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

Kiki E.M. van Broekhoven, Annemiek Karreman, Esther E. Hartman, Paul Lodder, Joyce J. Endendijk, Veerle Bergink, Victor J.M. Pop

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


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.

Original languageEnglish
Pages (from-to)475-483
Number of pages9
JournalArchives of Women's Mental Health
Issue number4
StatePublished - 1 Aug 2019
Externally publishedYes


  • Obsessive-compulsive personality disorder symptoms
  • Personality
  • Postpartum depressive symptoms
  • Trajectories


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