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Obsessive-compulsive personality disorder symptoms as a risk factor for postpartum depressive symptoms

机译:强迫性人格障碍症状是产后抑郁症状的危险因素

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摘要

For women with obsessive-compulsive personality disorder (OCPD) trait symptoms, coping with childbearing and parenting could be associated with postpartum depressive symptoms. Therefore, the possible relationship between OCPD trait symptoms and trajectories of postpartum depressive symptoms was examined. A cohort of 1427 women was followed from late pregnancy until 12 months’ postpartum. Trajectories of postpartum depressive symptoms were determined using growth mixture modeling with five repeated assessments. Next, the relationship between OCPD trait symptoms and these trajectories was examined through multinomial regression. Three postpartum depressive symptom trajectories were identified: (1) low symptoms (92%), (2) increasing-decreasing symptoms (inverted u-shape) (5%), and (3) increasing symptoms (3%). OCPD trait symptoms were associated with a higher likelihood of the trajectories increasing-decreasing symptoms (OR 1.26; 95% CI 1.14–1.39) and increasing symptoms (OR 1.16; 95% CI 1.02–1.32), compared to reference trajectory (low symptoms), adjusted for age, educational level, unplanned pregnancy, previous depressive episode (s), and parity.Electronic supplementary materialThe online version of this article (10.1007/s00737-018-0908-0) contains supplementary material, which is available to authorized users.
机译:对于患有强迫症性人格障碍(OCPD)特质症状的妇女,应对生育和育儿问题可能与产后抑郁症状相关。因此,研究了OCPD性状症状与产后抑郁症状轨迹之间的可能关系。从妊娠晚期到产后12个月,共追踪了1427名妇女。使用生长混合物建模并重复五次评估来确定产后抑郁症状的轨迹。接下来,通过多项式回归研究了OCPD特质症状与这些轨迹之间的关系。确定了三种产后抑郁症状的轨迹:(1)低症状(92%),(2)减轻症状(倒U形)(5%)和(3)症状增加(3%)。与参考轨迹(低症状)相比,OCPD性状症状与轨迹增加-减少症状(OR 1.26; 95%CI 1.14-1.39)和症状增加(OR 1.16; 95%CI 1.02-1.32)相关的可能性更高。 (根据年龄,教育程度,计划外怀孕,以前的抑郁发作和同等程度进行调整)。电子补充材料本文的在线版本(10.1007 / s00737-018-0908-0)包含补充材料,授权用户可以使用。 。

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