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Mild Hypomania (the Highs) can be a Feature of the First Postpartum Week

Association with Later Depression

Published online by Cambridge University Press:  02 January 2018

Vivette Glover ,
Peter Liddle ,
Alyx Taylor ,
Diana Adams  and
Merton Sandler
Vivette Glover*
Affiliation:
Department of Chemical Pathology, Queen Charlotte's and Chelsea Hospital, Goldhawk Road, London W6 0XG
Peter Liddle
Affiliation:
Department of Psychological Medicine, Hammersmith Hospital, Ducane Road, London W12 0HS
Alyx Taylor
Affiliation:
Department of Chemical Pathology, Queen Charlotte's and Chelsea Hospital, Goldhawk Road, London W6 0XG
Diana Adams
Affiliation:
Department of Chemical Pathology, Queen Charlotte's and Chelsea Hospital, Goldhawk Road, London W6 0XG
Merton Sandler
Affiliation:
Department of Chemical Pathology, Queen Charlotte's and Chelsea Hospital, Goldhawk Road, London W6 0XG
*
∗Correspondence
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Abstract

About 10% of women show elation and associated features of hypomania in the first 5 days following childbirth. These symptoms can be detected using a self-rating scale (the ‘Highs’) based on SADS-L criteria. This phenomenon has been confirmed using the observer-rated Comprehensive Psychopathological Rating Scale, which also revealed a high degree of related irritability. Significantly more women scoring ⩾ 8 on the Highs scale at 3 days postpartum went on to manifest depression at 6 weeks than did subjects with no psychopathology in the early puerperium. It is suggested that the ‘highs’ followed by depression may be a mild and common form of bipolar disorder.

Type
Papers
Information
The British Journal of Psychiatry , Volume 164 , Issue 4 , April 1994 , pp. 517 - 521
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

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