Reflective functioning in postpartum depressed women with and without comorbid personality disorder

Katharina Cordes, Johanne Smith-Nielsen, Anne Tharner, Hannah Katznelson, Howard Steele, Mette Væver

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Mentalization or Reflective Functioning (RF), that is, the ability to reflect upon ones' own and others behavior in terms of underlying mental states, plays an important role in parenting behavior and children's socioemotional development. RF has been suggested to be impaired in psychopathology, and thus maternal psychopathology after birth, such as postpartum depression (PPD) and Personality Disorder (PD), may not only affect the mother's socioemotional functioning but also the development of the child. However, little is known about mentalizing abilities of PPD mothers, and mothers with PPD and comorbid PD. Therefore, the aim of this study was to evaluate RF in women presenting symptoms of PPD (n = 13), and women with PPD symptoms and comorbid PD (n = 14) compared with a nonclinical group (n = 52). Women were interviewed with the Adult Attachment Interview (AAI) before birth (nonclinical group), and 9-12 weeks after birth (clinical groups), and RF was assessed with the Reflective Functioning Scale applied to the AAI. ANCOVA results revealed no significant differences in mean RF abilities among the 3 groups. Possible reasons for the lack of differences in RF between the 3 diagnostic groups are discussed.

LanguageEnglish
Pages414-421
Number of pages8
JournalPsychoanalytic Psychology
Volume34
Issue number4
DOIs
Publication statusPublished - 1 Oct 2017

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Postpartum Depression
Personality Disorders
Postpartum Period
Aptitude
Mothers
Parturition
Child Development
Psychopathology
Interviews
Theory of Mind
Parenting

Keywords

  • Mentalization
  • Personality disorder
  • Postpartum depression
  • Psychopathology
  • Reflective functioning

Cite this

Cordes, Katharina ; Smith-Nielsen, Johanne ; Tharner, Anne ; Katznelson, Hannah ; Steele, Howard ; Væver, Mette. / Reflective functioning in postpartum depressed women with and without comorbid personality disorder. In: Psychoanalytic Psychology. 2017 ; Vol. 34, No. 4. pp. 414-421.
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Reflective functioning in postpartum depressed women with and without comorbid personality disorder. / Cordes, Katharina; Smith-Nielsen, Johanne; Tharner, Anne; Katznelson, Hannah; Steele, Howard; Væver, Mette.

In: Psychoanalytic Psychology, Vol. 34, No. 4, 01.10.2017, p. 414-421.

Research output: Contribution to JournalArticleAcademicpeer-review

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