Author/Editor		Djerzić, Amra; Campolunghi-Pegan, Polona
Title		Tridesetletno spremljanje bolnic s poporodnimi duševnimi motnjami
Translated title		Thirty-year follow-up of patients with postpartum psychiatric disorders
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 44, št. 2
Publication year		2005
Volume		str. 119-37
Language		slo
Abstract		The postpartum period is a time of rapid and fundamental biological, psychological and social changes, which can precipitate various psychiatric disorders in women. The aim of this study was to evaluate the long-term course of postpartum psychiatric disorders that required hospitalization. Our goal was to establish the course of the illness taking into account the clinical picture of postpartum psychiatric disorders during the first hospitalization. The basic hypothesis was that women with postpartum psychiatric disorders presenting with symptoms of schizophrenia spectrum disorders during their first hospitalization would probably have had a more severe course of the disease than women presenting with symptoms of affective disorders. The sample consisted of women who were hospitalized within the first 6 months of child-birth. All these patients were hospitalized at the Ljubljana University Psychiatric Hospital during the period from 1963 to 1975. The patients were divided into two groups according to the presenting symptoms of postpartum disorders during the first hospitalization: women with schizophrenia spectrum disorders and those with affective disorders. The illness course was evaluated regarding the number and duration of hospitalizations and regularity of outpatient psychiatric treatment. The numbers of attempted suicides in both groups were also compared. The study confirmed that women with postpartum psychiatric disorders presenting with symptoms of schizophrenia spectrum disorders during their first hospitalization have a more severe course of the disease than women presenting with symptoms of affective disorders. The final diagnosis cannot be made only on the basis of the clinical presentation of postpartum psychiatric disorders upon first hospitalization. A longer time period is necessary to be able to give a prognosis and to see whether a chronic illness will develop, as well as to make the final diagnosis.
Summary		Poporodno obdobje je čas hitrih in bistvenih bioloških, psiholoških in družbenih sprememb, ki lahko pri ženski sproži različne duševne motnje. Namen raziskovalne naloge je bil osvetliti dolgoročni potek poporodnih duševnih motenj, ki so zahtevale sprejem v bolnišnico. Želeli smo ugotoviti, kakšen je nadaljnji potek bolezni glede na klinično sliko ob prvem sprejemu v bolnišnico zaradi poporodne duševne motnje. Osnovna hipoteza je bila, da bo pri bolnicah, ki so ob prvem sprejemu zaradi poporodne duševne motnje kazale simptome motenj iz spektra shizofrenije, kasnejši potek bolezni težji kot pri bolnicah s klinično sliko razpoloženjskih motenj. Vzorec so sestavljale bolnice, ki so bile v letih 1963-1975 zdravljenje na Psihiatrični kliniki v Ljubljani zaradi duševnih motenj, ki so nastale v obdobju prvih 6 mesecev po porodu. Bolnice smo glede na klinično sliko ob prvem sprejemu v bolnišnico zaradi poporodne duševne motnje razdelili na dve skupini: na bolnice z motnjo iz spektra shizofrenije in tiste z razpoloženjskimi motnjami. Potek njihove bolezni smo ocenjevali glede na število in trajanje bolnišničnih zdravljenj ter glede na rednost ambulantnega psihiatričnega zdravljenja. Med skupinama smo primerjali tudi število poskusov samomora. Z raziskavo smo potrdili, da je pri bolnicah, ki ob prvem sprejemu v bolnišnico zaradi poporodne duševne motnje kažejo simptome motenj iz spektra shizofrenije, potek bolezni težji kot pri bolnicah s simptomi razpoloženjskih motenj. Glede na klinično sliko ob prvem sprejemu zaradi poporodne duševne motnje ne moremo zanesljivo sklepati, kakšna bo končna diagnoza in potek bolezni. Za oceno napovedi je potrebno določeno časovno obdobje, v katerem se izkaže, ali se bo pri bolnici razvila kronična bolezen in katera bo njena končna diagnoza.
Descriptors		PUERPERAL DISORDERS DEPRESSIVE DISORDER PSYCHOTIC DISORDERS SCHIZOPHRENIA SUICIDE, ATTEMPTED BIPOLAR DISORDER QUESTIONNAIRES HOSPITALIZATION