{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T23:32:44Z","timestamp":1790983964497,"version":"4.1.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2000,11,16]],"date-time":"2000-11-16T00:00:00Z","timestamp":974332800000},"content-version":"unspecified","delay-in-days":15,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2000,11]]},"abstract":"<jats:p><jats:bold>Background.<\/jats:bold> Although there have been many follow-up studies of severe puerperal psychiatric \nillness, few have been very long-term.<\/jats:p><jats:p><jats:bold>Methods.<\/jats:bold> Sixty-four subjects from 85 (75\u00b73%) in an unselected sample of women admitted to a \npsychiatric hospital within 6 months of childbirth were successfully followed up a mean of 23 years \n(range 17\u201328) later. Most subjects were interviewed in detail, with further information obtained \nfrom general practice and hospital records. Data included subsequent illnesses and diagnoses, \nsubsequent childbirth, longitudinal social function, current symptoms and social function.<\/jats:p><jats:p><jats:bold>Results.<\/jats:bold> Seventy-five per cent of subjects had further psychiatric illnesses, most of them unrelated \nto childbirth, and 37% had at least three subsequent episodes. The risk of puerperal psychiatric \nillness was 29% in subsequent pregnancies. At outcome interview the majority of subjects were well, \nwith satisfactory social adjustment. Diagnoses in subsequent psychiatric illnesses showed \nconsiderable consistency with index diagnoses, with some shift to bipolar disorder. Further illnesses \nwere less likely to occur where the index illness occurred with first child, onset was within 1 month \nof delivery, and where the index diagnosis was unipolar depression.<\/jats:p><jats:p><jats:bold>Conclusions.<\/jats:bold> There is a high risk of subsequent non-puerperal recurrences following severe \npuerperal psychotic illness, showing considerable diagnostic consistency with the index episode, but \nwith good functional outcome. Puerperal illnesses showed strong continuities with non-puerperal \nillnesses in these women.<\/jats:p>","DOI":"10.1017\/s0033291799003025","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T09:33:33Z","timestamp":1027762413000},"page":"1263-1271","source":"Crossref","is-referenced-by-count":66,"title":["Long-term outcome of severe puerperal psychiatric illness: a 23 year follow-up study"],"prefix":"10.1017","volume":"30","author":[{"given":"S. A.","family":"ROBLING","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. S.","family":"PAYKEL","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. J.","family":"DUNN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"ABBOTT","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"KATONA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2000,11,16]]},"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291799003025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,8]],"date-time":"2019-05-08T16:08:42Z","timestamp":1557331722000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291799003025\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,11]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2000,11]]}},"alternative-id":["S0033291799003025"],"URL":"https:\/\/doi.org\/10.1017\/s0033291799003025","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,11]]}}}