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Cited by 83Maternal Mental Health During Pregnancy and PostpartumPersonality Disorders and PsychopathologyMaternal and Perinatal Health Interventions

Personality and risk for postpartum depressive symptoms

Iliadis, S. I., Koulouris, P., Gingnell, M., Sylvén, S. M., Sundström-Poromaa, I., Ekselius, L., Papadopoulos, F. C., Skalkidou, A.·2015·Archives of Women's Mental Health
DOI 10.1007/s00737-014-0478-8
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Abstract

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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Authors
Iliadis, S. I., Koulouris, P., Gingnell, M., Sylvén, S. M., Sundström-Poromaa, I., Ekselius, L., Papadopoulos, F. C., & Skalkidou, A.
Affiliations
Uppsala University (SE)
Corresponding author
Iliadis, S. I.
ORCID
Venue
Archives of Women's Mental Health
Publisher
Springer Science and Business Media LLC
Published
2014-11-06
Volume
18
Issue
3
Pages
539-546
ISSN
  • 1434-1816 (ISSN-L)
  • 1435-1102
DOI
10.1007/s00737-014-0478-8
OpenAlex
W2035852186
Cited by
83
References
61
Citations by year
2026: 4 · 2025: 3 · 2024: 6 · 2023: 4 · 2022: 10 · 2021: 5 · 2020: 9 · 2019: 10 · 2018: 8 · 2017: 12 · 2016: 9 · 2015: 3
FWCI
7.93
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Archives of Women s Mental Health (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
postpartum depression, postpartum depressive symptoms, personality traits, neuroticism, trait anxiety, distrust, pregnancy, maternal mental health, Edinburgh Postnatal Depression Scale, major depressive disorder
MeSH terms
Neuroticism, Adolescent, Adult, Anxiety Disorders, Depression, Major Depressive Disorder, Female, Humans, Mass Screening, Maternal Welfare, Mothers, Personality, Personality Disorders, Personality Inventory, Pregnancy, Pregnancy Complications, Pregnancy Trimester, Second, Prospective Studies, Psychiatric Status Rating Scales, Psychometrics, Surveys and Questionnaires, Risk Factors, Sweden, Logistic Models, Odds Ratio, Risk Assessment, Depression, Postpartum, Postpartum Period

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