Naito Tatsuhiko, Chin Justin, Lin Jun, Shah Pritesh J, Lomiguen Christine M
Primary Care, Touro College of Osteopathic Medicine, New York City, New York, USA.
Psychiatry, Holy Name Medical Center, Teaneck, New Jersey, USA.
Gen Psychiatr. 2019 Jul 11;32(3):e100077. doi: 10.1136/gpsych-2019-100077. eCollection 2019.
Postpartum psychosis is a condition characterised by rapid onset of psychotic symptoms several weeks after childbirth. Outside of its timing and descriptions of psychotic features, minimal research exists due to its relative rarity (1 to 2 per 1000 births in the USA), with greater emphasis on postpartum sadness and depression. With the existing literature, cultural differences and language barriers previously have not been taken into consideration as there are no documented cases of postpartum psychosis in a non-English-speaking patient. Correctly differentiating postpartum psychosis from other postpartum psychiatric disorders requires adeptly evaluating for the presence of psychotic symptoms with in-depth history taking. Here, we present a case of postpartum psychosis in a Japanese-speaking only patient, with an associated clinical course and culturally appropriate approach to treatment. A review of postpartum psychosis and language/cultural considerations are also discussed, with attention on the Japanese concept of 'Satogaeri bunben'.
产后精神病是一种在分娩后几周内迅速出现精神病症状的病症。除了其发作时间和精神病特征描述外，由于其相对罕见（在美国每1000例分娩中有1至2例），相关研究极少，更多的研究重点是产后悲伤和抑郁。在现有文献中，以前没有考虑到文化差异和语言障碍，因为没有非英语患者产后精神病的记录病例。正确区分产后精神病与其他产后精神障碍需要通过深入询问病史来熟练评估是否存在精神病症状。在此，我们报告一例仅说日语的患者的产后精神病病例，并介绍相关临床过程及符合文化背景的治疗方法。此外，还讨论了产后精神病以及语言/文化方面的考虑因素，特别关注了日语中的“里帰り文弁”概念。
