The association between maternal perinatal mental health and perfectionism: A systematic review and meta-analysis

Associations of rumination, behavioral activation, and perceived reward with mothers' postpartum depression during the COVID-19 pandemic: a cross-sectional study

Introduction

The COVID-19 pandemic has led to increased social isolation for mothers, and rumination exacerbates postpartum depression in mothers with poor social support. Although behavioral activation can help to decrease their depressive symptoms, the mechanism by which behavioral activation reduces postpartum depression remains unclear.

Methods

We examined the effects of rumination and behavioral activation on depression in postpartum women by examining a model mediated by subjective reward perception. A questionnaire was administered to 475 postpartum women (Age: Mean = 30.74 years, SD = 5.02) within 1 year of childbirth using an Internet survey. The measurements included perinatal depression, rumination, and behavioral activation, and we assessed environmental reward. To control for confounding variables, we assessed psychiatric history, social support, parenting perfectionism, and COVID-19 avoidance.

Results

Eighty-four (17.68%) mothers had possible postpartum depression. The covariance structure analysis showed that not only was there a direct positive path from rumination to postnatal depression but also a negative path via reward perception.

Discussion

This finding indicated that the COVID-19 pandemic could have increased depression in many of the mothers. Rumination not only directly relates to postpartum depression, but it could also indirectly relate to postpartum depression by decreasing exposure to positive reinforcers. In addition, having a history of psychiatric illness increases the effect of rumination on postpartum depression. These findings suggest that psychological interventions are needed to reduce rumination and increase contact with positive reinforcements to reduce postpartum depression, especially for high-risk groups.

Does Parenting Perfectionism Ironically Increase Violent Behaviors from Parent towards Children?

BACKGROUND

Past research has shown that perfectionistic strivings (PS) and perfectionistic concerns (PC) in the parenting domain are associated with an increase in parental burnout (PB), and that PB causally increases violence towards one's offspring. One may therefore wonder whether parenting perfectionism may ironically increase violence towards one's offspring.

OBJECTIVE

To the best of our knowledge, no study has ever investigated whether perfectionism (PS and PC) predicts violence towards one's offspring, or whether PB could explain this link. In the current pre-registered cross-lagged study, we hypothesized that an increase in PS and PC would lead to an increase in violence via an increase in PB.

METHOD

228 participants responded to a longitudinal online survey, with three measurement occasions spaced 2 months apart.

RESULTS

Contrary to expectations, cross-lagged path models revealed that violence towards the offspring prospectively predicted an increase in PS and PC. Mediation models showed that PB was not a significant mediator. Results of all models did not change when controlling for social desirability.

CONCLUSION

The present study shows that violence towards the offspring increases the risk of PS and PC in parents. Results are discussed in light of the feeling of guilt experienced by parents.

IMPLICATIONS

Current worries that parenting perfectionism may paradoxically increase violence appear to be unwarranted at this stage. Moreover, correlation is not causation; thus, emphasizing caution before coming to clinically and societally relevant conclusions in cross-sectional studies. Thus, the PB and child maltreatment literature should slowly shift to using more longitudinal and causal designs.