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 Jan;198(1):45-51. doi: 10.1097/NMD.0b013e3181c8aa57.

Abstract

This prospective longitudinal study investigated the role of the personality dimensions of dependency and self-criticism in the course of depressive symptoms in a sample of inpatient severely postpartum depressed mothers (n = 55). Depressive symptoms and personality were measured during hospitalization and on average 3 1/2 years later. In line with previous research, a considerable subgroup of mothers (39%) reported moderate to severe symptoms of depression at time 2. In addition, although these mothers did not exhibit more depressive episodes during follow-up period compared with mothers with a less chronic course of depression, their depressive episodes were considerably longer, and they had higher levels of severity of depression as well as of dependency and self-criticism at Time 1. Finally, self-criticism, but not dependency, assessed at Time 1, predicted both depression diagnosis and levels of depression at follow-up, supporting a vulnerability model positing that self-criticism confers vulnerability for depression over time.

MeSH terms

  • Adult
  • Chronic Disease
  • Dependency, Psychological*
  • Depression / diagnosis
  • Depression / psychology
  • Depression, Postpartum / diagnosis*
  • Depression, Postpartum / psychology
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / psychology
  • Female
  • Follow-Up Studies
  • Hospital Units
  • Hospitalization*
  • Humans
  • Infant
  • Longitudinal Studies
  • Mother-Child Relations*
  • Mothers / psychology*
  • Personality Inventory
  • Postpartum Period
  • Risk Factors
  • Self Concept*
  • Self-Assessment
  • Severity of Illness Index