scholarly journals Postpartum psychosis in bipolar disorder: no evidence of association with personality traits, cognitive style or affective temperaments

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
A. Perry ◽  
K. Gordon-Smith ◽  
I. Webb ◽  
E. Fone ◽  
A. Di Florio ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Personality Traits ◽  
Cognitive Style ◽  
Cognitive Styles ◽  
Dysfunctional Attitudes ◽  
Postpartum Psychosis ◽  
Affective Temperaments ◽  
Increased Risk ◽  
Affective Temperament ◽  
History Of

Abstract Background Bipolar disorder has been associated with several personality traits, cognitive styles and affective temperaments. Women who have bipolar disorder are at increased risk of experiencing postpartum psychosis, however little research has investigated these traits and temperaments in relation to postpartum psychosis. The aim of this study is to establish whether aspects of personality, cognitive style and affective temperament that have been associated with bipolar disorder also confer vulnerability to postpartum psychosis over and above their known association with bipolar disorder. Methods Personality traits (neuroticism, extraversion, schizotypy and impulsivity), cognitive styles (low self-esteem and dysfunctional attitudes) and affective temperaments (including cyclothymic and depressive temperaments) were compared between two groups of parous women with DSM-IV bipolar I disorder: i) 284 with a lifetime history of postpartum psychosis within 6 weeks of delivery (PP group), ii) 268 without any history of mood episodes with onset during pregnancy or within 6 months of delivery (no perinatal mood episode, No PME group). Results After controlling for current mood state, and key demographic, clinical and pregnancy-related variables, there were no statistically significant differences between the PP and No PME groups on any of the personality, cognitive style or affective temperament measures. Conclusions Personality traits, cognitive styles and affective temperaments previously shown to be associated with bipolar disorder in general were not specifically associated with the occurrence of postpartum psychosis. These factors may not be relevant for predicting risk of postpartum psychosis in women with bipolar disorder.

Postpartum Psychosis

2020 ◽  
pp. 39-50
Author(s):  
Nikole Benders-Hadi
Keyword(s):  
Bipolar Disorder ◽  
Family History ◽  
Elevated Risk ◽  
Psychotic Symptoms ◽  
Postpartum Psychosis ◽  
Poor Sleep ◽  
Activity Levels ◽  
History Of ◽  
Infant Hospitalization ◽  
Increased Activity

This chapter on postpartum psychosis notes that the risk of postpartum psychosis in the general population is very rare at less than 1%. In a mother with a known history of schizophrenia, this risk increases to 25%. Psychotic symptoms appearing postpartum may also be evidence of a bipolar disorder. The presence of elevated mood, increased activity levels and energy, poor sleep, and a family history of manic episodes all increase the likelihood that a bipolar disorder is present. Women with a personal or family history of a bipolar disorder are at an elevated risk of developing a mania or depression with psychotic symptoms postpartum. Postpartum psychosis due to any cause is a psychiatric emergency and treatment should be initiated early and aggressively to ensure the safety of mother and infant. Hospitalization and/or separation of the baby and mother may be necessary. The use of medication to treat schizophrenia or bipolar disorder during pregnancy may decrease the risk of a postpartum psychosis. With appropriate postpartum medication and support, the majority of women experiencing postpartum psychosis recover well and the risk of recurrent psychotic symptoms can be greatly reduced.

Attempted Suicide in Patients With Eating Disorders

Crisis ◽  
2014 ◽  
Vol 35 (6) ◽  
pp. 378-387 ◽  
Author(s):  
Gwendolyn Portzky ◽  
Kees van Heeringen ◽  
Myriam Vervaet
Keyword(s):  
Eating Disorders ◽  
Personality Traits ◽  
Suicidal Behavior ◽  
Attempted Suicide ◽  
University Hospital ◽  
Clinical Population ◽  
State Dependent ◽  
Increased Risk ◽  
History Of ◽  
Social Insecurity

Background: Suicide is a major cause of mortality for patients with eating disorders (ED), especially for patients with anorexia nervosa. Attempted suicide is also relatively common in patients with anorexia or bulimia nervosa. Aims: This study aimed at examining associations between attempted suicide and trait- and state-dependent characteristics in a large clinical population of ED patients. Method: The sample consisted of 1,436 in- and outpatients of the Centre for Eating Disorders of the Ghent University Hospital. Measures of ED symptoms, psychopathology, and personality traits were compared between ED patients with and ED patients without a history of attempted suicide. Results: A history of attempted suicide was found in 11.8% of the ED patients and lifetime suicidal ideation was reported by 43.3%. Multivariate analyses showed that a history of attempted suicide was associated with higher scores on depression, purging symptomatology, early-developed cognitive schemes (impaired autonomy and increased inhibition), and social insecurity. Conclusion: These findings support the increased risk of suicidal behavior in ED. The presence of particular personality traits, of cognitive schemes, and of purging and depressive symptoms should increase vigilance for suicidal behavior.

scholarly journals Disruptive mood dysregulation disorder in offspring of parents with depression and bipolar disorder

2017 ◽  
Vol 210 (6) ◽  
pp. 408-412 ◽  
Author(s):  
Lukas Propper ◽  
Jill Cumby ◽  
Victoria C. Patterson ◽  
Vladislav Drobinin ◽  
Jacqueline M. Glover ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Major Depressive Disorder ◽  
Family History ◽  
Depressive Disorder ◽  
Control Group ◽  
Major Depressive ◽  
Disruptive Mood Dysregulation Disorder ◽  
Increased Risk ◽  
History Of ◽  
Mood Dysregulation

BackgroundIt has been suggested that offspring of parents with bipolar disorder are at increased risk for disruptive mood dysregulation disorder (DMDD), but the specificity of this association has not been established.AimsWe examined the specificity of DMDD to family history by comparing offspring of parents with (a) bipolar disorder, (b) major depressive disorder and (c) a control group with no mood disorders.MethodWe established lifetime diagnosis of DMDD using the Schedule for Affective Disorders and Schizophrenia for School Aged Children for DSM-5 in 180 youth aged 6–18 years, including 58 offspring of parents with bipolar disorder, 82 offspring of parents with major depressive disorder and 40 control offspring.ResultsDiagnostic criteria for DMDD were met in none of the offspring of parents with bipolar disorder, 6 of the offspring of parents with major depressive disorder and none of the control offspring. DMDD diagnosis was significantly associated with family history of major depressive disorder.ConclusionsOur results suggest that DMDD is not specifically associated with a family history of bipolar disorder and may be associated with parental depression.

scholarly journals Postpartum Psychosis after Traumatic Cesarean Delivery

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 588
Author(s):  
Evangelia Antoniou ◽  
Eirini Orovou ◽  
Kassiani Politou ◽  
Alexandros Papatrechas ◽  
Ermioni Palaska ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Cesarean Delivery ◽  
Health Care Professionals ◽  
Psychotic Episode ◽  
Postpartum Psychosis ◽  
Childbirth Experience ◽  
Emergency Cesarean ◽  
History Of ◽  
Psychiatric Complications

An emergency cesarean delivery can be a traumatic childbirth experience for a woman and a risk factor for postpartum psychosis, especially in a patient with a history of bipolar disorder. This article describes the case of a pregnant woman with an unknown history of bipolar disorder who developed an acute psychotic reaction during the procedure of an emergency caesarian section and switched to mania. The purpose of this case study is for perinatal health care professionals to identify suspicious symptoms and promptly refer to psychiatric services so as to ensure the mother’s and the newborn’s safety. This case study highlights the importance of assessing women with bipolar disorder or a previous psychotic episode for the risk of psychiatric complications in pregnancy and after childbirth. Midwifery education on perinatal mental health is crucial for the detection of suspicious symptoms and early referral to a specialist.

The relationship of personality traits to substance abuse in patients with bipolar disorder

2007 ◽  
Vol 22 (5) ◽  
pp. 305-308 ◽  
Author(s):  
Gonzalo Haro ◽  
Joseph R. Calabrese ◽  
Christina Larsson ◽  
Edwin R. Shirley ◽  
Eva Martín ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Substance Abuse ◽  
Personality Traits ◽  
Multinomial Logistic Regression ◽  
Novelty Seeking ◽  
Related Disorder ◽  
History Of ◽  
Dsm Iv ◽  
Relationship Of ◽  
The Relationship

AbstractPurposeThe aim of this study is to determine if personality traits contribute to the likelihood of substance abuse in Bipolar Disorder (BD).Subjects/materials and methodsFifty-nine patients meeting DSM-IV criteria for BD: 20 without any history of Substance Related Disorder (SRD), 21 with a lifetime history of SRD but without current SRD, and 18 with current SRD. Patients filled out the TCI, the differences were analyzed by ANOVA and the likelihood was obtained by Multinomial Logistic Regression.ResultsOnly Novelty Seeking (NS) is statistically different between the groups. Patients with BD with current SRD have higher rates in NS than those with past SRD, and those without a history of SRD. NS was confirmed as a predicting variable, both to current SRD (OR [CI 95%] = 1.039/1.351; p = 0.011) and past SRD (OR [CI 95%] = 1.004/1.277; p = 0.042) on patients with BD.DiscussionThe results shown would appear to confirm the relationship of NS with the SRD, so long as there is no clear evidence that indicates the association of NS with BD.ConclusionsThere appears a greater predisposition to develop SRD in those patients with a higher degree of NS. The use of the Cloninger's TCI could be used in BD to determine the risk of developing an SRD. Early detection might help improve prognosis.

scholarly journals Mother-to-Infant Bonding in Women With a Bipolar Spectrum Disorder

2021 ◽  
Vol 9 ◽  
Author(s):  
Myrthe G. B. M. Boekhorst ◽  
Annemerle Beerthuizen ◽  
Manon Hillegers ◽  
Victor J. M. Pop ◽  
Veerle Bergink
Keyword(s):  
Bipolar Disorder ◽  
Pregnant Women ◽  
Population Based ◽  
Spectrum Disorder ◽  
Control Group ◽  
Bipolar Spectrum ◽  
Bipolar Spectrum Disorder ◽  
Not Otherwise Specified ◽  
Increased Risk ◽  
History Of

Purpose: Offspring of mothers with a bipolar disorder are at high-risk for impaired developmental outcomes and psychopathology (e. g., mood, anxiety, sleep disorders) later in life. This increased risk of psychopathology is not only because of genetic vulnerability, but environmental factors may play an important role as well. The often long and debilitating mood episodes of mothers with bipolar disorder might hamper their qualities as a caregiver and may impact the child. We examined early mother-to-infant bonding 1 year postpartum in mothers with bipolar spectrum disorder as compared to mothers of the general population. The association between mother-to-infant bonding and the type of bipolar spectrum diagnosis (bipolar I, bipolar II, bipolar Not Otherwise Specified) as well as relapse within 12 months postpartum was also assessed.Methods: In total, 75 pregnant women with a bipolar spectrum disorder participated in the current study. The participants were included in a longitudinal cohort study of women with bipolar spectrum disorder and were prospectively followed from pregnancy until 1 year postpartum. Mother-to-infant bonding was assessed using the Pre- and Postnatal Bonding Scale. A longitudinal population-based cohort of 1,419 pregnant women served as the control group. Multiple linear regression analyses were used to assess the association between bipolar spectrum disorder and mother-to-infant bonding scores, controlling for several confounders.Results: Women with bipolar spectrum disorder perceived the bonding with their child as less positive compared to the control group. The type of bipolar spectrum disorder was not associated with poorer bonding scores. Relapse during the 1st year after delivery also did not affect bonding scores in women with bipolar spectrum disorder.Conclusions: Our findings could imply that women with bipolar spectrum disorder are more vulnerable to impairments in bonding due to the nature of their psychopathology, regardless of the occurrence of postpartum relapse. Careful follow-up including monitoring of mother-to-infant bonding of pregnant women with a history of bipolar spectrum disorder should be a standard to this vulnerable group of women. In addition, regardless of severity and mood episode relapse, an intervention to improve bonding could be beneficial for all mothers with bipolar spectrum disorder and their newborns.

P01-204-Predictors of recurrence of bipolar disorder during pregnancy and postpartum period in a sample of egyptian women

2011 ◽  
Vol 26 (S2) ◽  
pp. 205-205 ◽  
Author(s):  
M.A. Abd El-Hay ◽  
H.F. El Sawy ◽  
A.A. Badawy
Keyword(s):  
Bipolar Disorder ◽  
Age Of Onset ◽  
Unplanned Pregnancy ◽  
Post Partum ◽  
Bipolar I Disorder ◽  
Duration Of Illness ◽  
Increased Risk ◽  
Pregnancy And Postpartum ◽  
History Of ◽  
In Pregnancy

IntroductionPregnancy and the postpartum are times of increased risk for women with bipolar disorder to develop new episodes.ObjectiveTo evaluate factors that are supposed to be associated with recurrence of bipolar I disorder among euthymic women with a history of bipolar I disorder, which could be used as a predictors of bipolar I disorder in that period.MethodEighty-three pregnant women with history of bipolar I disorder were followed through pregnancy and post-partum periods for possible recurrence of a new episode. All women were assessed using the MINI International Neuropsychiatric Interview. Factors that may contribute to recurrence were assessed prospectively; these included age of patients, age of onset of bipolar disorder, duration of illness, number of previous attacks, number of previous pregnancies, prior episodes in pregnancy or postpartum, complications during pregnancy and labor, pregnancy type, prior hospitalization, prior suicidal attempts, time since last episode in months, and continuation of medications.ResultsSixty five % of euthymic bipolar females had recurrence of a new episode, either during pregnancy (33.73%) or 4 weeks postpartum (31.32%). Discontinuation of medications, longer duration of illness, more number of previous attacks, more number of previous pregnancies, more prior episodes in pregnancy, more complication during pregnancy, more complication during labor, unplanned pregnancy type, prior hospitalization, were associated with recurrence of bipolar disorder during pregnancy and postpartum.ConclusionsMultiple factors were associated with risk of recurrence of bipolar I disorder during pregnancy and postpartum, which should be while planning treatment for such women.

Cognitive Vulnerability to Depression and Lifetime History of Axis I Psychopathology: A Comparison of Negative Cognitive Styles (CSQ) and Dysfunctional Attitudes (DAS)

2003 ◽  
Vol 17 (1) ◽  
pp. 3-22 ◽  
Author(s):  
Gerald J. Haeffel ◽  
Lyn Y. Abramson ◽  
Zachary R. Voelz ◽  
Gerald I. Metalsky ◽  
Lisa Halberstadt ◽  
...  
Keyword(s):  
High Risk ◽  
Major Depression ◽  
Cognitive Vulnerability ◽  
Cognitive Styles ◽  
Past Research ◽  
Dysfunctional Attitudes ◽  
Hopelessness Theory ◽  
Lifetime History ◽  
History Of ◽  
Axis I

The goal of this study was to “unpack” the “generic” cognitive vulnerability employed in the retrospective behavioral high-risk design of Alloy and colleagues (2000), one of the major publications emanating from the Cognitive Vulnerability to Depression (CAD) Project to date. To this end, we used a retrospective behavioral high-risk design with a new sample of unselected undergraduates and examined the unique association between lifetime history of clinically significant depression as well as other Axis I disorders (e.g., anxiety disorders, substance abuse disorders) and both dysfunctional attitudes (DAS, featured in Beck’s theory) and negative cognitive styles (CSQ, featured in hopelessness theory). We present results supporting the cognitive vulnerability factor featured in the hopelessness theory and the construct validity of the CSQ. Negative cognitive styles were more strongly and consistently associated with lifetime history of Research Diagnostic Criteria (RDC) major depression and hopelessness depression than were dysfunctional attitudes. These results suggest that negative cognitive styles, as assessed by the CSQ, were a potent component of the “generic” cognitive vulnerability effect in Alloy and associates’ (2000) retrospective behavioral high-risk design. Interestingly, negative cognitive styles also were significantly associated with a participant having had a past RDC anxiety diagnosis. Thus, consistent with past research, our results suggest that negative cognitive styles and dysfunctional attitudes are distinct constructs as measured by the CSQ and DAS, respectively. Of further interest, gender differences in depression were obtained with college women in our study exhibiting significantly greater lifetime history of RDC major depression than college men.

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