Journal of Affective Disorders
Volume 136, Issue 1 , Pages 17-25 , January 2012

Perfectionism dimensions in major postpartum depression

  • Estel Gelabert

      Affiliations

    • Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Bellaterra, Spain
    • Neuropsychopharmacology Programe, IMIM-Parc de Salut Mar, Barcelona, Spain
    • ,
  • Susana Subirà

      Affiliations

    • Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Bellaterra, Spain
    • ,
  • Lluisa García-Esteve

      Affiliations

    • Neuroscience Institute, Hospital Clínic, Universitat de Barcelona (UB), IDIBAPS, Barcelona, Spain
    • ,
  • Purificación Navarro

      Affiliations

    • Neuroscience Institute, Hospital Clínic, Universitat de Barcelona (UB), IDIBAPS, Barcelona, Spain
    • ,
  • Anna Plaza

      Affiliations

    • Neuroscience Institute, Hospital Clínic, Universitat de Barcelona (UB), IDIBAPS, Barcelona, Spain
    • ,
  • Elisabet Cuyàs

      Affiliations

    • Neuropsychopharmacology Programe, IMIM-Parc de Salut Mar, Barcelona, Spain
    • Universitat Autònoma de Barcelona, Spain
    • ,
  • Ricard Navinés

      Affiliations

    • Neuropsychopharmacology Programe, IMIM-Parc de Salut Mar, Barcelona, Spain
    • Neuroscience Institute, Hospital Clínic, Universitat de Barcelona (UB), IDIBAPS, Barcelona, Spain
    • CIBERSAM, Barcelona, Spain
    • ,
  • Mònica Gratacòs

      Affiliations

    • Genes and Disease Program, Center for Genomic Regulation (CRG-UPF), CIBER en Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
    • ,
  • Manuel Valdés

      Affiliations

    • Neuroscience Institute, Hospital Clínic, Universitat de Barcelona (UB), IDIBAPS, Barcelona, Spain
    • ,
  • Rocío Martín-Santos

      Affiliations

    • Neuropsychopharmacology Programe, IMIM-Parc de Salut Mar, Barcelona, Spain
    • Neuroscience Institute, Hospital Clínic, Universitat de Barcelona (UB), IDIBAPS, Barcelona, Spain
    • CIBERSAM, Barcelona, Spain
    • Corresponding Author InformationCorresponding author at: Psychiatry Department, Neuroscience Institute, Hospital Clinic, IDIBAPS, CIBERSAM, Villarroel, 170, 08036-Barcelona, Spain.

Received 20 July 2010 ,Revised 12 August 2011 ,Accepted 24 August 2011.

References 

  1. Ashman SB, Dawson G, Panagiotides H. Trajectories of maternal depression over 7years: relations with child psychophysiology and behavior and role of contextual risks. Dev. Psychopathol. 2008;20:55–77
  2. Austin MP. Classification of mental health disorders in the perinatal period: future directions for DSM-V and ICD-11. Arch. Womens Ment. Health. 2010;13:41–44
  3. Baca-Garcia E, Parra CP, Perez-Rodriguez MM, Diaz Sastre C, Reyes Torres R, Saiz-Ruiz J, et al. Psychosocial stressors may be strongly associated with suicide attempts. Stress. Heal. 2007;23:191–198
  4. Baïlara KM, Henry C, Lestage J, Launay JM, Parrot F, Swendsen J, et al. Decreased brain tryptophan availability as a partial determinant of post-partum blues. Psychoneuroendocrinology. 2006;31:407–413
  5. Bardone-Cone A, Wonderlich S, Frost R, Bulik C, Mitchell J, Uppala S, et al. Perfectionism and eating disorders: current status and future directions. Clin. Psychol. Rev. 2007;27:384–405
  6. Beck CT. A meta-analysis of predictors of postpartum depression. Nurs. Res. 1996;45:297–303
  7. Beck CT. Predictors of postpartum depression: an update. Nurs. Res. 2001;50:275–285
  8. Bellón JA, Delgado A, de Dios J, Lardelli P. Validez y fiabilidad del cuestionario de apoyo social funcional Duke-UNK-11. Aten. Primaria. 1996;18:153–163
  9. Besser A, Priel B, Flett GL, Wiznitzer A. Linear and nonlinear models of vulnerability to depression: personality and postpartum depression in a high risk population. Individ. Differ. Res. 2007;5:1–29
  10. Bieling PJ, Israeli AL, Antony MM. Is perfectionism good, bad, or both? Examining models of the perfectionism construct. Pers. Individ. Differ. 2004;36:1373–1385
  11. Binder EB, Jeffrey Newport D, Zach EB, Smith AK, Deveau TC, Altshuler LL, et al. A serotonin transporter gene polymorphism predicts peripartum depressive symptoms in an at-risk psychiatric cohort. J. Psychiatr. Res. 2010;44:640–646
  12. Blankstein KR. Evaluative concerns, self-critical, and personal standards perfectionism: a structural equation modeling strategy. In:  Flett GL,  Hewitt PL editor. Perfectionism: Theory, Research, and Treatment. Washington: American Psychological Association; 2002;p. 285–315
  13. Blatt SJ, D'Afflitti JP, Quinlan DM. Depressive Experiences Questionnaire. New Haven, CT: Yale University Press; 1976;
  14. Boyce P. Personality disfunction, marital problems and postnatal depression. In:  Cox J,  Holden J editor. Perinatal Psychiatry: Use and Misuse of the Edinburgh Postnatal Depression Scale. London: The Royal College of Psychiatrists; 1996;p. 82–102
  15. Boyce P, Hickey A, Gilchrist J, Talley NJ. The development of a brief personality scale to measure vulnerability to postnatal depression. Arch. Womens Ment. Health. 2001;3:147–153
  16. Broadhead WE, Gehlbach SH, Degruy FV, Kaplan BH. The Duke-UNK functional social support questionnaire: mesasurement of social support in family medicine patients. Med. Care. 1988;26:709–723
  17. Bulik CM, Tozzi F, Anderson C, Mazzeo SE, Aggen S, Sullivan PF. The relation between eating disorders and components of perfectionism. Am. J. Psychiatry. 2003;160:366–368
  18. Cheng SK, Chong GH, Wong CW. Chinese Frost Multidimensional Perfectionism Scale: a validation and prediction of self-esteem and psychological distress. J. Clin. Psychol. 1999;55:1051–1061
  19. Costas J, Gratacos M, Escaramis G, Martin-Santos R, de Diego Y, Baca-Garcia E, et al. Association study of 44 candidate genes with depressive and anxiety symptoms in post-partum women. J. Psychiatr. Res. 2010;44:717–724
  20. Cox BJ, Enns MW. Relative stability of dimensions of perfectionism in depression. Can. J. Behav. Sci. 2003;35:124–132
  21. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br. J. Psychiatry. 1987;150:782–786
  22. Cox BJ, Enns MW, Clara IP. The multidimensional structure of perfectionism in clinically distressed and college student samples. Psychol. Assess. 2002;14:365–373
  23. De Tychey C, Briancon S, Lighezzolo J, Spitz E, Kabuth B, de Luigi V, et al. Quality of life, postnatal depression and baby gender. J. Clin. Nurs. 2008;17:312–322
  24. Di Bartolo PM, Frost RO, Chang P, LaSota M, Grills AE. Shedding light on the relationship between personal standards and psychopathology: the case for contingent self-worth. J. Ration.-Emot. Cogn.-Behav. Ther. 2004;22:241–254
  25. Dimitrovsky L, Levy-Shiff R, Schattner-Zanany I. Dimensions of depression and perfectionism in pregnant and nonpregnant women: their levels and interrelationships and their relationship to marital satisfaction. J. Psychol. 2002;136:631–646
  26. Doornbos B, Dijck-Brouwer D, Kema IP, Tanke MAC, van Goor SA, Muskiet FAJ, et al. The development of peripartum depressive symptoms is associated with gene polymorphisms of MAOA, 5-HTT and COMT. Biol. Psychiatry. 2009;33:1250–1254
  27. Dunkley D, Blankstein K. Self-critical perfectionism, coping, hassles, and current distress: a structural equation modeling approach. Cogn. Ther. Res. 2000;24:713–730
  28. Dunkley DM, Zuroff DC, Blankstein KR. Self-critical perfectionism and daily affect: dispositional and situational influences on stress and coping. J. Pers. Soc. Psychol. 2003;84:234–252
  29. Enns MW, Cox BJ, Borger SC. Correlates of analogue and clinical depression: a further test of the phenomenological continuity hypothesis. J. Affect. Disord. 2001;66:175–183
  30. Enns MW, Cox BJ, Clara I. Adaptive and maladaptive perfectionism: developmental origins and association with depression proneness. Pers. Individ. Differ. 2002;33:921–935
  31. Enns MW, Cox BJ, Clara IP. Perfectionism and neuroticism: a longitudinal study of specific vulnerability and diathesis–stress models. Cogn. Ther. Res. 2005;29:463–478
  32. Eysenck HJ, Eysenck SBG. EPQ-R. Cuestionario revisado de personalidad de Eysenck: versiones completa (EPQ-R) y abreviada (EPQ-RS). Madrid: TEA; 2001;
  33. Fan JB, Sklar P. Meta-analysis reveals association between serotonin transporter gene STin2 VNTR polymorphism and schizophrenia. Mol. Psychiatry. 2005;10:928–938
  34. First MB, Spitzer MD, Gibbon M, Williams JBW. Structured Clinical Interview for DSM-IV Axis I Disorders–Clinical Version (SCID-I/CV). Washington, DC: American Psychiatric Association Press; 1997;
  35. Fiskerstrand CE, Lovejoy EA, Quinn JP. An intronic polymorphic domain often associated with susceptibility to affective disorders has allele dependent differential enhancer activity in embryonic stem cells. Neurosci. Lett. 1999;458:171–174
  36. Flett GL, Hewit PL. Perfectionism: Theory, Research and Treatment. Washington, DC: American Psychological Association; 2002;
  37. Forty L, Jones L, Macgregor S, Caesar S, Cooper C, Hough A, et al. Familiality of postpartum depression in unipolar disorder: results of a family study. Am. J. Psychiatry. 2006;163:1549–1553
  38. Frost RO, Marten P, Lahart C, Rosemblate R. The dimensions of perfectionism. Cogn. Ther. Res. 1990;14:449–468
  39. Frost RO, Heimberg RG, Holt CS, Mattia JI. A comparison of two measures of perfectionism. Pers. Individ. Differ. 1993;14:119–126
  40. Gale S, Harlow BL. Postpartum mood disorders: a review of clinical and epidemiological factors. J. Psychosom. Obstet. Gynaecol. 2003;24:257–266
  41. Garcia-Esteve L, Ascaso C, Ojuel J, Navarro P. Validation of the Edinburgh Postnatal Depression Scale (EPDS) in Spanish mothers. J. Affect. Disord. 2003;75:71–76
  42. Garcia-Esteve L, Navarro P, Ascaso C, Aguado J, Torres A. Major depressive episode in postpartum: a preliminary prospective 1-year naturalistic follow-up. In:  Rosenfeild AI editors. New Research on Postpartum Depression. New York, NY: Nova Science Publishers; 2007;p. 85–104
  43. Garcia-Esteve L, Navarro P, Ascaso C, Torres A, Aguado J, Gelabert E, et al. Family caregiver role and premenstrual syndrome as associated factors for postnatal depression. Arch. Womens Ment. Health. 2008;11:193–200
  44. Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T. Perinatal depression: a systematic review of prevalence and incidence. Obstet. Gynecol. 2005;106:1071–1083
  45. Gelabert E, Garcia-Esteve L, Martín-Santos R, Gutiérrez F, Torres A, Subirà S. Psychometric properties of the Spanish version of the Frost Multidimensional Perfectionism Scale in women. Psicothema. 2011;23:140–145
  46. Gelabert E, Subirà S, Plaza A, Torres A, Navarro P, Ímaz ML, et al. The Vulnerable Personality Style Questionnaire: psychometric properties in Spanish postpartum women. Arch. Womens Ment. Health. 2011;14:115–124
  47. Goodman SH, Brand SR. Parental psychopathology and its relation to child psychopathology. In: Handbook of Clinical Psychology, Vol. 2: Children and Adolescents. New Jersey, NJ: John Wiley and Sons; 2008;p. 937–965
  48. Hawkins CC, Watt HMG, Sinclair KE. Psychometric properties of the Frost Multidimensional Perfectionism Scale with Australian adolescent girls: clarification of multidimensionality and perfectionist typology. Educ. Psychol. Meas. 2006;66:1001–1022
  49. Heils A, Teufel A, Petri S, Stober G, Riederer P, Bengel D, et al. Allelic variation of human serotonin transporter gene expression. J. Neurochem. 1996;66:2621–2624
  50. Hewitt PL, Flett GL. Perfectionism in the self and social contexts: conceptualization, assessment, and association with psychopathology. J. Pers. Soc. Psychol. 1991;60:456–470
  51. Hewitt PL, Flett GL. Perfectionism and stress processes in psychopathology. In:  Flett GL,  Hewitt PL editor. Perfectionism: Theory, Research, and Treatment. Washington: American Psychological Association; 2002;p. 255–284
  52. Hranilovic D, Stefulj J, Schwab S, Borrmann-Hassenbach M, Albus M, Jernej B, et al. Serotonin transporter promoter and intron 2 polymorphisms: relationship between allelic variants and gene expression. Biol. Psychiatry. 2004;55:1090–1094
  53. Jones L, Scott J, Cooper C, Forty L, Smith KG, Sham P, et al. Cognitive style, personality and vulnerability to postnatal depression. Br. J. Psychiatry. 2010;196:200–205
  54. Khawaja NG, Armstrong KA. Factor structure and psychometric properties of the Frost Multidimensional Perfectionism Scale: developing shorter versions using an Australian sample. Aust. J. Psychol. 2005;57:129–138
  55. Macedo A, Bos SC, Marques M, Maia B, Soares MJ, Pereira T, et al. Perfectionism dimensions in pregnancy: a study in Portuguese women. Arch. Womens Ment. Health. 2009;12:43–52
  56. MacKenzie A, Quinn JA. A serotonin transporter gene intron 2 polymorphic region, correlated with affective disorders, has allele-dependent differential enhancer-like properties in the mouse embryo. Proc. Natl. Acad. Sci. 1999;96:15251–15255
  57. Martín-Santos, R., Gelabert, E., Subirà, S., Gutierrez-Zotes, A., Langorh, K., Jover, M., Guillamat, R., Mayoral, F., Canellas, F., Iborra, J.L., Gratacos, M., Costas, J., Gornemann, I., Guitar, M., Roca, M., De Frutos, R., Vilella, E., Valdés, M., García-Esteve, L., Sanjuan, J. submitted for publication. Is Neuroticism a risk factor for postpartum depression?
  58. Mazzeo SE, Slof-Op't Landt MC, Jones I, Mitchell K, Kendler KS, Neale MC, et al. Associations among postpartum depression, eating disorders, and perfectionism in a population-based sample of adult women. Int. J. Eat. Disord. 2006;39:202–211
  59. Milgrom J, Gemmill AW, Bilszta JL, Hayes B, Barnett B, Brooks J, et al. Antenatal risk factors for postnatal depression: a large prospective study. J. Affect. Disord. 2008;108:147–157
  60. Moreno FA, Rowe DC, Kaiser B, Chase D, Michaels T, Gelernter J, et al. Association between a serotonin transporter promoter region polymorphism and mood response during tryptophan depletion. Mol. Psychiatry. 2002;7:213–216
  61. Murphy-Eberenz K, Zandi PP, March D, Crowe RR, Scheftner WA, Alexander M, et al. Is perinatal depression familial?. J. Affect. Disord. 2006;90:49–55
  62. Navarro P, Ascaso C, Garcia-Esteve L, Aguado J, Torres A, Martin-Santos R. Postnatal psychiatric morbidity: a validation study of the GHQ-12 and the EPDS as screening tools. Gen. Hosp. Psychiatry. 2007;29:1–7
  63. Neumeister A, Hu XZ, Luckenbaugh DA, Schwarz M, Nugent AC, Bonne O, et al. Differential effects of 5-HTTLPR genotypes on the behavioral and neural responses to tryptophan depletion in patients with major depression and controls. Arch. Gen. Psychiatry. 2006;63:978–986
  64. Nilsson K, Sundbom E, Hägglöf B. A longitudinal study of perfectionism in adolescent onset anorexia nervosa-restricting type. Eur. Eat. Disord. Rev. 2008;16:386–394
  65. O'Hara MW. Postpartum depression. What we know?. J. Clin. Psychol. 2008;65:1258–1269
  66. O'Hara MW, Swain AM. Rates and risk of postpartum depression: a meta-analysis. Int. Rev. Psychiatry. 1996;8:37–54
  67. Paykel ES. Methodological aspects of life events research. J. Psychosom. Res. 1983;27:341–352
  68. Powers T, Zuroff D, Topciu R. Covert and overt expressions of self-criticism and perfectionism and their relation to depression. Eur. J. Pers. 2004;18:61–72
  69. Priel B, Besser A. Vulnerability to postpartum depressive symptomatology: dependency, self-criticism and the moderating role of antenatal attachment. J. Soc. Clin. Psychol. 1999;18:240–253
  70. Priel B, Besser A. Perceptions of early relationships during the transition to motherhood: the mediating role of social support. Inf. Ment. Health. J. 2002;23:343–360
  71. Riecher-Rösler A, Rodhe A. Diagnostic classification of perinatal mood disorders. In:  Riecher-Rösler A,  Steiner M editor. Perinatal Stress. Karger, Basel: Mood and Anxiety Disorders; 2005;p. 6–27
  72. Robertson E, Grace S, Wallington T, Stewart D. Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen. Hosp. Psychiatry. 2004;26:289–295
  73. Sanjuan J, Martin-Santos R, Garcia-Esteve L, Carot JM, Guillamat R, Gutierrez-Zotes A, et al. Mood changes after delivery: role of the serotonin transporter gene. Br. J. Psychiatry. 2008;193:383–388
  74. Sassaroli S, Lauro LJ, Ruggiero GM, Mauri MC, Vinai P, Frost R. Perfectionism in depression, obsessive–compulsive disorder and eating disorders. Behav. Res. Ther. 2008;46:757–765
  75. Shafran R, Mansell M. Perfectionism and psychopatology: a review of research and treatment. Clin. Psychol. Rev. 2001;21:879–906
  76. Stöeber J. The Frost Multidimensional Perfectionism Scale revisited: more perfect with four (instead of six) dimensions. Pers. Individ. Differ. 1998;24:481–491
  77. Stumpf H, Parker WD. A hierarchical structural analysis of perfectionism and its relation to other personality characteristics. Pers. Individ. Differ. 2000;28:837–852
  78. Terry-Short L, Glynn Owens R, Slade PD, Dewey ME. Positive and negative perfectionism. Pers. Individ. Differ. 1995;18:663–668
  79. Tozzi F, Aggen SH, Neale BM, Anderson CB, Mazzeo SE, Neale MC, et al. The structure of perfectionism: a twin study. Behav. Genet. 2004;34:483–494
  80. Treloar SA, Martin NG, Bucholz KK, Madden PA, Heath AC. Genetic influences on post-natal depressive symptoms: findings from an Australian twin sample. Psychol. Med. 1999;29:645–654
  81. Verkerk G, Denollet J, Van Heck G, Van Son M, Pop V. Personality factors as determinants of depression in postpartum women: a prospective 1-year follow-up study. Psychosom. Med. 2005;67:632–637
  82. Vliegen N, Luyten P. The role of dependency and self-criticism in the relationship between postpartum depression and anger. Pers. Individ. Differ. 2008;45:34–40
  83. Vliegen N, Luyten P. Dependency and self-criticism in post-partum depression and anxiety: a case control study. Clin. Psychol. Psychother. 2009;16:22–32
  84. Vliegen N, Luyten P, Meurs P, Cluckers G. Adaptive and maladaptive dimensions of relatedness and self-definition: relationship with postpartum depression and anxiety. Pers. Individ. Differ. 2006;41:395–406
  85. Vliegen N, Luyten P, Besser A, Casalin S, Kemke S, Tang E. Stability and change in levels of depression and personality. A follow-up study of postpartum depressed mothers that were hospitalized in a mother–infant unit. J. Nerv. Ment. Dis. 2010;198:45–51
  86. Zalsman G, Huang YY, Oquendo MA, Burke AK, Hu XZ, Brent DA, et al. Association of a triallelic serotonin transporter gene promoter region (5-HTTLPR). Polymorphism with stressful life events and severity of depression. Am. J. Psychiatry. 2006;163:1588–1593

PII: S0165-0327(11)00515-5

doi: 10.1016/j.jad.2011.08.030

Journal of Affective Disorders
Volume 136, Issue 1 , Pages 17-25 , January 2012

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