(6-7) It is hypothesized that this subgroup of women has a biologic vulnerability to affective psychosis that is limited to the postpartum period.
Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period.
of patients (and rate per 1000) Register Matched patients controls Diagnostic category (n = 559) (n = 559) Schizophrenia or paranoid psychosis 18 (32.2) 4 (7.2) Bipolar affective psychosis
6 (10.7) 0 Depression (unipolar) 27 (48.3) 12 (21.5) Neurosis or personality disorder 4 (7.1) 1 (1.8) Chronic alcoholism 5 (8.9) 2 (3.6) Other 3 (5.4) 0 All psychiatric diagnoses 63 (112.3) 19 (34.0) Table 7, which also presents population-based rates, provides some supporting evidence, in terms of raised probabilities among the dementia register patients of having been admitted to psychiatric in-patient care and undergone electro-convulsive therapy, prefrontal leucotomy, or treatment with lithium or neuroleptic drugs.
One thousand and fifty-six mental patients with the diagnosis of schizophrenia, affective psychosis or paranoia, who were discharged from mental hospitals in Stockholm in 1986 were followed up ten years later.
In order to try to find an answer to this question, I have studied all patients with schizophrenia, affective psychosis and paranoia who were discharged from mental hospitals in Stockholm 1986, and followed them up for ten years.
From the Stockholm County In-patient Register, all patients with diagnoses of schizophrenia, affective psychosis and paranoia (Diagnostic codes 295-7, according to ICD-9) who were discharged during 1986 from any of Stockholm's three mental hospitals (Langbro, Beckomberga and Ralambshov) were identified.
In family studies, social anhedonia was more frequent in relatives of schizophrenia patients (12) and could differentiate relatives of schizophrenia patients' from the relatives of patients with affective psychosis
(7) Despite the long period since ATPD received a distinct nosological status, its status as a separate diagnostic entity has been questioned time and time again because of its diagnostic instability due to overlap of symptoms with schizophrenia and affective psychosis
in many cases.
Although hyperthyroidism may present as affective psychosis
, this is a rare occurrence, and is usually associated with untreated Graves' disease or toxic nodular goitre.