A systematic review of postpartum psychosis resulting in infanticide: missed opportunities in screening, diagnosis, and treatment.

IF 3.2 3区医学 Q2 PSYCHIATRY Archives of Women's Mental Health Pub Date : 2024-09-02 DOI:10.1007/s00737-024-01508-3

Alexandria Y Alford, Alisha D Riggins, Joanne Chopak-Foss, Logan T Cowan, Emmanuela C Nwaonumah, Tobi F Oloyede, Sarah T Sejoro, Wendy S Kutten

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Abstract

Purpose: Impacting 1 in 1000 women, untreated postpartum psychosis is associated with a 4% infanticide rate. This systematic review aims to identify factors that are associated with infanticide resulting from psychosis in the puerperal period and pinpoint areas of missed opportunity for intervention.

Methods: A systematic literature review was conducted in accordance with PRISMA guidelines to identify and synthesize cases of maternal infanticide among perinatal females with evidence of postpartum psychosis. Four independent reviewers screened 231 articles identified in searches of three databases (PsycInfo, PubMed, and Web of Science) for studies conducted from 2013 to 2023.

Results: Twelve studies were included in the final review. Findings indicate that those experiencing puerperal psychosis have increased incidence of infanticide suggesting missed opportunities for intervention and treatment. Common factors in mothers who committed infanticide as a result of delusions and/or hallucinations associated with PMADs were identified, including lack of standardized screening tools, preference for traditional and/or cultural healing practices, and access to care.

Conclusion: The current body of evidence supports developing and evaluating clinical interventions aimed at improving maternal mental health outcomes and infant outcomes in perinatal women experiencing puerperal psychosis.

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对导致杀婴的产后精神病进行系统回顾：在筛查、诊断和治疗方面错失良机。

目的：每 1,000 名妇女中就有 1 人受到产后精神病的影响，未经治疗的产后精神病与 4% 的杀婴率有关。本系统性综述旨在确定产褥期精神病导致杀婴的相关因素，并指出错失干预机会的领域：方法：根据PRISMA指南开展了一项系统性文献综述，以识别和归纳有产后精神病证据的围产期女性杀婴案例。四位独立审稿人筛选了在三个数据库（PsycInfo、PubMed 和 Web of Science）中搜索到的 231 篇文章，研究时间为 2013 年至 2023 年：结果：12 项研究被纳入最终综述。研究结果表明，产褥期精神病患者杀婴的发生率增加，这表明她们错过了干预和治疗的机会。研究发现，因与产后精神病相关的妄想和/或幻觉而杀婴的母亲存在一些共同因素，包括缺乏标准化筛查工具、偏好传统和/或文化治疗方法以及获得护理的机会：目前的证据支持制定和评估临床干预措施，以改善围产期妇女产褥期精神病的产妇心理健康和婴儿预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Women's Mental Health 医学-精神病学

CiteScore

8.00

自引率

4.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.