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Associations among postpartum depression, eating disorders, and perfectionism in a population-based sample of adult women

Objective The current study investigated associations among eating disorders, depressive symptoms during pregnancy and postpartum, and perfectionism in a population‐based sample of women. Method Females who reported ≥1 pregnancy (N = 1,119) completed questionnaires assessing perfectionism, eating di...

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Published in:The International journal of eating disorders 2006-04, Vol.39 (3), p.202-211
Main Authors: Mazzeo, Suzanne E., Slof-Op't Landt, Margarita C.T., Jones, Ian, Mitchell, Karen, Kendler, Kenneth S., Neale, Michael C., Aggen, Steven H., Bulik, Cynthia M.
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container_start_page 202
container_title The International journal of eating disorders
container_volume 39
creator Mazzeo, Suzanne E.
Slof-Op't Landt, Margarita C.T.
Jones, Ian
Mitchell, Karen
Kendler, Kenneth S.
Neale, Michael C.
Aggen, Steven H.
Bulik, Cynthia M.
description Objective The current study investigated associations among eating disorders, depressive symptoms during pregnancy and postpartum, and perfectionism in a population‐based sample of women. Method Females who reported ≥1 pregnancy (N = 1,119) completed questionnaires assessing perfectionism, eating disorder symptomatology, and depression during pregnancy and postpartum. Information regarding participants' history of major depressive disorder (MDD) was also available from structured psychiatric interviews completed during a previous wave of data collection. Results Depressive symptoms during pregnancy and postpartum were high among women with a history of eating disorders. Both binge eating disorder (BED) and bulimia nervosa (BN) were positively associated with symptoms of postpartum depression (PPD), even when lifetime MDD was controlled. However, logistic regression indicated that women with a history of BN and BED are at particular risk of developing PPD symptomatology. Linear regression analyses conducted with the subset of the sample who endorsed a PPD screening item suggested that the severity of PPD symptomatology may be attributable to Concern Over Mistakes, a specific aspect of perfectionism. Conclusion These results highlight the importance of assessing specific features of perfectionism. In addition, they suggest that women with BN, BED, or high Concern over Mistakes may be at particular risk of developing PPD symptoms, and could benefit from prenatal screening. © 2006 by Wiley Periodicals, Inc., Int J Eat Disord, 2006
doi_str_mv 10.1002/eat.20243
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Method Females who reported ≥1 pregnancy (N = 1,119) completed questionnaires assessing perfectionism, eating disorder symptomatology, and depression during pregnancy and postpartum. Information regarding participants' history of major depressive disorder (MDD) was also available from structured psychiatric interviews completed during a previous wave of data collection. Results Depressive symptoms during pregnancy and postpartum were high among women with a history of eating disorders. Both binge eating disorder (BED) and bulimia nervosa (BN) were positively associated with symptoms of postpartum depression (PPD), even when lifetime MDD was controlled. However, logistic regression indicated that women with a history of BN and BED are at particular risk of developing PPD symptomatology. Linear regression analyses conducted with the subset of the sample who endorsed a PPD screening item suggested that the severity of PPD symptomatology may be attributable to Concern Over Mistakes, a specific aspect of perfectionism. Conclusion These results highlight the importance of assessing specific features of perfectionism. In addition, they suggest that women with BN, BED, or high Concern over Mistakes may be at particular risk of developing PPD symptoms, and could benefit from prenatal screening. © 2006 by Wiley Periodicals, Inc., Int J Eat Disord, 2006</description><identifier>ISSN: 0276-3478</identifier><identifier>EISSN: 1098-108X</identifier><identifier>DOI: 10.1002/eat.20243</identifier><identifier>PMID: 16498586</identifier><identifier>CODEN: INDIDJ</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Adult and adolescent clinical studies ; Adults ; Biological and medical sciences ; Bulimia Nervosa - diagnosis ; Bulimia Nervosa - epidemiology ; Bulimia Nervosa - psychology ; Comorbidity ; Depression ; Depression, Postpartum - epidemiology ; eating attitudes ; eating disorder behaviors ; Eating disorders ; Feeding and Eating Disorders - epidemiology ; Female ; Humans ; Medical sciences ; Mood disorders ; Personality Disorders - diagnosis ; Personality Disorders - epidemiology ; Personality Disorders - psychology ; Personality traits ; Population Surveillance - methods ; Postpartum depression ; pregnancy ; Prevalence ; Psychology. 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However, logistic regression indicated that women with a history of BN and BED are at particular risk of developing PPD symptomatology. Linear regression analyses conducted with the subset of the sample who endorsed a PPD screening item suggested that the severity of PPD symptomatology may be attributable to Concern Over Mistakes, a specific aspect of perfectionism. Conclusion These results highlight the importance of assessing specific features of perfectionism. 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Both binge eating disorder (BED) and bulimia nervosa (BN) were positively associated with symptoms of postpartum depression (PPD), even when lifetime MDD was controlled. However, logistic regression indicated that women with a history of BN and BED are at particular risk of developing PPD symptomatology. Linear regression analyses conducted with the subset of the sample who endorsed a PPD screening item suggested that the severity of PPD symptomatology may be attributable to Concern Over Mistakes, a specific aspect of perfectionism. Conclusion These results highlight the importance of assessing specific features of perfectionism. 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subjects Adult
Adult and adolescent clinical studies
Adults
Biological and medical sciences
Bulimia Nervosa - diagnosis
Bulimia Nervosa - epidemiology
Bulimia Nervosa - psychology
Comorbidity
Depression
Depression, Postpartum - epidemiology
eating attitudes
eating disorder behaviors
Eating disorders
Feeding and Eating Disorders - epidemiology
Female
Humans
Medical sciences
Mood disorders
Personality Disorders - diagnosis
Personality Disorders - epidemiology
Personality Disorders - psychology
Personality traits
Population Surveillance - methods
Postpartum depression
pregnancy
Prevalence
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Severity of Illness Index
Surveys and Questionnaires
Women
title Associations among postpartum depression, eating disorders, and perfectionism in a population-based sample of adult women
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