Summary
Objective: To investigate whether women with postpartum depression differ in personality traits from healthy postpartum women, healthy controls from the normal Swedish population and non-postpartum women with major depression.
Methods: Forty-five women with postpartum depression were compared with 62 healthy postpartum women, 62 age-matched, healthy, non-postpartum women from a normal sample and 74 non-postpartum women with major depression from a clinical sample. The edinburgh postnatal depression scale was used in order to screen for postpartum depression. A clinical diagnostic interview was done including a rating with the Montgomery-Asberg depression rating scale. Personality i.e. temperament and character was measured by the temperament and character inventory.
Results: Harm avoidance (HA) was higher (p < 0.001) and self-directedness (SD) scored lower (p < 0.001) in women with postpartum depression compared to healthy postpartum women. These differences were the most important differences between these two groups. Women with postpartum depression scored lower (p = 0.001) in cooperativeness (CO) and higher (p = 0.019) in self-transcendence (ST) compared to healthy postpartum women. Women with postpartum depression scored overall similar to women with major depression.
Conclusion: High HA and low SD can be seen as vulnerability factors for developing a depression and especially in a stressful situation as childbirth.
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References
P Boyce (1994) Personality dysfunction, marital problems and postnatal depression J Cox J Holden (Eds) Perinatal psychiatry: use and misuse of the edinburgh postnatal depression scale Gaskell London
S Brändström P Schlette TR Przybeck M Lundberg T Forsgren S Sigvardsson et al. (1998) ArticleTitleSwedish normative data on personality using the temperament and character inventory Comprehens Psychiatry 39 122–128 Occurrence Handle10.1016/S0010-440X(98)90070-0
S Brändström J Richter T Przybeck (2001) ArticleTitleDistributions by age and sex of the dimensions of temperament and character inventory in a cross-cultural perspective among Sweden, Germany, and the USA Psychol Rep 89 747–758 Occurrence Handle11824747 Occurrence Handle10.2466/PR0.89.7.747-758
I Brockington (1996) Motherhood and mental health Oxford University Press Oxford
CR Cloninger (1987) ArticleTitleA systematic method for clinical description and classification of personality variants Arch Gen Psychiatry 44 573–588 Occurrence Handle3579504 Occurrence Handle1:STN:280:BiiB3M3jvFI%3D
CR Cloninger DM Svrakic TR Przybeck (1993) ArticleTitleA psychobiological model of temperament and character Arch Gen Psychiatry 50 975–990 Occurrence Handle8250684 Occurrence Handle1:STN:280:ByuD2s7lvFc%3D
CR Cloninger TR Przybeck DM Svrakic RD Wetzel (1994) Applications to mood disorders The temperament and character inventory (TCI): a guide to its development and use SeriesTitleCenter for Psychobiology of Personality Washington University St. Louis, MO
J Cohen (1988) Statistical powers analysis for the behavioral sciences EditionNumber2 Lawrence Earlbaum Hillsdale, NJ
JL Cox JM Holden R Sagovsky (1987) ArticleTitleDetection of postnatal depression: development of the edinburgh depression scale Br J Psychiatry 150 782–786 Occurrence Handle3651732 Occurrence Handle1:STN:280:BieD3c7it1E%3D
CE Cutrona (1983) ArticleTitleCausal attributions and perinatal depression J Abnorm Psychol 92 161–172 Occurrence Handle6863731 Occurrence Handle10.1037/0021-843X.92.2.161 Occurrence Handle1:STN:280:BiyB3sbjslw%3D
InstitutionalAuthorNameDSM-IV (1994) Diagnostic Statistic manual of mental Disorder EditionNumber4 American Psychiatry Association Washington
M Elovainio M Kivimaki S Puttonen T Heponiemi L Pulkki L Keltikangas-Jarvinen (2004) ArticleTitleTemperament and depressive symptoms: a population-based longitudinal study on Cloninger’s psychobiological temperament model J Affect Disord 83 227–232 Occurrence Handle15555718 Occurrence Handle10.1016/j.jad.2004.06.005
A Farmer A Mahmood K Redman T Harris S Sadler P Mc Guffin (2003) ArticleTitleA sib-pair study of the temperament and character inventory scales in major depression Arch Gen Psychiatry 60 490–496 Occurrence Handle12742870 Occurrence Handle10.1001/archpsyc.60.5.490
V Glover M Kammerer (2004) ArticleTitleThe biology and pathophysiology of peripartum psychiatric disorders Prim Psychiatry 11 37–41
V Hendrick LL Altshuler R Suri (1998) ArticleTitleHormonal changes in the postpartum and implications for postpartum depression Psychosomatics 39 93–101 Occurrence Handle9584534 Occurrence Handle1:CAS:528:DyaK1cXivFaisrk%3D
A Josefsson G Berg C Nordin G Sydsjö (2001) ArticleTitlePrevalence of depressive symptoms in late pregnancy and postpartum Acta Obstet Gynecol Scand 80 251–255 Occurrence Handle11207491 Occurrence Handle10.1034/j.1600-0412.2001.080003251.x Occurrence Handle1:STN:280:DC%2BD3M7lvFeksQ%3D%3D
SA Montgomery M Åsberg (1979) ArticleTitleA new depression scale designed to be sensitive to change Br J Psychiatry 134 382–389 Occurrence Handle444788 Occurrence Handle1:STN:280:CSaC1cfkslQ%3D Occurrence Handle10.1192/bjp.134.4.382
CJ Murray AD Lopez (1997) ArticleTitleAlternative projections of mortality and disability by cause 1990–2020: global burden disease study Lancet 349 1498–1504 Occurrence Handle9167458 Occurrence Handle10.1016/S0140-6736(96)07492-2 Occurrence Handle1:STN:280:ByiA3M%2FivFU%3D
MW O’Hara AM Swain (1996) ArticleTitleRates and risk of postpartum depression – a meta analysis Int Rev Psychiatry 8 37–54
SF Pariser (1993) ArticleTitleWomen and mood disorders: menarche to menopause Ann Clin Psychiatry 5 249–253 Occurrence Handle8312982 Occurrence Handle1:STN:280:ByuC2cnovVc%3D
B Pitt (1968) ArticleTitleAtypical depression following childbirth Br J Psychiatry 114 1325–1335 Occurrence Handle5750402 Occurrence Handle1:STN:280:CCaD1c%2FosFQ%3D
J Richter M Eisemann G Richter (2000) ArticleTitleTemperament and character during the course of unipolar depression among inpatients Eur Arch Psychiatry Clin Neurosci 250 40–47 Occurrence Handle10738864 Occurrence Handle10.1007/PL00007538 Occurrence Handle1:STN:280:DC%2BD3c3gtFCnsQ%3D%3D
RL Rosnow R Rosenthal (1996) ArticleTitleComputing contrasts, effect sizes, and counter nulls on other people’s published data: general procedures for research consumers Psychol Methods 1 331–340 Occurrence Handle10.1037/1082-989X.1.4.331
DJ Smith L Duffy ME Stewart WJ Muir DH Blackwood (2005) ArticleTitleHigh harm avoidance and low self-directedness in euthymic young adults with recurrent, early-onset depression J Affect Disord 87 83–90 Occurrence Handle15967233 Occurrence Handle10.1016/j.jad.2005.03.014
P Svanborg M Åsberg (1994) ArticleTitleA new self-rating scale for depression and anxiety states based on the comprehensive psychopathology rating scale Acta Psychiatr Scand 89 21–28 Occurrence Handle8140903 Occurrence Handle1:STN:280:ByuC1cbivVE%3D
K Weinberg E Tronick (1998) ArticleTitleEmotional care of the at-risk infant: emotional characteristics of infants associated with maternal depression and anxiety Pediatrics 102 1298–1304 Occurrence Handle9794973 Occurrence Handle1:STN:280:DC%2BD3c7ovVSltg%3D%3D
MM Weissman M Olfson (1995) ArticleTitleDepression in women: implications for health care research Science 269 799–801 Occurrence Handle7638596 Occurrence Handle10.1126/science.7638596 Occurrence Handle1:CAS:528:DyaK2MXnsVagsr8%3D
B Wickberg CP Hwang (1996) ArticleTitleThe edinburgh postnatal depression scale: validation on a Swedish community sample Acta Psychiatr Scand 94 181–184 Occurrence Handle8891084 Occurrence Handle1:STN:280:ByiD2cnhs1Y%3D
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Josefsson, A., Larsson, C., Sydsjö, G. et al. Temperament and character in women with postpartum depression. Arch Womens Ment Health 10, 3–7 (2007). https://doi.org/10.1007/s00737-006-0159-3
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DOI: https://doi.org/10.1007/s00737-006-0159-3