogle Scholar
Tod, E. D. M. (1964). “Puerperal depression—a prospective epidemiological study.” Lancet, ii, 264.Google Scholar
West, E. D., and Dally, P. J. (1959). “Effects of iproniazid in depressive syndromes.” Brit. med. J., i, 1491.Google Scholar
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