First‐case postpartum psychoses in Eastern Turkey: a clinical case and follow‐up study

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Abstract
Kirpinar I, CosLkun I, Çayköylü A, Anaq SL, Özer H. First‐case postpartum psychoses in Eastern Turkey: a clinical case and follow‐up study. Acta Psychiatr Scand 1999: 100: 199–204. © Munksgaard 1999.Objective: The aim of this study was to investigate the clinico‐demographic features and long‐term course of postpartum psychosis (PPP).Method: A total of 64 in‐patients with psychotic postpartum disorder, who were admitted for the first time to a psychiatry clinic, were re‐examined retrospectively and then compared with 64 control patients. Follow‐up investigation was carried out either by interviewing the patients personally or with the help of general practitioners (GPs). All patients were rediagnosed according to DSM‐TV.Results: The majority of PPP patients were young, married, primiparae, had a low educational level and were living in rural areas. The mean onset time of PPP after delivery was 3.62 weeks. More than 75% of the patients with PPP had further psychotic episodes during the follow‐up period of 11 years; 42% of the puerperal cases were diagnosed as schizophrenia at the follow‐up investigation, and 59.3′% of the patients had confuso‐oneiroid syndrome.Conclusion: These findings, unlike those of the Western studies, demonstrate that PPP is not uniform in different populations.

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