Department of Psychotherapy and Psychosomatic Medicine, University Hospital Carl Gustav Carus, Technische Universitaet Dresden, Fetscherstr. 74, D-01307, Dresden, Germany.
Department of Psychotherapy and Psychosomatic Medicine, University Hospital Carl Gustav Carus, Technische Universitaet Dresden, Fetscherstr. 74, D-01307, Dresden, Germany.
J Affect Disord. 2020 Feb 15;263:318-325. doi: 10.1016/j.jad.2019.11.151. Epub 2019 Nov 30.
Personality traits are associated with the onset and course of postpartum depression. The impact of maladaptive personality traits on mother-child bonding and parenting is less studied. Therefore, the aims of this study are to investigate: a) the frequency of maladaptive personality styles in women with postpartum depression; b) the association between personality styles and the course of maternal psychopathology; and c) the association between personality styles and mother-child bonding and parenting competence.
We examined n = 123 patients of a mother-baby unit with the Personality Style and Disorder Inventory (PSSI) at admission and instruments assessed maternal psychopathological symptoms (BSI), mother-child bonding (PBQ), and parenting sense of competence (PSOC) at admission and discharge.
Maladaptive personality styles were frequent. Women with postpartum depression had higher scores on the schizoid, avoidant, obsessive-compulsive, negativistic, dependent, borderline, depressive, and self-forgetting PSSI scales than women of the general population. The presence of maladaptive personality styles was associated with higher psychopathology, impaired mother-child bonding, and lower parenting sense of competence at admission. From admission to discharge, women showed significant improvements on psychopathology, bonding and parenting irrespective of the presence of maladaptive personality styles. However, mothers with maladaptive personality styles still had higher psychopathology and impaired mother-child bonding at discharge compared to mothers with normal PSSI scores.
Data is based upon a clinical sample of women hospitalized in a mother-child unit. Results are not representative for all women with postpartum depression.
Our results underline the need for early identification of maladaptive personality styles and for the adequate treatment and monitoring of women with postpartum depression. It can be anticipated that women suffering from maladaptive personality styles will need ongoing care to prevent long-term negative outcomes.
人格特质与产后抑郁症的发病和病程有关。适应不良的人格特质对母婴联系和育儿的影响研究较少。因此，本研究的目的是调查：a）产后抑郁症女性中适应不良人格风格的频率；b）人格风格与产妇精神病理学病程的关系；c）人格风格与母婴联系和育儿能力的关系。
我们用人格风格和障碍问卷（PSSI）对 123 名母婴病房的患者进行了检查，入院时评估了产妇的精神病理症状（BSI）、母婴联系（PBQ）和育儿能力感（PSOC），出院时也进行了评估。
适应不良的人格风格很常见。患有产后抑郁症的女性在 PSSI 的精神分裂型、回避型、强迫型、消极型、依赖型、边缘型、抑郁型和自我遗忘型评分上高于一般人群。适应不良人格风格的存在与较高的精神病理学、母婴联系受损和较低的育儿能力感相关。从入院到出院，无论是否存在适应不良人格风格，女性的精神病理学、母婴联系和育儿能力都有显著改善。然而，与 PSSI 评分正常的母亲相比，具有适应不良人格风格的母亲在出院时仍有更高的精神病理学和母婴联系受损。
数据基于住院于母婴病房的女性的临床样本。结果不能代表所有产后抑郁症女性。
我们的结果强调了早期识别适应不良人格风格以及对产后抑郁症女性进行适当治疗和监测的必要性。可以预期，患有适应不良人格风格的女性将需要持续的护理，以防止长期的负面后果。
