1. Objectifs

Intentions :
«The present investigation follows two main objectives. First, [the authors] wish to identify profiles of pregnant women who might be especially vulnerable to a wide range of mental health issues during the COVID-19 pandemic, with the assumption that different levels of personality functioning might entail different levels of vulnerability.» (p. 42) «A second objective is to further explore the association between level of personality functioning and negative outcome by testing a mediation model, including mentalization of trauma as a mediator.» (p. 42)

2. Méthode

Échantillon/Matériau :
«A total sample of 1,207 French-speaking Canadian expecting women (Mage = 29.6, SD = 4.0, range 19-46) was recruited during the COVID-19 pandemic from April 2 to April 13 2020 through advertisement on social media (Facebook and Instagram). At that time, a public health emergency had been declared by the Province of Quebec government in response to COVID-19 since March 13, 2020; there was a full shutdown of all nonessential activities and a stay-at-home order was in effect.» (p. 43)

Instruments :
Questionnaires

Type de traitement des données :
Analyse statistique

3. Résumé

«Latent profile analysis yielded four profiles of personality functioning based on Criterion A elements from the DSM–5 [Diagnostic and Statistical Manual of Mental Disorders] alternative model for personality disorders. One profile [(53.2%)] included healthy women with no indices of personality dysfunction or symptoms; another (11.4%) showed marked levels of dysfunction according to all measures, and presumably corresponds to a ''personality disorder'' profile. In between, two other profiles were characterized by mild personality pathology: one with mild elevations on the Identity and Self-Direction elements, the other with elevation on the Intimacy element.» (p. 46) «Results suggest that even slight elevations in the level of personality pathology could translate into increased distress and dysfunction, even at levels that might not indicate the presence of a personality disorder; indeed, the vast majority of women from the Mild Self-Impairment and Intimacy Impairment profiles […] did not have personality pathology stricto sensu according to DSM–5 AMPD [alternate model for personnality disorders] guidelines and SIFS [Self and Interpersonal Functioning Scale] clinical cutoff scores. This suggests that the SIFS operationalization of Criterion A could be a sensitive tool to detect variations of level of personality functioning of clinical relevance and thus to identify individuals requiring further clinical monitoring.» (p. 45)