• Psychiatr. Clin. North Am. · Mar 2020

    Review

    Perinatal Mixed Affective State: Wherefore Art Thou?

    • Alexia Emilia Koukopoulos, Gloria Angeletti, Gabriele Sani, Delfina Janiri, Giovanni Manfredi, Georgios D Kotzalidis, and Lavinia De Chiara.
    • SPDC, Azienda Ospedaliera Universitaria Policlinico Umberto I, Sapienza School of Medicine and Dentistry, Rome, Italy; Centro Lucio Bini, Rome, Italy; Azienda Ospedaliera Sant'Andrea, UOC di Psichiatria, Via di Grottarossa 1035, CAP 00189, Rome 00185, Italy. Electronic address: alexiakoukopoulos@gmail.com.
    • Psychiatr. Clin. North Am. 2020 Mar 1; 43 (1): 113-126.

    AbstractMixed states in patients with a perinatal mood episode is seldom encountered. Lack of appropriate assessment tools could be partly responsible for this observation. The authors conducted a selective review of studies dealing with the reporting of mixed symptoms in women during the perinatal period with the intention to quantify the phenomenon. In many instances of reported postpartum depression, either a first onset or an onset in the context of bipolar disorder, mixed states were identifiable. However, the strict application of the Diagnostic and Statistical Manual of Mental Disorders, 5th edition, mixed features specifier to these episodes risks misdiagnosis.Copyright © 2019 Elsevier Inc. All rights reserved.

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