Vulnerability to Postpartum Depressive Symptomatology: Dependency, Self-Criticism and the Moderating Role of Antenatal Attachment
Abstract
A prospective study of self-criticism and dependency as vulnerability factors to postpartum depressive symptoms in a non-clinical sample is presented. Prospective mother's attachment to the unborn baby was hypothesized to moderate the effects of the personality vulnerability factors on depression. Seventy-three first pregnancy subjects were assessed during the third trimester of pregnancy and 8 weeks postpartum. Controlling for Time 1 depression, findings support the assumption that self-criticism measured at Time 1 predicted postpartum depression. In addition, antenatal attachment scores were found to moderate this personality vulnerability: highly self-critical subjects' risk for depression was lowered if they became strongly attached to the fetus during pregnancy. Dependency was not found to be associated with postpartum depressive symptoms. Results are analyzed in the framework of Blatt's theory of depression and underscore the interaction between personality vulnerabilities and cultural aspects of childbirth and maternal role.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
It has been suggested that higher maternal fetal attachment serves as a moderator in those vulnerable to depression.
“It has also been suggested that higher maternal fetal attachment serves as a moderator in those vulnerable to depression”
From Prenatal Depression in Women Hospitalized for Obstetric Risk (2008) · cites this paper as [37]
Cites
Experiences of depression in normal young adults.
Blatt, S. J., D'Affitti, J. P., & Quinlan, D. M. (1976) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.85.4.383 · Cited by 1,132 · see citing works
The assessment of antenatal emotional attachment: Development of a questionnaire instrument
Condon, J. T. (1993) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1993.tb01739.x · Cited by 596 · see citing works
Dependency and self-criticism: Psychological dimensions of depression
Blatt, S. J., Quinlan, D. M., Chevron, E. S., McDonald, C., & Zuroff, D. (1982) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.50.1.113 · Cited by 589 · see citing works
Dependency and self-criticism: Psychological dimensions of depression.
Blatt, S. J., & al., E. (1982) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.50.1.113 · Cited by 520 · see citing works
Social support and stress in the transition to parenthood.
Cutrona, C. E. (1984) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.93.4.378 · Cited by 403 · see citing works
Prevalence and correlates of postpartum depression in first-time mothers.
Campbell, S. B. G., & Cohn, J. F. (1991) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.100.4.594 · Cited by 248 · see citing works
A Cognitive Morphology of Psychopathology
Blatt, S. J. (1991) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199108000-00001 · Cited by 137 · see citing works
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY
&NA; (2009) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000314068.12285.e0 · Cited by 125 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Rumination as a common mechanism relating depressive risk factors to depression.
Spasojevic, J., & Alloy, L. B. (2001) · Emotion · doi:10.1037/1528-3542.1.1.25 · Cited by 599 · see citing works
A HISTORY OF THE THEORY OF PRENATAL ATTACHMENT.
Brandon, A. R., Pitts, S., Denton, W. H., Stringer, C. A., & Evans, H. (2009) · PubMed · Cited by 226 · see citing works
Assessment of postnatal paternal–infant attachment: development of a questionnaire instrument
Condon, J. T., Corkindale, C. J., & Boyce, P. M. (2008) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646830701691335 · Cited by 176 · see citing works
McMahon, C. A., Barnett, B. E. W., Kowalenko, N., & Tennant, C. (2004) · Journal of Affective Disorders · doi:10.1016/j.jad.2004.05.005 · Cited by 165 · see citing works
Laxton-Kane, M., & Slade, P. (2002) · Journal of Reproductive and Infant Psychology · doi:10.1080/0264683021000033174 · Cited by 160 · see citing works
Matthey, S., Kavanagh, D. J., Howie, P. M., Barnett, B. E. W., & Charles, M. A. (2003) · Journal of Affective Disorders · doi:10.1016/s0165-0327(02)00362-2 · Cited by 154 · see citing works
Prenatal Attachment and Perinatal Depression: A Systematic Review
Rollè, L., Giordano, M., Santoniccolo, F., & Trombetta, T. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17082644 · Cited by 153 · see citing works
Goecke, T. W., Voigt, F., Faschingbauer, F., Spangler, G., Beckmann, M. W., & Beetz, A. (2012) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-012-2286-6 · Cited by 131 · see citing works
Anxiety in pregnant and postpartum women. An exploratory study of the role of maternal orientations
Bussel, J. V., Spitz, B., & Demyttenaere, K. (2008) · Journal of Affective Disorders · doi:10.1016/j.jad.2008.07.018 · Cited by 127 · see citing works
Smorti, M., Ponti, L., & Pancetti, F. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00295 · Cited by 119 · see citing works
Avi Besser, A., & Priel, B. (2005) · Personality and Social Psychology Bulletin · doi:10.1177/0146167204274082 · Cited by 118 · see citing works
Self-citationActive vulnerability, adolescent distress, and the mediating/suppressing role of life events
Shahar, G., & Priel, B. (2003) · Personality and Individual Differences · doi:10.1016/s0191-8869(02)00185-x · Cited by 115 · see citing works
Self-citationPrenatal Depression in Women Hospitalized for Obstetric Risk
Brandon, A. R., Trivedi, M. H., Hynan, L. S., Miltenberger, P. D., Labat, D. B., Rifkin, J. B., & Stringer, C. A. (2008) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v69n0417 · Cited by 107 · see citing works
Jomeen, J. (2004) · Clinical Effectiveness in Nursing · doi:10.1016/j.cein.2005.02.001 · Cited by 99 · see citing works
Besser, A., & Priel, B. (2010) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2010.29.2.166 · Cited by 75 · see citing works
Self-citationPriel, B., & Avi Besser, A. (2001) · British Journal of Medical Psychology · doi:10.1348/000711201160821 · Cited by 85 · see citing works
Self-citationReliability and validity of the Dutch version of the maternal antenatal attachment scale
van Bussel, J. C. H., Spitz, B., & Demyttenaere, K. (2010) · Archives of Women's Mental Health · doi:10.1007/s00737-009-0127-9 · Cited by 84 · see citing works
Psychometric Properties of the SF-12 (Hebrew Version) in a Primary Care Population in Israel
Amir, M., Lewìn-Epstein, N., Becker, G., & Buskila, D. (2002) · Medical Care · doi:10.1097/00005650-200210000-00009 · Cited by 83 · see citing works
Puyané, M., Subirà, S., Torres, A., Roca, A., Garcia-Esteve, L., & Gelabert, E. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.11.010 · Cited by 81 · see citing works
Priel, B., & Avi Besser, A. (2000) · Personal Relationships · doi:10.1111/j.1475-6811.2000.tb00018.x · Cited by 79 · see citing works
Self-citationAvi Besser, A., & Priel, B. (2003) · Journal of Personality · doi:10.1111/1467-6494.7104002 · Cited by 79 · see citing works
Self-citationMoreira, H., & Canavarro, M. C. (2018) · Journal of Child and Family Studies · doi:10.1007/s10826-018-1072-x · Cited by 77 · see citing works
Petri, E., Palagini, L., Bacci, O., Borri, C., Teristi, V., Corezzi, C., Faraoni, S., Antonelli, P., Cargioli, C., Banti, S., et al. (2017) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2017.1365130 · Cited by 73 · see citing works
Personality, Shame, and the Breakdown of Social Bonds: The Voice of Quantitative Depression Research
Shahar, G. (2001) · Psychiatry · doi:10.1521/psyc.64.3.228.18463 · Cited by 72 · see citing works
Dependency and Self-Criticism Among First-Time Mothers: The Roles of Global and Specific Support
Priel, B., & Avi Besser, A. (2000) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2000.19.4.437 · Cited by 68 · see citing works
Self-citationPerfectionism dimensions in major postpartum depression
Gelabert, E., Subirà, S., García-Esteve, L., Navarro, P., Plaza, A., Cuyàs, E., Navinés, R., Gratacòs, M., Valdés, M., & Martín‐Santos, R. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.08.030 · Cited by 68 · see citing works
Trait vulnerability and coping strategies in the transition to motherhood
Avi Besser, A., & Priel, B. (2003) · Current Psychology · doi:10.1007/s12144-003-1013-7 · Cited by 66 · see citing works
Self-citationPriel, B., & Avi Besser, A. (2002) · Infant Mental Health Journal · doi:10.1002/imhj.10021 · Cited by 65 · see citing works
Self-citationCouples and the first baby: responding to new parents' sexual and relationship problems
Pacey, S. (2004) · Sexual & Relationship Therapy · doi:10.1080/14681990410001715391 · Cited by 63 · see citing works
Sweeney, A. C., & Fingerhut, R. (2013) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/1552-6909.12236 · Cited by 62 · see citing works
Brassel, A., Townsend, M. L., Pickard, J. A., & Grenyer, B. F. S. (2020) · Infant Mental Health Journal · doi:10.1002/imhj.21827 · Cited by 59 · see citing works
Campos, R. C., Avi Besser, A., & Blatt, S. J. (2010) · Depression and Anxiety · doi:10.1002/da.20763 · Cited by 59 · see citing works
Bussel, J. V., Spitz, B., & Demyttenaere, K. (2009) · Archives of Women s Mental Health · doi:10.1007/s00737-009-0061-x · Cited by 55 · see citing works
Lai, B. P. Y., Tang, C. S., & Tse, W. K. (2006) · International Journal of Eating Disorders · doi:10.1002/eat.20266 · Cited by 55 · see citing works
Pregnancy intendedness, maternal–fetal bonding, and postnatal maternal–infant bonding
Shreffler, K. M., Spierling, T. N., Jespersen, J. E., & Tiemeyer, S. M. (2021) · Infant Mental Health Journal · doi:10.1002/imhj.21919 · Cited by 55 · see citing works
Lowyck, B., Luyten, P., Corveleyn, J. M. T., D’Hooghe, T., Buyse, E., & Demyttenaere, K. (2008) · Fertility and Sterility · doi:10.1016/j.fertnstert.2007.11.052 · Cited by 44 · see citing works
Avi Besser, A., Priel, B., & Wiznitzer, A. (2002) · Personal Relationships · doi:10.1111/1475-6811.00026 · Cited by 43 · see citing works
Self-citationAvi Besser, A., & Priel, B. (2005) · Social Behavior and Personality An International Journal · doi:10.2224/sbp.2005.33.4.351 · Cited by 42 · see citing works
Self-citationAvi Besser, A., Priel, B., Flett, G. L., & Wiznitzer, A. (2007) · Individual Differences Research · doi:10.65030/idr.05001 · Cited by 40 · see citing works
Self-citationDimitrovsky, L., Levy‐Shiff, R., & Schattner-Zanany, I. (2002) · The Journal of Psychology · doi:10.1080/00223980209604824 · Cited by 40 · see citing works
Maternal bonding and risk of depression in late pregnancy: a survey of Italian nulliparous women
Vedova, A. M. D., Ducceschi, B., Cesana, B. M., & Imbasciati, A. (2011) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2011.592973 · Cited by 38 · see citing works
Avi Besser, A., Vliegen, N., Luyten, P., & Blatt, S. J. (2008) · Psychoanalytic Psychology · doi:10.1037/0736-9735.25.2.392 · Cited by 38 · see citing works
The role of perfectionism in postpartum depression and symptomatology
Maia, B., Pereira, A. T., Marques, M., Bos, S. C., Soares, M. J., Valente, J., Gomes, A. A., de Azevedo, M. H. P., & Macedo, A. (2012) · Archives of Women s Mental Health · doi:10.1007/s00737-012-0310-2 · Cited by 38 · see citing works
The relationships between defenses and experiences of depression: An exploratory study.
Campos, R. C., Avi Besser, A., & Blatt, S. J. (2011) · Psychoanalytic Psychology · doi:10.1037/a0022420 · Cited by 35 · see citing works
Dependency and self‐criticism in post‐partum depression and anxiety: a case control study
Vliegen, N., & Luyten, P. (2009) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.597 · Cited by 33 · see citing works
Casalin, S., Luyten, P., Avi Besser, A., Wouters, S., & Vliegen, N. (2014) · Self and Identity · doi:10.1080/15298868.2013.873076 · Cited by 32 · see citing works
Stability and Change in Levels of Depression and Personality
Vliegen, N., Luyten, P., Avi Besser, A., Casalin, S., Kempke, S., & Tang, E. (2010) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e3181c8aa57 · Cited by 32 · see citing works
Avi Besser, A., Luyten, P., & Blatt, S. J. (2011) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e31822fc9a8 · Cited by 31 · see citing works
Licit and illicit drug use during pregnancy: maternal, neonatal and early childhood consequences.
Finnegan, L. P. (2013) · Cited by 29 · see citing works
Avi Besser, A. (2004) · Social Behavior and Personality An International Journal · doi:10.2224/sbp.2004.32.6.559 · Cited by 27 · see citing works
DEPRESSION AMONG MOTHERS WITH PRETERM INFANTS AND THEIR STRESS-COPING STRATEGIES
Madu, S. N., & roos, J. J. (2006) · Social Behavior and Personality An International Journal · doi:10.2224/sbp.2006.34.7.877 · Cited by 25 · see citing works
Dependent and Self-critical vulnerabilities to depression in two different cultural contexts
Abu‐Kaf, S., & Priel, B. (2007) · Personality and Individual Differences · doi:10.1016/j.paid.2007.10.002 · Cited by 25 · see citing works
Self-citationVliegen, N., & Luyten, P. (2008) · Personality and Individual Differences · doi:10.1016/j.paid.2008.02.015 · Cited by 23 · see citing works
Vliegen, N., Luyten, P., Meurs, P., & Cluckers, G. (2006) · Personality and Individual Differences · doi:10.1016/j.paid.2005.11.029 · Cited by 23 · see citing works
Two Ways of Living through Postpartum Depression
Røseth, I., Binder, P., & Malt, U. F. (2011) · Journal of Phenomenological Psychology · doi:10.1163/156916211x599753 · Cited by 22 · see citing works
Shahar, G., Herishanu-Gilutz, S., Holcberg, G., & Kofman, O. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.07.021 · Cited by 21 · see citing works
Perfectionism dimensions in pregnancy—a study in Portuguese women
Macedo, A., Bos, S. C., Marques, M., Maia, B., Soares, M. J., Pereira, T., Gomes, A. A., Valente, J., & de Azevedo, M. H. P. (2009) · Archives of Women s Mental Health · doi:10.1007/s00737-008-0042-5 · Cited by 21 · see citing works
Beato, A. F., Albuquerque, S., Akik, B. K., da Costa, L. P., & Salvador, Á. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.858356 · Cited by 19 · see citing works
Eyal, M. N. –., & Ben‐Ari, O. T. –. (2023) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2023.2222143 · Cited by 24 · see citing works
Chapter 13 Silencing the Self and Personality Vulnerabilities Associated with Depression
Avi Besser, A., Flett, G. L., & Hewitt, P. L. (2010) · doi:10.1093/acprof:oso/9780195398090.003.0014 · Cited by 18 · see citing works
Chen, B., & Xu, Y.-H. (2017) · Archives of Women s Mental Health · doi:10.1007/s00737-017-0808-8 · Cited by 16 · see citing works
Lutkiewicz, K. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17113876 · Cited by 14 · see citing works
Serra, R., Giacchetti, N., Bersani, F. S., Cappannini, G., Martucci, M., Panfili, M., Sogos, C., & Aceti, F. (2023) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-023-05701-7 · Cited by 14 · see citing works
Shahar, G., Porcerelli, J. H., Kamoo, R., Epperson, C. N., Czarkowski, K. A., Magriples, U., & Mayes, L. C. (2010) · Journal of the American Psychoanalytic Association · doi:10.1177/0003065110392228 · Cited by 14 · see citing works
Dubus, N. (2013) · Affilia · doi:10.1177/0886109913509539 · Cited by 14 · see citing works
Developing Partner Awareness and Empathy in New Parents: the Great Parents’ Quiz
Matthey, S., McGregor, K., & Ha, M. (2008) · International Journal of Mental Health Promotion · doi:10.1080/14623730.2008.9721764 · Cited by 12 · see citing works
Pellerone, M., & Miccichè, S. (2014) · Journal of Psychology Research · doi:10.17265/2159-5542/2014.06.002 · Cited by 12 · see citing works
Neediness and Interpersonal Life Stress: Does Congruency Predict Depression?
Cogswell, A., Alloy, L. B., & Spasojevic, J. (2006) · Cognitive Therapy and Research · doi:10.1007/s10608-006-9052-7 · Cited by 12 · see citing works
Campos, R. C., Avi Besser, A., & Blatt, S. J. (2013) · The Spanish Journal of Psychology · doi:10.1017/sjp.2013.104 · Cited by 9 · see citing works
Brandon, A. R. (2007) · Journal of the American Psychoanalytic Association · doi:10.1177/00030651070550010102 · Cited by 9 · see citing works
The negative impact of maternal bulimic symptoms on parenting behavior
Lai, B. P. Y., & Tang, C. S. (2008) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2008.04.003 · Cited by 8 · see citing works
Falgares, G., Santis, S. D., Gullo, S., Carrozzino, D., Marchetti, D., Verrocchio, M. C., Coco, G. L., Kopala‐Sibley, D. C., & Oasi, O. (2017) · Research in Psychotherapy Psychopathology Process and Outcome · doi:10.4081/ripppo.2017.227 · Cited by 8 · see citing works
Hanak, N. (2010) · Psiholoska istrazivanja · doi:10.5937/psistra1001131h · Cited by 6 · see citing works
Eyal, M. N. –., & Ben‐Ari, O. T. –. (2023) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2023.2284290 · Cited by 7 · see citing works
Meireles, A., & Costa, M. E. (2019) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2019.1626009 · Cited by 5 · see citing works
Sarah, A.-K., & Priel, B. (2012) · International Journal of Psychology and Behavioral Sciences · doi:10.5897/ijpc11.035 · Cited by 6 · see citing works
Self-citationFiore, S., Luyten, P., Vliegen, N., & Soenens, B. (2024) · Journal of Personality · doi:10.1111/jopy.12993 · Cited by 7 · see citing works
Arte da pintura do ventre materno e vinculação pré-natal
da Mata, J. A. L., & Shimo, A. K. K. (2018) · Revista CUIDARTE · doi:10.15649/cuidarte.v9i2.499 · Cited by 4 · see citing works
Harris, C., Larkin, M., Walker, A.-M., & Johnson, G. (2024) · Qualitative Health Research · doi:10.1177/10497323241266750 · Cited by 3 · see citing works
Bracks-Zalloua, P., Gibson, F. L., & McMahon, C. A. (2010) · The Australian Educational and Developmental Psychologist · doi:10.1375/aedp.27.2.90 · Cited by 3 · see citing works
Maternal-fetal attachment as a natural phenomenon of pregnancy and maternity development: A review
Kelmanson, I. A. (2023) · Pediatrics Consilium Medicum · doi:10.26442/26586630.2023.1.202127 · Cited by 2 · see citing works
A representação social da arte da pintura do ventre materno para gestantes
da Mata, J. A. L., & Shimo, A. K. K. (2017) · Americanae (AECID Library) · Cited by 2 · see citing works
Propiedades psicométricas de la traducción al español de la Escala de Vinculación Prenatal Materna
Mata, R. E. C., Aranda, B. D. E., & Hernández, R. L. (2015) · Summa Psicológica · doi:10.18774/448x.2015.12.193 · Cited by 1 · see citing works
PROGRESS IN MOISTURE SEPARATOR-REHEATERS FOR NUCLEAR POWER PLANTS.
Lemezis, S., Bushey, J. R., & Rabas, T. J. (1969) · OSTI OAI (U.S. Department of Energy Office of Scientific and Technical Information) · Cited by 1 · see citing works
CURRICULUM VITAE and LIST OF PUBLICATIONS
Avi Besser, A. (2010)
Research Progress on Maternal-Fetus Attachment
易, 薇. (2024) · Advances in Clinical Medicine · doi:10.12677/acm.2024.14102649
Hillewaert, L., Soenens, B., Clercq, B. J. D., Beyers, W., Schrooyen, C., & BRENNING, K. M. (2026) · Current Psychology · doi:10.1007/s12144-026-09862-4
- Authors
- Priel, B., & Besser, A.
- Affiliations
- Ben-Gurion University of the Negev (IL)
- Venue
- Journal of Social and Clinical Psychology
- Publisher
- Guilford Publications
- Published
- 1999-06
- Volume
- 18
- Issue
- 2
- Pages
- 240-253
- ISSN
- 0736-7236 (ISSN-L)
- OpenAlex
- W1997806521
- Cited by
- 88
- References
- 7
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 4 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 2 · 2017: 4 · 2015: 2 · 2014: 2 · 2013: 5 · 2012: 3
- FWCI
- 3.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Social and Clinical Psychology (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
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- postpartum depression, self-criticism, dependency, prenatal attachment, fetal attachment, personality vulnerability, moderating effect, first pregnancy, maternal role
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review