Delusions in postpartum Psychosis: Implications for cognitive theories.

Belief Capgras Cognitive neuropsychiatry Cotard Delusion Fregoli Misidentification Postpartum psychosis

Journal

Cortex; a journal devoted to the study of the nervous system and behavior
ISSN: 1973-8102
Titre abrégé: Cortex
Pays: Italy
ID NLM: 0100725

Informations de publication

Date de publication:
24 May 2024
Historique:
received: 16 12 2023
revised: 30 03 2024
accepted: 03 04 2024
medline: 14 6 2024
pubmed: 14 6 2024
entrez: 14 6 2024
Statut: aheadofprint

Résumé

Postpartum psychosis is a rare but serious condition that can affect women after childbirth. We present a case study of an individual with no comorbidities or psychiatric history who developed postpartum psychosis characterised by prominent misidentification delusions whilst admitted to hospital. The woman recovered quickly with medication and showed no evidence of relapse over the following three years. Whilst still symptomatic and after recovery, the patient was able to provide a detailed description of her experiences. Contemporaneous interviews and observations during her hospital admission and a subsequent detailed retrospective account provide a unique, comprehensive window into her experience of these time-limited delusions. Her case reveals important insights including the triggers for her misidentification delusions, the role of social and contextual influences on delusional beliefs, and her recall of active involvement in evaluating and discarding delusional hypotheses. These insights highlight the complexity of delusional beliefs, challenge existing theories of delusions, and help inform broader theories of belief formation.

Identifiants

pubmed: 38875734
pii: S0010-9452(24)00138-2
doi: 10.1016/j.cortex.2024.04.018
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

194-208

Informations de copyright

Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest We declare no competing interests.

Auteurs

Michael H Connors (MH)

Centre for Healthy Brain Ageing, UNSW Sydney, Sydney, NSW, Australia; Discipline of Psychiatry and Mental Health, UNSW Sydney, Sydney, NSW, Australia; Eastern Suburbs Mental Health Service, Prince of Wales Hospital, Sydney, NSW, Australia. Electronic address: m.connors@unsw.edu.au.

Jessica Gibbs (J)

Eastern Suburbs Mental Health Service, Prince of Wales Hospital, Sydney, NSW, Australia.

Matthew M Large (MM)

Discipline of Psychiatry and Mental Health, UNSW Sydney, Sydney, NSW, Australia; Eastern Suburbs Mental Health Service, Prince of Wales Hospital, Sydney, NSW, Australia.

Peter W Halligan (PW)

School of Psychology, Cardiff University, Cardiff, Wales, United Kingdom.

Classifications MeSH