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...
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Format: | Article |
Language: | zho |
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Chinese General Practice Publishing House Co., Ltd
2023-05-01
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Series: | Zhongguo quanke yixue |
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Online Access: | https://www.chinagp.net/fileup/1007-9572/PDF/zx20220726.pdf |
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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 |