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The role of perfectionism in perinatal depression (ICD-10, DSM-IV and BDI-II, PDSS)

Published online by Cambridge University Press:  16 April 2020

B. Maia
Affiliation:
Institute of Medical Psychology, Medicine Faculty, University of Coimbra, Coimbra, Portugal
A.T. Pereira
Affiliation:
Institute of Medical Psychology, Medicine Faculty, University of Coimbra, Coimbra, Portugal
M. Marques
Affiliation:
Institute of Medical Psychology, Medicine Faculty, University of Coimbra, Coimbra, Portugal
M.J. Soares
Affiliation:
Institute of Medical Psychology, Medicine Faculty, University of Coimbra, Coimbra, Portugal
S. Bos
Affiliation:
Institute of Medical Psychology, Medicine Faculty, University of Coimbra, Coimbra, Portugal
J. Valente
Affiliation:
Institute of Medical Psychology, Medicine Faculty, University of Coimbra, Coimbra, Portugal
A. Allen
Affiliation:
Institute of Medical Psychology, Medicine Faculty, University of Coimbra, Coimbra, Portugal
V. Nogueira
Affiliation:
Institute of Medical Psychology, Medicine Faculty, University of Coimbra, Coimbra, Portugal
M.H. Azevedo
Affiliation:
Institute of Medical Psychology, Medicine Faculty, University of Coimbra, Coimbra, Portugal
A. Macedo
Affiliation:
Institute of Medical Psychology, Medicine Faculty, University of Coimbra, Coimbra, Portugal

Abstract

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Aims

The role of perfectionism as a correlate of perinatal depressive symptomatology, and as a predictor of postpartum depressive disorder was examined.

Methods

386 women in their third trimester of pregnancy (mean age = 30.08 years; SD = 4.205; range = 19–44) completed the Portuguese versions of Multidimensional Perfectionism Scale, Beck Depression Inventory-II/BDI-II, Postpartum Depression Screening Scale/PDSS and three additional questions evaluating anxiety trait, life stress perception and social support. Diagnoses of depression (ICD-10/DSM-IV) were obtained using the Portuguese version of the Diagnostic Interview for Genetic Studies/OPCRIT system. Women who were clinically depressed in pregnancy (ICD-10/DSM-IV) were excluded from the analysis.

Results

Self-Oriented Perfectionism/SOP and Socially Prescribed Perfectionism/SPP subcomponents were significant correlates of depressive symptomatology (BDI-II/PDSS) in pregnancy. SPP-Others High Standards/OHS was a significant predictor of postpartum depressive symptomatology (BDI-II/PDSS), and SPP-Conditional Acceptance/CA was a predictor of postpartum depressive symptomatology (PDSS). None of the perfectionism subscales predicted postpartum depressive disorder (ICD-10/DSM-IV).

Conclusions

SOP and SPP have shown to be relevant correlates of depressive symptomatology in pregnancy. In the present study, SPP-OHS and SPP-CA were also significant correlates of perinatal depressive symptomatology, as well as important risk factors for depressive symptomatology in postpartum. Perfectionism subscales were not significant predictors of postpartum depressive disorder (ICD-10/DSM-IV). While SPP maladaptive influence was supported, SOP was shown to be more heterogeneous in its consequences. These findings may have important implications both for clinical practice and for research.

Type
P03-509
Copyright
Copyright © European Psychiatric Association 2011
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