[Etiology of some puerperal psychoses].
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Thirty-three patients admitted to hospital with severe early onset puerperal psychiatric disorders were compared with matched normal puerperal controls. Interviews, which were administered after recovery, covered life events in the previous thirteen months and detailed assessment of previous and personal history, pregnancy and labour, other aspects of stress, social support, and marital relationships. No differences, except for previous history of psychiatric disorder, were found between patients and controls or between patients with depressive and with other diagnoses. These findings of absence of social stress contrast with previous studies of milder post-partum depression and of disorders with onset during pregnancy, and suggest that the aetiology of severe post-partum disorders is predominantly biological.
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Since the DSM III has contested the nosographic autonomy of puerperal psychosis, various works have confirmed that exist a genuine similarity between the post-partum severe crisis and the psycho-biological definition of psychosis. The dismantling is nevertheless not always total nor convincing because the state of pregnancy and birth giving modify deeply the women personality as ist was before as well as capacity to react to events. Three cases are reported by the authors in confirmation of the above.
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