Relationship between Different Personality Traits and Postpartum Depression: a Meta-analysis

Background Postpartum depression and personality problems have adverse effects on maternal and infant health. At present, the research results on the relationship between different personality traits and postpartum depression are still controversial, and there is a lack of the systematic reviews on...

Full description

Bibliographic Details
Main Author: YUAN Dehui, LI Yuhong, DONG Yuanyuan, WANG Minghuan
Format: Article
Language:zho
Published: Chinese General Practice Publishing House Co., Ltd 2023-05-01
Series:Zhongguo quanke yixue
Subjects:
Online Access:https://www.chinagp.net/fileup/1007-9572/PDF/zx20220726.pdf
_version_ 1797216727997612032
author YUAN Dehui, LI Yuhong, DONG Yuanyuan, WANG Minghuan
author_facet YUAN Dehui, LI Yuhong, DONG Yuanyuan, WANG Minghuan
author_sort YUAN Dehui, LI Yuhong, DONG Yuanyuan, WANG Minghuan
collection DOAJ
description Background Postpartum depression and personality problems have adverse effects on maternal and infant health. At present, the research results on the relationship between different personality traits and postpartum depression are still controversial, and there is a lack of the systematic reviews on it in China. Objective To systematically review the relationship between different personality traits and postpartum depression. Methods The research was performed Web of Science, PubMed, EBSCOhost, Embase, PsycInfo (Proquest) , CNKI, Wanfang Data Knowledge Service Platform, and VIP for studies on the relationship between different personality traits and postpartum depression from inception until June 4, 2021. The relevant data extraction was conducted after the quality evaluation of literature. Stata 16.0 was used for meta-analysis. Subgroup analysis and publication bias tests were performed for the relationship between neuroticism and postpartum depression. Sensitivity analysis of the relationship between different personality traits and postpartum depression was performed using rollover effect models. Results A total of 19 articles and 9 personality traits were finally included in the meta-analysis, including neuroticism (14 studies) , extraversion (6 studies) , agreeableness (5 studies) , openness (4 studies) , conscientiousness (4 studies) , vulnerability (3 studies) , obsessive-compulsive personality disorder (2 studies) , avoidant personality disorder (2 studies) and dependent personality disorder (2 studies) . The result of Meta-analysis showed that neuroticism 〔OR=1.30, 95%CI (1.20, 1.40) 〕, vulnerability 〔OR=1.39, 95%CI (1.10, 1.76) 〕, avoidant personality 〔OR=6.27, 95%CI (2.55, 15.40) 〕and dependent personality 〔OR=7.11, 95%CI (1.62, 31.14) 〕 were risk factors of postpartum depression (P<0.05) . Extraversion 〔OR=0.86, 95%CI (0.77, 0.97) 〕 and openness 〔OR=0.94, 95%CI (0.90, 0.98) 〕 were protective factors of postpartum depression (P<0.05) . The results of the subgroup analysis showed that the different threshold value of Edinburgh Postnatal Depression Scale (EPDS≥12 scores: OR=1.71, EPDS≥9 scores: OR=1.14, P=0.028) and different investigation time of postpartum depression (OR=1.13 for <1 week postpartum, OR=1.33 for 2-12 weeks postpartum, OR=2.22 for ≥13 weeks postpartum; P=0.008) were the sources of heterogeneity in the pooled results. Sensitivity analysis showed that the pooled results about personality traits were reliable except for obsessive-compulsive personality disorder. Conclusion Personality traits have different effects on postpartum depression, among which neuroticism and vulnerable personality are risk factors of postpartum depression, extraversion and openness are protective factors of postpartum depression. Postpartum depression may be more severe and more likely to occur after 13 weeks postpartum in postpartum women with neuroticism. Due to the inconsistent results of domestic and foreign researches, the relationships between avoidant, dependent, and obsessive-compulsive personality disorders and postpartum depression need to be further explored in the future.
first_indexed 2024-04-24T11:50:34Z
format Article
id doaj.art-c93d8b1a3d2440648dd6e72aabc47acf
institution Directory Open Access Journal
issn 1007-9572
language zho
last_indexed 2024-04-24T11:50:34Z
publishDate 2023-05-01
publisher Chinese General Practice Publishing House Co., Ltd
record_format Article
series Zhongguo quanke yixue
spelling doaj.art-c93d8b1a3d2440648dd6e72aabc47acf2024-04-09T07:52:09ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722023-05-0126141775178210.12114/j.issn.1007-9572.2022.0726Relationship between Different Personality Traits and Postpartum Depression: a Meta-analysisYUAN Dehui, LI Yuhong, DONG Yuanyuan, WANG Minghuan01. College of Nursing, Anhui Medical University, Hefei 230601, China;2. Critical Obstetrics Department, Anhui Provincial Maternal and Child Health Hospital, Hefei 230001, ChinaBackground Postpartum depression and personality problems have adverse effects on maternal and infant health. At present, the research results on the relationship between different personality traits and postpartum depression are still controversial, and there is a lack of the systematic reviews on it in China. Objective To systematically review the relationship between different personality traits and postpartum depression. Methods The research was performed Web of Science, PubMed, EBSCOhost, Embase, PsycInfo (Proquest) , CNKI, Wanfang Data Knowledge Service Platform, and VIP for studies on the relationship between different personality traits and postpartum depression from inception until June 4, 2021. The relevant data extraction was conducted after the quality evaluation of literature. Stata 16.0 was used for meta-analysis. Subgroup analysis and publication bias tests were performed for the relationship between neuroticism and postpartum depression. Sensitivity analysis of the relationship between different personality traits and postpartum depression was performed using rollover effect models. Results A total of 19 articles and 9 personality traits were finally included in the meta-analysis, including neuroticism (14 studies) , extraversion (6 studies) , agreeableness (5 studies) , openness (4 studies) , conscientiousness (4 studies) , vulnerability (3 studies) , obsessive-compulsive personality disorder (2 studies) , avoidant personality disorder (2 studies) and dependent personality disorder (2 studies) . The result of Meta-analysis showed that neuroticism 〔OR=1.30, 95%CI (1.20, 1.40) 〕, vulnerability 〔OR=1.39, 95%CI (1.10, 1.76) 〕, avoidant personality 〔OR=6.27, 95%CI (2.55, 15.40) 〕and dependent personality 〔OR=7.11, 95%CI (1.62, 31.14) 〕 were risk factors of postpartum depression (P<0.05) . Extraversion 〔OR=0.86, 95%CI (0.77, 0.97) 〕 and openness 〔OR=0.94, 95%CI (0.90, 0.98) 〕 were protective factors of postpartum depression (P<0.05) . The results of the subgroup analysis showed that the different threshold value of Edinburgh Postnatal Depression Scale (EPDS≥12 scores: OR=1.71, EPDS≥9 scores: OR=1.14, P=0.028) and different investigation time of postpartum depression (OR=1.13 for <1 week postpartum, OR=1.33 for 2-12 weeks postpartum, OR=2.22 for ≥13 weeks postpartum; P=0.008) were the sources of heterogeneity in the pooled results. Sensitivity analysis showed that the pooled results about personality traits were reliable except for obsessive-compulsive personality disorder. Conclusion Personality traits have different effects on postpartum depression, among which neuroticism and vulnerable personality are risk factors of postpartum depression, extraversion and openness are protective factors of postpartum depression. Postpartum depression may be more severe and more likely to occur after 13 weeks postpartum in postpartum women with neuroticism. Due to the inconsistent results of domestic and foreign researches, the relationships between avoidant, dependent, and obsessive-compulsive personality disorders and postpartum depression need to be further explored in the future.https://www.chinagp.net/fileup/1007-9572/PDF/zx20220726.pdfpostpartum depression|personality|neuroticism|vulnerability|extraversion|openness|meta analysis
spellingShingle YUAN Dehui, LI Yuhong, DONG Yuanyuan, WANG Minghuan
Relationship between Different Personality Traits and Postpartum Depression: a Meta-analysis
Zhongguo quanke yixue
postpartum depression|personality|neuroticism|vulnerability|extraversion|openness|meta analysis
title Relationship between Different Personality Traits and Postpartum Depression: a Meta-analysis
title_full Relationship between Different Personality Traits and Postpartum Depression: a Meta-analysis
title_fullStr Relationship between Different Personality Traits and Postpartum Depression: a Meta-analysis
title_full_unstemmed Relationship between Different Personality Traits and Postpartum Depression: a Meta-analysis
title_short Relationship between Different Personality Traits and Postpartum Depression: a Meta-analysis
title_sort relationship between different personality traits and postpartum depression a meta analysis
topic postpartum depression|personality|neuroticism|vulnerability|extraversion|openness|meta analysis
url https://www.chinagp.net/fileup/1007-9572/PDF/zx20220726.pdf
work_keys_str_mv AT yuandehuiliyuhongdongyuanyuanwangminghuan relationshipbetweendifferentpersonalitytraitsandpostpartumdepressionametaanalysis