The objective was to assess the relationship between vulnerability to
postpartum depression and perceptual defense evoked by tachistoscopic
stimuli alluding to perinatal themes in pregnant women. Tachistoscopic
stimuli have been shown to produce different thresholds of conscious
identification according to their emotional content: a phenomenon term
ed perceptual defense. A total of 412 women in their 3rd of 4th month
of pregnancy were asked to identify 14 pictures and 18 verbal stimuli
shown for initially very brief but increasing durations. Presentation
times required for a correct identification were measured. Depression
was assessed, at 2 and 6 months postdelivery, by the Hamilton Depressi
on Rating Scale: 53 women were defined as depressed by a score greater
than or equal to 15. Discriminant analysis showed that the women who
would become depressed 7 to 11 months later were slower than the nonde
pressed to identify 5 stimuli alluding to pregnancy, sexuality or a fa
ther image. Particular attitudes towards the themes of being pregnant,
of sexuality and of the father could be components of a psychological
predisposition to the development of depressed mood in the postpartum
.