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BMC Psychiatry
Published in: BMC Psychiatry 1/2013

Open Access 01-12-2013 | Research article

The process of recovery in women who experienced psychosis following childbirth

Authors: Laura McGrath, Sarah Peters, Angelika Wieck, Anja Wittkowski

Published in: BMC Psychiatry | Issue 1/2013

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Abstract

Background

Psychosis following childbirth affects 1–2 mothers per 1000 deliveries. Onset is rapid and functioning is severely affected. Although prognosis in terms of symptom remission is generally good, long-term disability can persist. The study’s aim was to develop a theoretical understanding of recovery from psychosis following childbirth.

Methods

Semi-structured interviews were conducted with 12 women with experience of psychosis following childbirth. Interview transcripts were analysed using grounded theory methodology.

Results

A theory of four superordinate themes was developed from the data, including: (i) the process of recovery; (ii) evolving an understanding; (iii) strategies for recovery; and (iv) sociocultural context. The process of recovery and women’s understanding of their experience were conceptualised as parallel processes, which informed one another. Women found that a diagnosis facilitated their use of particular strategies.

Conclusions

This study highlighted a complex and ongoing process of recovery from psychosis following childbirth. Sensitivity to a woman’s position in the process of recovery has the potential to facilitate professionals in assessing readiness for different interventions which will be likely to result in women feeling more understood, accepted and supported.
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Literature
1.
Estroff S: Self, identity and subjective experiences of schizophrenia. Schizophr Bull. 1989, 15: 189-196. 10.1093/schbul/15.2.189.CrossRefPubMed
2.
Anthony W: Recovery from mental illness: the guiding vision of the mental health service system in the 1990s. Psychosoc Rehab J. 1993, 16 (4): 11-23.
3.
Department of Health UK: The Journey to Recovery. 2001, London, UK: HMSO
4.
Slade M, Hayward M: Recovery, psychosis and psychiatry: research is better than rhetoric. Acta Psychiatr Scand. 2007, 116 (2): 81-83. 10.1111/j.1600-0447.2007.01047.x.CrossRefPubMed
5.
Pitt L, Kilbride M, Nothard S, Welford M, Morrison A: Researching recovery from psychosis: a user-led project. Psychiatr Bull. 2007, 31: 55-60. 10.1192/pb.bp.105.008532.CrossRef
6.
Harlow BL, Vitonis AF, Sparen P, Cnattingus S, Joffe H, Hultman CM: Incidence of hospitalization for postpartum psychotic and bipolar episodes in women with and without prior prepregnancy or prenatal psychiatric hospitalizations. Arch Gen Psychiatry. 2007, 64: 42-48. 10.1001/archpsyc.64.1.42.CrossRefPubMed
7.
Sit D, Rothschild A, Wisner K: A review of postpartum psychosis. J Womens Health. 2006, 15: 352-368. 10.1089/jwh.2006.15.352.CrossRef
8.
Jabs B, Pfuhlmann B, Bartsch A: Cycloid psychoses: From clinical concepts to biological foundations. J Neur Transm. 2002, 109: 907-919. 10.1007/s007020200074.CrossRef
9.
Brockington IF, Winokur G, Dean C: Puerperal Psychosis. Motherhood and Mental Illness. Edited by: Brockington IF, Kumar R. 1982, Academic Press: London, 37-69.
10.
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. 2000, Washington DC: American Psychiatric Association, 4
11.
World Health Organisation: International Statistical Classification of Diseases and Related Health Problems, 10th Revision. 1992, Geneva: WHO
12.
Andresen R, Oades L, Caputi P: The experience of recovery from schizophrenia: towards an empirically validated stage model. Aust N Z J Psychiatry. 2003, 37: 586-594. 10.1046/j.1440-1614.2003.01234.x.CrossRefPubMed
13.
Charmaz K: Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis. 2006, London: Sage
14.
Boyce P, Barriball E: Puerperal psychosis. Arch Womens Ment Health. 2010, 13: 45-47. 10.1007/s00737-009-0117-y.CrossRefPubMed
15.
Dey I: Grounding Grounded Theory: Guidelines for Qualitative Enquiry. 1999, San Diego: Academic PressCrossRef
16.
Salmon P, Hall GM: Patient empowerment and control: a psychological discourse in the service of medicine. Soc Sci Med. 2003, 57: 1969-1980. 10.1016/S0277-9536(03)00063-7.CrossRefPubMed
17.
Leventhal H, Nerenz DR, Steele DJ: Illness Representations and Coping with Health Threats. Handbook of Psychology and Health, Volume IV: Social Psychological Aspects of Health. Edited by: Baum A, Taylor SE, Singer JE. 1884, Hillsdale, NJ: Erlbaum, 219-252.
18.
Kinderman P, Setzu E, Lobban F, Salmon P: Illness beliefs in schizophrenia. Soc Sci Med. 2006, 63: 1900-1911. 10.1016/j.socscimed.2006.04.022.CrossRefPubMed
19.
Bondi L, Burman E: Women and mental health: a feminist review. Fem Rev. 2001, 68: 6-33.CrossRef
20.
Hayne Y: Experiencing psychiatric diagnosis: client perspectives on being named mentally ill. J Psychiatric Ment Health Nurs. 2003, 10 (6): 722-729. 10.1046/j.1365-2850.2003.00666.x.CrossRef
21.
Mauthner N: "Feeling low and feeling really bad about feeling low:" Women's experiences of motherhood and postpartum depression. Can Psychol. 1999, 40 (2): 143-161.CrossRef
22.
Pitt L, Kilbride M, Nothard S, Welford M, Morrison A: Impact of a diagnosis of psychosis: user-led qualitative study. Psychiatr Bull. 2009, 33: 419-423. 10.1192/pb.bp.108.022863.CrossRef
23.
Di Mascio V, Kent A, Fiander M, Lawrence J: Recovery from postnatal depression: a consumer's perspective. Arch Womens Ment Health. 2008, 11: 253-257. 10.1007/s00737-008-0024-7.CrossRefPubMed
24.
McCubbin M, Cohen D: Extremely unbalanced: Interest divergence and power disparities between clients and psychiatry. Int J Law Psychiatry. 1996, 19 (1): 1-25. 10.1016/0160-2527(95)00028-3.CrossRefPubMed
25.
Mauthner N: The Darkest Days of my Life: Stories of Postpartum Depression. 2002, Cambridge, MA: Harvard University Press
26.
Williams J, Scott S, Waterhouse S: Mental health services for ‘difficult’ women: Reflections on some recent developments. Fem Rev. 2001, 68: 89-104.CrossRef
27.
Robertson E, Lyons A: Living with puerperal psychosis: A qualitative analysis. Psychology and Psychotherapy. Theo Res Prac. 2003, 76: 411-431.
28.
Hagen B, Nixon G: 2011. Spider in a jar: Women who have recovered from psychosis and their experience of the mental health care system. Ethical Human Psychol Psychiatry. 2011, 13: 47-63. 10.1891/1559-4343.13.1.47.CrossRef
29.
Zauderer C: Postpartum depression: How childbirth educators can help break the silence. J Perinatal Ed. 2009, 18 (2): 23-31. 10.1624/105812409X426305.CrossRef
30.
Laithwaite H, Gumley A: Sense of self, adaptation and recovery in patients with psychosis in a forensic NHS setting. Clin Psychol Psychother. 2007, 14: 302-316. 10.1002/cpp.538.CrossRef
31.
Edin K, Kefalas M: Promises I Can Keep: Why Poor Women Put Motherhood Before Marriage. 2005, Berkeley: University of California Press
32.
Lopez SR, Guarnaccia PJJ: Cultural psychopathology: Uncovering the social world of mental illness. An Rev Psychol. 2000, 51: 571-598. 10.1146/annurev.psych.51.1.571.CrossRef
33.
Entwistle VA, Sheldon TA, Sowden A, Watt IS: Evidence-informed patient choice. Int J Tech Assess Health Care. 1998, 14: 212-225. 10.1017/S0266462300012204.CrossRef
34.
Deegan P: Recovery: The lived experience of rehabilitation. Psychosoc Reh J. 1988, 11: 11-19.
35.
Leete E: How I, perceive and manage my illness. Schizophr Bull. 1989, 15: 197-200. 10.1093/schbul/15.2.197.CrossRefPubMed
36.
McGlashan TH, Wadeson HS, Carpenter WT, Levy ST: Art and recovery style from psychosis. J Nerv Mental Dis. 1997, 164: 182-190.CrossRef
37.
Nicolson P: Loss, happiness and postpartum depression: The ultimate paradox. Can Psychol. 1999, 40: 162-178.CrossRef
38.
Beck C: Postpartum depression: A metasynthesis. Qual Health Res. 2002, 12: 453-472. 10.1177/104973202129120016.CrossRefPubMed
39.
Kumar R: Postnatal mental illness: a transcultural perspective. Soc Psychiatry Psychiatr Epidem. 1994, 29: 250-264. 10.1007/BF00802048.CrossRef
40.
Weber-Cannon L, Higginbotham E, Leung M: Race and class bias in qualitative research on women. Gend Soc. 1988, 2: 449-462. 10.1177/089124388002004003.CrossRef
41.
Rahim F, Al-Sabiae A: Puperperal psychosis in a teaching hospital in Saudi Arabia: clinical profile and cross-cultural comparison. Acta Psychiatr Scand. 1991, 84: 508-511. 10.1111/j.1600-0447.1991.tb03185.x.CrossRefPubMed
42.
Cox J, Amakiro : A Ugandan puerperal psychosis?. Soc Psychiatry. 1979, 14: 49-52. 10.1007/BF00583573.CrossRef
43.
Nakigudde J, Airaksinen E, Musisi S, Muhwezi W, Neema S, Mirembe F: Perceptions regarding postpartum psychotic illness in two districts in Central Uganda. World Cultural. World Cultural Psychiatry Res Rev. 2010, 5 (2): 57-69.
Metadata
Title
The process of recovery in women who experienced psychosis following childbirth
Authors
Laura McGrath
Sarah Peters
Angelika Wieck
Anja Wittkowski
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2013
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-13-341

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