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Mild hypomania (the highs) can be a feature of the first postpartum week. Association with later depression

Research output: Contribution to journalArticle

V Glover, P Liddle, A Taylor, Diana Adams, Merton Sandler

Original languageEnglish
Pages (from-to)517-21
Number of pages5
JournalBritish Journal of Psychiatry
Issue number4
Publication statusPublished - Apr 1994

King's Authors


About 10% of women show elation and associated features of hypomania in the first 5 days following childbirth. These symptoms can be detected using a self-rating scale (the 'Highs') based on SADS-L criteria. This phenomenon has been confirmed using the observer-rated Comprehensive Psychopathological Rating Scale, which also revealed a high degree of related irritability. Significantly more women scoring > or = 8 on the Highs scale at 3 days postpartum went on to manifest depression at 6 weeks than did subjects with no psychopathology in the early puerperium. It is suggested that the 'highs' followed by depression may be a mild and common form of bipolar disorder.

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