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P0195 - “Vulnerable personality” in women with postpartum depression

Published online by Cambridge University Press:  16 April 2020

E. Gelabert
Affiliation:
Pharmacology Research Unit, Institut Municipal D'Investigacio Medica (IMIM-H Mar), Barcelona, Spain Department of Clinical and Health Psychology, Universitat Autonoma de Barcelona, Barcelona, Spain
P. Navarro
Affiliation:
Psychiatry Perinatal Unit, Hospital Clinic, Barcelona, Spain
K. Langohr
Affiliation:
Pharmacology Research Unit, Institut Municipal D'Investigacio Medica (IMIM-H Mar), Barcelona, Spain
R. Navines
Affiliation:
Pharmacology Research Unit, Institut Municipal D'Investigacio Medica (IMIM-H Mar), Barcelona, Spain
S. Subira
Affiliation:
Department of Clinical and Health Psychology, Universitat Autonoma de Barcelona, Barcelona, Spain
L.L. Garcia-Esteve
Affiliation:
Psychiatry Perinatal Unit, Hospital Clinic, Barcelona, Spain
R. Martin-Santos
Affiliation:
Pharmacology Research Unit, Institut Municipal D'Investigacio Medica (IMIM-H Mar), Barcelona, Spain

Abstract

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Few studies have evaluated personality traits as a risk factor of postpartum depression (PPD). The Vulnerable Personality Style Questionnaire (VPSQ; Boyce et al. 2001), is a 9-item self-report scale developed to evaluate personality vulnerability to PPD with satisfactory psychometric properties. It assesses 9 personality dimensions: Coping, Nervy, Timidity, Sensitivity, Worrier, Obsessive, Volatility Organized and Expressive.

Objective:

To study the vulnerable personality style in a Spanish postpartum sample.

Method:

A case-control study: 145 PPD women visited at the Psychiatry Perinatal Unit were compared to 203 healthy women from a postpartum population based study. All women were assessed with the VPSQ (Spanish adaptation), the Edinburgh Postnatal Depression Scale and the Structured Clinical Interview (DSM-IV) axis I. Personality traits were evaluated after full clinical remission. The study was approved by the Institution board.

Results:

Univariated analysis showed that women with PPD obtained higher scores (p<.000) in seven VPSQ personality dimensions: Coping, Nervy, Timidity, Sensitivity, Worrier, Obsessive, and Volatility, as well as the VPSQ total score (p<.000). Personal history of depression (p<.000) was also associated with PPD. In the logistic regression analysis; an increase of one point on the VPSQ total score increased the OR in 1.151 fold (95%CI:1.095-1.210) the association with PPD. Other variables associated were age and personal history of depression. The Hosmer-Lemershow test (p=.706) indicated the goodness-of-fit of the model.

Conclusions:

Women with PPD had higher scores in the Vulnerable Personality Style Questionnaire. They were more nervous, timid, sensitive, obsessive, worried, angry and cope poorly than healthy postpartum women.

Type
Poster Session II: Depression
Copyright
Copyright © European Psychiatric Association 2008
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