Should postpartum mood disorders be given a more prominent or distinct place in the DSM-IV?
Article first published online: 2 JAN 2008
Copyright © 1993 Wiley-Liss, Inc., A Wiley Company
Volume 1, Issue 2, pages 59–70, 1993
How to Cite
Purely, D. and Frank, E. (1993), Should postpartum mood disorders be given a more prominent or distinct place in the DSM-IV?. Depression, 1: 59–70. doi: 10.1002/depr.3050010202
- Issue published online: 2 JAN 2008
- Article first published online: 2 JAN 2008
- Manuscript Accepted: 12 DEC 1993
- Manuscript Revised: 18 JAN 1993
- Manuscript Received: 4 AUG 1992
- Mental Health Clinical Research. Grant Number: # 5-30915
- postpartum psychosis;
- non-psychotic postpartum depression
In this review we consider the literature on postpartum psychoses as well as on non-psychotic postpartum depression with a goal of determining how such disorders should be categorized in DSM-IV. We conclude that the majority of postpartum psychoses are affective in nature and that, despite the observation of “confusion” in many such presentations; the symptom picture is not sufficiently unique to warrant a separate diagnostic category. We could find no evidence of unique presentation of non-psychotic postpartum depression. Nonetheless, because of the unique complications associated with postpartum disorders (e.g., disruption of the mother-infant bond, infanticide), we recommend that postpartum presentations be given a more prominent place in the text of DSM-IV and that a course specifier, “postpartum onset,” be applied to major depressive or manic/hypomanic episodes in Bipolar I, Bipolar II, or Major Depressive Disorder, or to Acute Psychotic Disorder when appropriate. Depression 1:59–70 (1993). © 1993 Wiley-Liss, Inc.