Bipolar disorder and peripartum mood episodes: Epidemiology and clinical correlates

Introduction It is known that the peripartum period is a high-risk period of recurrence in bipolar disorder (BD). However, data on correlations between reproductive life events, such as age at menarche and peripartum period, are mixed in BD. Objectives The aims of this retrospective study are to...

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Main Authors: E. Aragno, G. Di Salvo, G. Rosso, G. Maina
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S092493382100523X/type/journal_article
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author E. Aragno
G. Di Salvo
G. Rosso
G. Maina
author_facet E. Aragno
G. Di Salvo
G. Rosso
G. Maina
author_sort E. Aragno
collection DOAJ
description Introduction It is known that the peripartum period is a high-risk period of recurrence in bipolar disorder (BD). However, data on correlations between reproductive life events, such as age at menarche and peripartum period, are mixed in BD. Objectives The aims of this retrospective study are to investigate the lifetime rate of peripartum mood episodes, the clinical correlates and the relationship between age at menarche and peripartum episode in a sample of women with BD. Methods The study focused on comparisons between women with vs. without peripartum mood episodes (n = 292). Socio-demographic and clinical characteristics between women with vs without BD peripartum episode were examined through descriptive statistics.Adjusted logistic regression analysis was run to examine the association between variables. Results In our sample, 30% had at least one BD peripartum episode. Women with peripartum episode had significantly earlier age at menarche, earlier onset of BD and longer duration of untreated disorder compared to women without peripartum episode. After adjustment, the late menarche (>15 years) was associated with lower probability of BD episodes during the peripartum period compared to normal menarche (12-14 years). Conclusions Peripartum mood episodes are common in BD and are correlated with early onset of BD and long duration of untreated disorder. Moreover, age at menarche may be related to the risk of peripartum mood episodes. The results deserve to be deepened in further studies.
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spelling doaj.art-b5faaa0922844b0c826ec36c4ddbf1712023-11-17T05:09:07ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S197S19710.1192/j.eurpsy.2021.523Bipolar disorder and peripartum mood episodes: Epidemiology and clinical correlatesE. Aragno0G. Di Salvo1G. Rosso2G. Maina3Department Of Neurosciences “rita Levi Montalcini”, University of Turin, torino, ItalyDepartment Of Neurosciences Rita Levi Montalcini, University of Turin, Turin, ItalyDepartment Of Neurosciences Rita Levi Montalcini, University of Turin, Turin, ItalyDepartment Of Neurosciences “rita Levi Montalcini”, University of Turin, torino, Italy Introduction It is known that the peripartum period is a high-risk period of recurrence in bipolar disorder (BD). However, data on correlations between reproductive life events, such as age at menarche and peripartum period, are mixed in BD. Objectives The aims of this retrospective study are to investigate the lifetime rate of peripartum mood episodes, the clinical correlates and the relationship between age at menarche and peripartum episode in a sample of women with BD. Methods The study focused on comparisons between women with vs. without peripartum mood episodes (n = 292). Socio-demographic and clinical characteristics between women with vs without BD peripartum episode were examined through descriptive statistics.Adjusted logistic regression analysis was run to examine the association between variables. Results In our sample, 30% had at least one BD peripartum episode. Women with peripartum episode had significantly earlier age at menarche, earlier onset of BD and longer duration of untreated disorder compared to women without peripartum episode. After adjustment, the late menarche (>15 years) was associated with lower probability of BD episodes during the peripartum period compared to normal menarche (12-14 years). Conclusions Peripartum mood episodes are common in BD and are correlated with early onset of BD and long duration of untreated disorder. Moreover, age at menarche may be related to the risk of peripartum mood episodes. The results deserve to be deepened in further studies. https://www.cambridge.org/core/product/identifier/S092493382100523X/type/journal_articlebipolar disorderwomenreproductive cyclesperipartum episodes
spellingShingle E. Aragno
G. Di Salvo
G. Rosso
G. Maina
Bipolar disorder and peripartum mood episodes: Epidemiology and clinical correlates
European Psychiatry
bipolar disorder
women
reproductive cycles
peripartum episodes
title Bipolar disorder and peripartum mood episodes: Epidemiology and clinical correlates
title_full Bipolar disorder and peripartum mood episodes: Epidemiology and clinical correlates
title_fullStr Bipolar disorder and peripartum mood episodes: Epidemiology and clinical correlates
title_full_unstemmed Bipolar disorder and peripartum mood episodes: Epidemiology and clinical correlates
title_short Bipolar disorder and peripartum mood episodes: Epidemiology and clinical correlates
title_sort bipolar disorder and peripartum mood episodes epidemiology and clinical correlates
topic bipolar disorder
women
reproductive cycles
peripartum episodes
url https://www.cambridge.org/core/product/identifier/S092493382100523X/type/journal_article
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AT grosso bipolardisorderandperipartummoodepisodesepidemiologyandclinicalcorrelates
AT gmaina bipolardisorderandperipartummoodepisodesepidemiologyandclinicalcorrelates