{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T03:16:05Z","timestamp":1791170165849,"version":"4.1.0"},"reference-count":20,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":8677,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1994,4]]},"abstract":"<jats:p>About 10% of women show elation and associated features of hypomania in the first 5 days following childbirth. These symptoms can be detected using a self-rating scale (the \u2018Highs\u2019) based on SADS-L criteria. This phenomenon has been confirmed using the observer-rated Comprehensive Psychopathological Rating Scale, which also revealed a high degree of related irritability. Significantly more women scoring \u2a7e 8 on the Highs scale at 3 days postpartum went on to manifest depression at 6 weeks than did subjects with no psychopathology in the early puerperium. It is suggested that the \u2018highs\u2019 followed by depression may be a mild and common form of bipolar disorder.<\/jats:p>","DOI":"10.1192\/bjp.164.4.517","type":"journal-article","created":{"date-parts":[[2008,10,15]],"date-time":"2008-10-15T05:26:25Z","timestamp":1224048385000},"page":"517-521","source":"Crossref","is-referenced-by-count":89,"title":["Mild Hypomania (the Highs) can be a Feature of the First Postpartum Week"],"prefix":"10.1192","volume":"164","author":[{"given":"Vivette","family":"Glover","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Liddle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyx","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Adams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merton","family":"Sandler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000051825_ref20","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.303.6803.613"},{"key":"S0007125000051825_ref19","doi-asserted-by":"publisher","DOI":"10.1007\/BF02279764"},{"key":"S0007125000051825_ref18","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.6033.457"},{"key":"S0007125000051825_ref17","first-page":"119","volume-title":"Motherhood and Mental Illness","volume":"1","author":"Stein","year":"1982"},{"key":"S0007125000051825_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(90)90008-R"},{"key":"S0007125000051825_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/0278-5846(92)90110-Z"},{"key":"S0007125000051825_ref12","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.155.3.356"},{"key":"S0007125000051825_ref11","doi-asserted-by":"publisher","DOI":"10.3109\/01674829309084452"},{"key":"S0007125000051825_ref10","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.136.5.498"},{"key":"S0007125000051825_ref8","first-page":"389","article-title":"Modulation of dopamine receptor sensitivity by estrogen","volume":"15","author":"Gordon","year":"1980","journal-title":"Biological Psychiatry"},{"key":"S0007125000051825_ref6","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.150.6.782"},{"key":"S0007125000051825_ref5","first-page":"37","volume-title":"Motherhood and Mental Illness","author":"Brockington","year":"1982"},{"key":"S0007125000051825_ref4","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1981.01780320109013"},{"key":"S0007125000051825_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700055641"},{"key":"S0007125000051825_ref1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1978.tb02357.x"},{"key":"S0007125000051825_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/0024-3205(87)90603-5"},{"key":"S0007125000051825_ref7","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1978.01770310043002"},{"key":"S0007125000051825_ref9","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.6078.18"},{"key":"S0007125000051825_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1985.tb00642.x"},{"key":"S0007125000051825_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2265.1984.tb00072.x"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000051825","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,15]],"date-time":"2019-05-15T04:45:11Z","timestamp":1557895511000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000051825\/type\/journal_article"}},"subtitle":["Association with Later Depression"],"short-title":[],"issued":{"date-parts":[[1994,4]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1994,4]]}},"alternative-id":["S0007125000051825"],"URL":"https:\/\/doi.org\/10.1192\/bjp.164.4.517","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,4]]}}}