PSEUDOCYESIS – A CURRENT VIEW ON AN OLD DISORDER
Abstract
Background. Pseudocyesis in a rare disorder characterized by the conviction of a nonpregnant woman (rarely also a man) that she (he) is pregnant in association with the development of objective signs and symptoms of pregnancy. The disorder involves both psychological and neuroendocrine mechanisms, it is heterogeneous and it is not precisely separated from other more common disorders. It is placed on borderline between psychiatry and gynecology, between psychical and somatic disorder.
Conclusions. The authors describe the definition, history, epidemiology, clinical presentation, diagnosis, etiology and treatment of pseudocyesis according to medical literature and their experience.
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References
Murray JL, Abraham EG. Pseudocyesis, a review. Obstet Gynecol 1978; 51: 627–31.
Hardwick PJ, Fitzpatrick C. Fear, folie and phantom pregnancy: pseudocyesis in a fifteen-year-old girl. Br J Psychiatry 1981; 139: 558–60.
Brown E, Barglow P. Pseudocyesis: A paradigm for psychophysiological interactions. Arch Gen Psychiatry 1971; 24: 221–9.
O’Grady JP, Rosenthal M. Pseudocyesis: a modern perspective on an old disorder. Obstet Gynecol Surv 1989; 44: 500–11.
Cohen LM. A current perspective of pseudocyesis. Am J Psychiatry 1984; 139: 1140–6.
Trivedi AN, Singh S. Pseudocyesis and its modern perspective. Aust NZJ Obstet Gynaecol 1998; 38: 466–8.
Whelan CI, Stewart DE. Pseudocyesis—a review and report of six cases. Int J Psychiatry Med 1990; 20: 97–108.
Fried PH, Rakoff AE, Schopbach RR, Kaplan AJ. Pseudocyesis: A psychosomatic study in gynecology. JAMA 1951; 145: 1329–35.
Drife JO. Phantom pregnancy. Br Med J 1985; 291: 687–8.
Small GW. Pseudocyesis: an overview. Can J Psychiatry 1986; 31: 452–7.
Ladipo OA. Pseudocyesis in infertile patients. Int J Gynaecol Obstet 1979; 16: 427–9.
Yen SS, Rebar RW, Quesenberry W. Pituitary function in pseudocyesis. J Clin Endocrinol Metab 1976; 43: 132–6.
D’Orban PT. Child stealing and pseudocyesis. Br J Psychiatry 1982; 141: 196–8.
Evans DL, Seely TJ. Pseudocyesis in the male. J Nerv Ment Dis 1984; 172: 37–40.
Brockington I. Motherhood and mental health. Oxford: Oxford University Press, 1996: 27–35.
Griengl H. Delusional pregnancy in a patient with primary sterility. J Psychosom Obstet Gynaecol 2000; 21: 57–9.
Varma SL, Katsenos S. Delusion of pregnancy. Aust NZJ Psychiatry 1999; 33: 118–8.
Radhakrishnan R, Satheeshkumar G, Chaturvedi SK. Recurrent delusions of pregnancy in a male. Psychopathology 1999; 32: 1–4.
Adityanjee AM. Delusion of pregnancy in males: a case report and literature review. Psychopathology 1995; 28: 307–11.
Miller LJ, Forcier K. Situational influence on development of delusions of pregnancy in a man. Am J Psychiatry 1992; 149: 140–0.
Shankar R. Delusion of pregnancy in schizophrenia. Br J Psychiatry 1991; 159: 285–6.
Chengappa KN, Steingard S, Brar JS, Keshavan MS. Delusions of pregnancy in men. Br J Psychiatry 1989; 155: 422–4.
Chaturvedi SK. Delusions of pregnancy in men. Case report and review of the literature. Br J Psychiatry 1989; 154: 716–8.
Hrdlička M. Delusion of maternity. Psychopathology 1998; 31: 270–3.
Tenyi T, Trixler M, Jadi F. Psychotic couvade: 2 case reports. Psychopathology 1996; 29: 252–4.
Sims A. Symptoms in the mind. London: W. B. Saunders, 1995: 260–1.
De Pauw KW. Three thousand days of pregnancy. A case of monosymptomatic delusional pseudocyesis responding to pimozide. Br J Psychiatry 1990; 157: 924–8.
Michael A, Joseph A, Pallen A. Delusions of pregnancy. Br J Psychiatry 1994; 164: 244–6.
Milner GL, Hayes GD. Pseudocyesis associated with folie a deux. Br J Psychiatry 1990; 156: 438–40.
Bitton G, Thibaut F, Lefevre-Lesage I. Delusions of pregnancy in a man. Am J Psychiatry 1991; 148: 811–2.
Silber TJ, Abdalla W. Pseudocyesis in adolescent females. J Adolesc Health Care 1983; 4: 109–12.
Starkman MN, Marshall JC, La Ferla J, Kelch RP. Pseudocyesis: psychologic and neuroendocrine interrelationships. Psychosom Med 1985; 47: 46–57.
Craddock B, Craddock N, Liebling LI. Pseudocyesis followed by depressive psychosis. Br J Psychiatry 1990; 157: 624–5.
Sobrinho LG. The psychogenic effects of prolactin. Acta Endocrinol (Copenh) 1993; 129: Suppl 1: 38–40.
Tulandi T, McInnes RA, Mehta A, Tolis G. Pseudocyesis: pituitary function before and after resolution of symptoms. Obstet Gynecol 1982; 59: 119–21.
Tulandi T, McInnes RA, Lal S. Altered pituitary hormone secretion in patients with pseudocyesis. Fertil Steril 1983; 40: 637–41.
Osotimehin BO, Ladipo OA, Adejuwon CA, Otolorin EO. Pituitary and placental hormone levels in pseudocyesis. Int J Gynaecol Obstet 1981; 19: 399–402.
Devane GW, Vera MI, Buhi WC, Kalra PS. Opioid peptides in pseudocyesis. Obstet Gynecol 1985; 65: 183–8.
Ayers JW, Seiler JC. Neuroendocrine indices of depression in pseudocyesis. A case report. J Reprod Med 1984; 29: 67–70.
Fishbain DA. Three thousand days of pregnancy. Br J Psychiatry 1991; 159: 445–6.
Starkman MN. Impact of psychodynamic factors on the course and management of patients with pseudocyesis. Obstet Gynecol 1984; 64: 142–5.
Cramer B. Delusion of pregnancy in a girl with drug induced lactation. Am J Psychiatry 1971; 127: 960–3.
Reichenbacher T, Yates A. Pseudocyesis as the presenting symptom in an adolescent patient with an incipient thought disorder. J Adolesc Health Care 1987; 8: 456–9.
Mortimer A, Banbery J. Pseudocyesis preceding psychosis. Br J Psychiatry 1988; 152: 562–5.
Taylor J, Kreeger A. Recurrent pseudocyesis and hypomania. Br J Psychiatry 1987; 151: 120–2.
Fennig S, Chelban J, Naisberg-Fennig S, Neumann M. Pseudopregnancy and postpartum psychosis: a case study. Psychopathology 1993; 26: 113–6.
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