High lifelong relapse rate of psychiatric disorders among women with postpartum psychosis

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Fältnamn	Indikatorer	Metadata
000		04568naa a2200457 4500
001		oai:lup.lub.lu.se:c52422e8-68b7-4d98-a7b1-338539548a87
003		SwePub
008		160401s2013 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:prod.swepub.kib.ki.se:126086620
024	7	a https://lup.lub.lu.se/record/35902622 URI
024	7	a https://doi.org/10.3109/08039488.2012.6755902 DOI
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:1260866202 URI
040		a (SwePub)lud (SwePub)ki
041		a engb eng
042		9 SwePub
072	7	a art2 swepub-publicationtype
072	7	a ref2 swepub-contenttype
100	1	a Nager, Annau Karolinska Institutet4 aut
245	1 0	a High lifelong relapse rate of psychiatric disorders among women with postpartum psychosis
264		c 2012-05-08
264	1	b Informa UK Limited,c 2013
520		a Nager A, Szulkin R, Johansson S-E, Johansson L-M, Sundquist K. High lifelong relapse rate of psychiatric disorders among women with postpartum psychosis. Nord J Psychiatry 2013;67:53-58. Background: The relapse rate for psychiatric disorders after postpartum psychosis is high. Apart from subsequent puerperal periods, previous studies have not examined when relapses in psychiatric disorders occur. In addition, little is known about the impact of certain individual factors on the risk of non-puerperal readmission among women with previous postpartum psychosis. Aims: The first aim was to examine the association between non-puerperal readmission due to psychiatric disorders and years of follow-up (in total, 30 years) in women with postpartum psychosis. The second aim was to examine the impact of age, type of psychosis, previous hospitalization for psychiatric disorders and level of education on the risk of non-puerperal readmission due to psychiatric disorders. Methods: All Swedish women aged 20-44 with postpartum psychosis (n = 3140) were followed between 1975 and 2004 for non-puerperal readmission due to psychiatric disorders. A Cox frailty regression model was used to estimate hazard ratios for non-puerperal readmission. Results: The risk of non-puerperal readmission, although gradually decreasing with time, remained high many years after the postpartum psychosis. The risk of non-puerperal readmission was significantly higher among women with schizophrenia, lower levels of education and previous psychiatric hospitalization. Conclusions: Postpartum psychosis is often part of a lifelong recurrent psychiatric disorder. Women with schizophrenia, lower levels of education and hospitalization due to a psychiatric disorder prior to postpartum psychosis have a higher risk of non-puerperal readmission. Clinical implications: The findings constitute important knowledge for all healthcare workers encountering women with a previous postpartum psychosis.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Psykiatri0 (SwePub)302152 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Psychiatry0 (SwePub)302152 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
653		a Psychiatric disorders
653		a puerperal disorders
653		a schizophrenia
653		a Sweden
700	1	a Szulkin, Robert4 aut
700	1	a Johansson, Sven-Eriku Lund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups4 aut0 (Swepub:lu)med-skj
700	1	a Johansson, Leena-Maria4 aut
700	1	a Sundquist, Kristinau Lund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups4 aut0 (Swepub:lu)med-ksq
710	2	a Karolinska Institutetb Allmänmedicin och klinisk epidemiologi4 org
773	0	t Nordic Journal of Psychiatryd : Informa UK Limitedg 67:1, s. 53-58q 67:1<53-58x 1502-4725x 0803-9488
856	4	u http://www.ncbi.nlm.nih.gov/pubmed/22563736x freey FULLTEXT
856	4	u http://dx.doi.org/10.3109/08039488.2012.675590y FULLTEXT
856	4 8	u https://lup.lub.lu.se/record/3590262
856	4 8	u https://doi.org/10.3109/08039488.2012.675590
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:126086620

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Av författaren/redakt...: Nager, Anna; Szulkin, Robert; Johansson, Sven- ...; Johansson, Leena ...; Sundquist, Krist ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Psykiatri

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