Establishment of the MGH Postpartum Psychosis Project: MGHP3.

<h4>Objective</h4>Postpartum psychosis (PP) is a severe psychiatric disorder, with incomplete consensus on definition and diagnostic criteria. The Massachusetts General Hospital Postpartum Psychosis Project (MGHP3) was established to better ascertain the phenomenology of PP in a large co...

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Main Authors: Lee S Cohen, Rachel Vanderkruik, Miranda Arakelian, Taylor R Church, Madison M Dunk, Marlene P Freeman
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0281133
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author Lee S Cohen
Rachel Vanderkruik
Miranda Arakelian
Taylor R Church
Madison M Dunk
Marlene P Freeman
author_facet Lee S Cohen
Rachel Vanderkruik
Miranda Arakelian
Taylor R Church
Madison M Dunk
Marlene P Freeman
author_sort Lee S Cohen
collection DOAJ
description <h4>Objective</h4>Postpartum psychosis (PP) is a severe psychiatric disorder, with incomplete consensus on definition and diagnostic criteria. The Massachusetts General Hospital Postpartum Psychosis Project (MGHP3) was established to better ascertain the phenomenology of PP in a large cohort of diverse women spanning a wide geographical range (primarily in the US), including time of onset, symptom patterns, and associated comorbidities, psychiatric diagnoses pre- and post- the episode of PP, and also to identify genomic and clinical predictors of PP. This report describes the methods of MGHP3 and provides a status update.<h4>Method</h4>Data are collected from women who experienced PP within 6 months of childbirth and who provided this information within ten years of the study interview. Subject data are gathered during a one-time structured clinical interview conducted by phone, which includes administration of the Mini International Neuropsychiatric Interview for Psychotic Disorders Studies (Version 7.0.2), the MGHP3© Questionnaire, and other information including lifetime mental health history and use of psychiatric medications both prior to the episode of PP and during the subsequent time period prior to study interview. Subjects also provide a saliva sample to be processed for genomic analyses; a neuroimaging assessment is also conducted for a subset of participants.<h4>Results</h4>As of July 1, 2022, 311 subjects from 44 states and 7 countries were enrolled in MGHP3. Recruitment sources include social media, online advertisements, physician referral, community outreach, and partnership with PP advocacy groups.<h4>Conclusions</h4>The rigorous phenotyping, genetic sampling, and neuroimaging studies in this sample of women with histories of PP will contribute to better understanding of this serious illness. Findings from MGHP3 can catalyze ongoing discussions in the field regarding proper nosologic classification of PP as well as relevant treatment implications.
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spelling doaj.art-6d34816e9b704fb089ba720167cc838e2023-02-15T05:31:11ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01182e028113310.1371/journal.pone.0281133Establishment of the MGH Postpartum Psychosis Project: MGHP3.Lee S CohenRachel VanderkruikMiranda ArakelianTaylor R ChurchMadison M DunkMarlene P Freeman<h4>Objective</h4>Postpartum psychosis (PP) is a severe psychiatric disorder, with incomplete consensus on definition and diagnostic criteria. The Massachusetts General Hospital Postpartum Psychosis Project (MGHP3) was established to better ascertain the phenomenology of PP in a large cohort of diverse women spanning a wide geographical range (primarily in the US), including time of onset, symptom patterns, and associated comorbidities, psychiatric diagnoses pre- and post- the episode of PP, and also to identify genomic and clinical predictors of PP. This report describes the methods of MGHP3 and provides a status update.<h4>Method</h4>Data are collected from women who experienced PP within 6 months of childbirth and who provided this information within ten years of the study interview. Subject data are gathered during a one-time structured clinical interview conducted by phone, which includes administration of the Mini International Neuropsychiatric Interview for Psychotic Disorders Studies (Version 7.0.2), the MGHP3© Questionnaire, and other information including lifetime mental health history and use of psychiatric medications both prior to the episode of PP and during the subsequent time period prior to study interview. Subjects also provide a saliva sample to be processed for genomic analyses; a neuroimaging assessment is also conducted for a subset of participants.<h4>Results</h4>As of July 1, 2022, 311 subjects from 44 states and 7 countries were enrolled in MGHP3. Recruitment sources include social media, online advertisements, physician referral, community outreach, and partnership with PP advocacy groups.<h4>Conclusions</h4>The rigorous phenotyping, genetic sampling, and neuroimaging studies in this sample of women with histories of PP will contribute to better understanding of this serious illness. Findings from MGHP3 can catalyze ongoing discussions in the field regarding proper nosologic classification of PP as well as relevant treatment implications.https://doi.org/10.1371/journal.pone.0281133
spellingShingle Lee S Cohen
Rachel Vanderkruik
Miranda Arakelian
Taylor R Church
Madison M Dunk
Marlene P Freeman
Establishment of the MGH Postpartum Psychosis Project: MGHP3.
PLoS ONE
title Establishment of the MGH Postpartum Psychosis Project: MGHP3.
title_full Establishment of the MGH Postpartum Psychosis Project: MGHP3.
title_fullStr Establishment of the MGH Postpartum Psychosis Project: MGHP3.
title_full_unstemmed Establishment of the MGH Postpartum Psychosis Project: MGHP3.
title_short Establishment of the MGH Postpartum Psychosis Project: MGHP3.
title_sort establishment of the mgh postpartum psychosis project mghp3
url https://doi.org/10.1371/journal.pone.0281133
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