Postpartum mental illness linked to later bipolar disorder

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Postpartum mental illness linked to later bipolar disorder Comments8 trblib.jQuery(function() { trblib.require('http://w.sharethis.com/button/buttons.js', function() { stLight.options({ publisher:'4b7449a5-38e2-462a-a6cd-97326133f123', onhover: false, newOrZero: 'zero' }); }); }); Researchers have linked symptoms of mental illness following childbirth to a higher risk of developing bipolar disorder later in life. (Kirk McKoy / Los Angeles Times)

AlsoEpilepsy, psychiatric drug taken in pregnancy may cause developmental delaysA key diagnostic deadline draws nearSuper memory, obsessive behavior: Do they share brain space?One in five U.S. adults takes medication for a mental disorderSupplements for depression: What the research reveals By Shari Roan, Los Angeles Times / For the Booster Shots blog December 5, 2011, 2:19 p.m.

Childbirth can trigger psychiatric illnesses in some women, including depression, anxiety, obsessive-compulsive disorder and even psychosis. A study published Monday, however, draws the first connection ever between postpartum mental illness and later bipolar disorder.

Researchers searched a Danish registry of more than 120,000 women receiving treatment for a first episode of a psychiatric illness other than bipolar disorder. They found 3,062 women who had a first episode of a mental disorder other than bipolar disorder but who were later diagnosed with bipolar disorder.

The analysis showed that the women who reported having symptoms of mental illness within two weeks of childbirth were more than three times as likely to be diagnosed later with bipolar disorder compared to women whose first episode of mental illness was not in the postpartum period. About 14% of the women with a first-time psychiatric problem that occurred just after childbirth went on to develop bipolar disorder within 15 years.

Bipolar disorder is marked by mood swings that include periods of both deep depression and episodes of heightened mood or mania.

The study implies that a postpartum-onset mental problem could really be an underlying bipolar disorder, say the authors, led by Trine Munk-Olsen of the National Centre for Register-Based Research, Aarhus University, in Aarhus, Denmark.

They wrote: "Despite improvements in reliability over recent decades, the diagnosis of psychiatric disorders, particularly of first episodes, is often unclear and needs to be revised as the illness develops."

An accurate diagnosis is critical because treatments vary by condition, they note. For example, antidepressants can worsen the condition of someone with bipolar disorder.

The study was published Monday in the Archives of General Psychiatry.

Return to Booster Shots blog.
 
Follow me: twitter.com/LATShariRoan Copyright © 2011, Los Angeles Times

Comments8 trblib.jQuery(function() { trblib.require('http://w.sharethis.com/button/buttons.js', function() { stLight.options({ publisher:'4b7449a5-38e2-462a-a6cd-97326133f123', onhover: false, newOrZero: 'zero' }); }); });   Comments (8)Add / View comments | Discussion FAQ Doctorlady at 9:12 PM December 07, 2011

Psychiatric illnesses, when properly identified, can be treated and improve the quality of life of the patient. No, thyroid disease does not cause post partem psychosis. I have treated thousands of patients and the most challenging and scary are women with post partem depression. They are desperate of relief from their pain, which is neurologically based. Sadly, some cannot bear the struggle and choose to end their lives. Post partem depression and bipolar illness are serious neuropsychiatric conditions that demand compassionate and competent treatment. Drugs don't cause bipoar disorder but some drugs can worsen mania or even cause mania...that is why a medical degree and a sound mind make for a good psychiatrist. Women with these illnesses need comprehensive care. Not vitamins.

frankin at 8:01 PM December 07, 2011

Has anyone esle noticed the constant liking of diseases, behaviors and unnecessary studies lately.

it must be the insurance industry gearing up to use everything as apre existing conditon therefore they can collect premiums but not cover.

Patrick D Hahn at 12:55 PM December 06, 2011

Have they considered the possibility that the drugs they are giving these women for postpartum symptoms are CAUSING bipolar disorder?

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