Perfectionism dimensions in major postpartum depression

Gelabert, Estel; Subirà, Susana; García-Esteve, Lluïsa; Navarro, Purificación; Plaza, A.; Cuyàs, Elisabet; Navinés, Ricard; Gratacòs, Mónica; Valdés, Manuel; Martín‐Santos, Rocío

doi:10.1016/j.jad.2011.08.030

Cited by 52 publications

(45 citation statements)

References 70 publications

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“…Os resultados da validade de critério evidenciam ainda que, no que respeita às dimensões da ECM, são as crenças disfuncionais relacionadas com o julgamento dos outros e com a responsabilidade materna que mais parecem contribuir para a ocorrência da sintomatologia depressiva. Estes resultados parecem corroborar o importante papel do perfeccionismo, enquanto fator de vulnerabilidade para a ocorrência de sintomatologia depressiva no período pós-parto (Gelabert et al, 2012).…”

Section: Discussionunclassified

Adaptação da Escala de Crenças Disfuncionais face à Maternidade para a população portuguesa: Estudos psicométricos

Costa¹,

Rodrigues²,

Canavarro³

et al. 2018

Análise Psicológica

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As crenças disfuncionais face à maternidade têm sido apontadas como um fator de risco para a depressão pós-parto. O objetivo deste estudo foi adaptar a Escala de Crenças Disfuncionais Face à Maternidade (ECM), que avalia as crenças disfuncionais face à maternidade, para a população portuguesa, e avaliar as suas qualidades psicométricas. Para tal, utilizou-se uma amostra de 387 mulheres no período pós--parto. As participantes responderam, num estudo transversal, à ECM e a outros questionários de autorresposta. A análise fatorial confirmatória revelou como mais adequado um modelo tridimensional, semelhante à estrutura original do instrumento: Crenças Relacionadas com o Julgamento dos Outros, Crenças Relacionadas com a Responsabilidade Materna e Crenças Relacionadas com a Idealização do Papel Materno. Além disso, a ECM associou-se de forma significativa à sintomatologia depressiva e aos pensamentos automáticos negativos gerais e no pós-parto, mostrando a sua validade convergente. Ademais, apresentou boa consistência interna para a pontuação total e para as suas dimensões, à exceção da dimensão Crenças Relacionadas com a Responsabilidade Materna. De forma geral, a versão portuguesa da ECM apresentou bons níveis de fidelidade e validade, pelo que constitui um instrumento útil na avaliação das crenças disfuncionais face à maternidade. Palavras-chave:Crenças disfuncionais face à maternidade, Depressão pós-parto, Escala de Crenças Disfuncionais face à Maternidade, Propriedades psicométricas.

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Section: Discussionunclassified

Adaptação da Escala de Crenças Disfuncionais face à Maternidade para a população portuguesa: Estudos psicométricos

Costa¹,

Rodrigues²,

Canavarro³

et al. 2018

Análise Psicológica

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“…High neuroticism relates to feelings of tension, emotional lability, and insecurity, while low levels of neuroticism indicate emotional stability. Furthermore, low extraversion, dependency, harm avoidance, perfectionism, and self-criticism have also been associated with affective disorders (Brown et al 1992;Enns and Cox 1997;Gelabert et al 2012;Gershuny and Sher 1998;McFatter 1994;Smith et al 2005). Low extraversion is associated with inhibition and shyness in social interactions, whereas sociability and feelings of competence in social interactions indicate high levels of extraversion (Verkerk et al 2005).…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have examined the association between neuroticism and postpartum depression (Boyce et al 1991;Gelabert et al 2011Gelabert et al , 2012Lee et al 2000;Martin-Santos et al 2012;Podolska et al 2010;Saisto et al 2001;van Bussel et al 2009;Verkerk et al 2005). However, these studies vary in terms of design, measures of personality factors, and diagnostic tools used to assess depressive symptoms during the puerperium.…”

Section: Introductionmentioning

confidence: 99%

“…However, these studies vary in terms of design, measures of personality factors, and diagnostic tools used to assess depressive symptoms during the puerperium. Most studies assess study subjects during the postpartum period when the personality evaluation can be distorted due to depressive symptoms depending on either PPD or depression with onset prior to childbirth (Gelabert et al 2011(Gelabert et al , 2012Lee et al 2000;Martin-Santos et al 2012;Podolska et al 2010;Saisto et al 2001;van Bussel et al 2009). Out of those, many have not taken into consideration that personality features can be state-dependent, possibly leading to biased conclusions (Hirschfeld et al 1983a, b).…”

Section: Introductionmentioning

confidence: 99%

“…The findings of these studies point, nevertheless, to a positive association between neuroticism and risk for PPD. High introversion (or low extraversion) Gelabert et al 2011;van Bussel et al 2009;Verkerk et al 2005), harm avoidance (Dennis and Boyce 2004;Gelabert et al 2011;Josefsson et al 2007), perfectionism (Gelabert et al 2012) and interpersonal sensitivity (Boyce et al 1991;Matthey et al 2000) have also been identified as personality factors associated with increased risk of PPD.…”

Section: Introductionmentioning

confidence: 99%

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Personality and risk for postpartum depressive symptoms

Iliadis

Koulouris

Gingnell

et al. 2014

Arch Womens Ment Health

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Postpartum depression (PPD) is a common childbirth complication, affecting 10-15 % of newly delivered mothers. This study aims to assess the association between personality factors and PPD. All pregnant women during the period September 2009 to September 2010, undergoing a routine ultrasound at Uppsala University Hospital, were invited to participate in the BASIC study, a prospective study designed to investigate maternal well-being. Depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale (EPDS) while the Depression Self-Rating Scale (DSRS) was used as a diagnostic tool for major depression. Personality traits were evaluated using the Swedish Universities Scale of Personality (SSP). One thousand thirty-seven non-depressed pregnant women were included in the study. Non-depressed women reporting high levels of neuroticism in late pregnancy were at high risk of developing postpartum depressive symptoms (PPDSs) at 6 weeks and 6 months after delivery, even after adjustment for confounders (adjusted odds ratio (aOR) = 3.4, 95 % confidence interval (CI) 1.8-6.5 and adjusted odds ratio (aOR) = 3.9, 95 % CI 1.9-7.9). The same was true for a DSRS-based diagnosis of major depression at 6 months postpartum. Somatic trait anxiety and psychic trait anxiety were associated with increased risk for PPDS at 6 weeks (aOR = 2.1, 95 % CI 1.2-3.5 and aOR = 1.9, 95 % CI 1.1-3.1), while high scores of mistrust were associated with a twofold increased risk for PPDS at 6 months postpartum (aOR 1.9, 95 % CI 1.1-3.4). Non-depressed pregnant women with high neuroticism scores have an almost fourfold increased risk to develop depressive symptoms postpartum, and the association remains robust even after controlling for most known confounders. Clinically, this could be of importance for health care professionals working with pregnant and newly delivered women.

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Does refining the phenotype improve replication rates? A review and replication of candidate gene studies on Major Depressive Disorder and Chronic Major Depressive Disorder

Luo

Stavrakakis

Penninx

et al. 2015

American J of Med Genetics Pt B

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Replication has been poor for previously reported candidate genes involved in Major Depressive Disorder (MDD). One possible reason is phenotypic and genetic heterogeneity. The present study replicated genetic associations with MDD as defined in DSM-IV and with a more narrowly defined MDD subtype with a chronic and severe course. We first conducted a systematic review of genetic association studies on MDD published between September 2007 and June 2012 to identify all reported candidate genes. Genetic associations were then tested for all identified single nucleotide polymorphisms (SNPs) and the entire genes using data from the GAIN genome-wide association study (MDD: n = 1,352; chronic MDD subsample: n = 225; controls: n = 1,649). The 1,000 Genomes database was used as reference for imputation. From 157 studies identified inthe literature, 81 studies reported significant associations with MDD, involving 245 polymorphisms in 97 candidate genes, from which we were able to investigate 185 SNPs in 89 genes. We replicated nine candidate SNPs in eight genes for MDD and six in five genes for chronic MDD. However, these were not more than expected by chance. At gene level, we replicated 18 genes for MDD and 17 genes for chronic MDD, both significantly more than expected by chance. We showed that replication rates were improved for MDD compared to a previous, highly similar, replication study based on studies published before 2007. Effect sizes of the SNPs and replication rates of the candidate genes were improved in the chronic subsample compared to the full sample. Nonetheless, replication rates were still poor.

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Perfectionism dimensions in major postpartum depression

Cited by 52 publications

References 70 publications

Adaptação da Escala de Crenças Disfuncionais face à Maternidade para a população portuguesa: Estudos psicométricos

Adaptação da Escala de Crenças Disfuncionais face à Maternidade para a população portuguesa: Estudos psicométricos

Personality and risk for postpartum depressive symptoms

Does refining the phenotype improve replication rates? A review and replication of candidate gene studies on Major Depressive Disorder and Chronic Major Depressive Disorder

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