Psychiatric episodes in women with young children.
Psychiatric episodes in women with young children.
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有幼儿的妇女的精神病发作。
DOI：
10.1016/0165-0327(94)00097-s
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发表时间：
1995
影响因子：
6.6
通讯作者：
Hanusa,BH
中科院分区：
文献类型：
--
作者：
Wisner,KL;Peindl,KS;Hanusa,BH
进行了一项历史队列研究。受试者为118名孕妇或3岁以下儿童的母亲，在精神病医院就诊时和5年后进行评估。发作与分娩（妊娠期间或出生后3个月内）的关系来自就诊时的精神病记录，并通过随访时的访谈和生活事件图表进行回顾性确定。确定生育状况的记录产生了30%的错误率相比，从直接采访的状态。50%的受试者发生了生育相关发病疾病（CBROI）类别的诊断变化。当研究诊断标准回顾性应用于目前的事件，95%的妇女与CBROI有情感障碍的诊断。我们的临床医生在我们的摄入量设置经常错过发作躁狂或轻躁狂的受试者的历史。
An historical cohort study was performed. Subjects were 118 pregnant women or mothers of children of <3 years who were assessed at presentation to a psychiatric hospital and 5 years later. The relationship of episode onset to childbearing (during pregnancy or within 3 months of birth) was derived from psychiatric records at presentation and retrospectively determined by interview and life-event charting at follow-up. Determining childbearing status from records yielded an error rate of 30% compared with the status derived from direct interview. A change in diagnosis in the ChildBearing-Related Onset Illness (CBROI) category occurred in 50% of subjects. When Research Diagnostic Criteria were applied retrospectively to the presenting episodes, 95% of women with CBROI had affective disorder diagnoses. Clinicians in our intake setting often missed episodes of mania or hypomania in our subjects' histories.