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Turning the pink cloud grey: Dampening of positive affect predicts postpartum depressive symptoms

机译:变粉红色的灰色云朵:积极影响的减弱预示着产后抑郁症状

摘要

Objective. Maladaptive response styles to negative affect have been shown to be associated with prospective (postpartum) depression. Whether maladaptive styles to positive affect are also critically involved is understudied, even though anhedonia (a correlate of low positive affectivity) is a cardinal symptom of depression. The present study is the first to investigate the predictive value of cognitive response styles to both negative (depressive rumination) and positive affect (dampening) for postpartum depressive symptoms.Methods. During the third trimester of pregnancy, 210 women completed self-report instruments assessing depression (symptom severity and current and/or past episodes) and scales gauging the presence of depressive rumination and dampening. Of these women, 187 were retained for postpartum follow-up, with depressive symptoms being reassessed at 12 (n = 171) and 24 (n = 176) weeks after delivery.Results. Regression analyses showed that higher levels of dampening of positive affect during pregnancy predicted higher levels of depressive symptoms at 12 and 24 weeks postpartum, irrespective of initial symptom severity, past history of depression and levels of rumination to negative affect. Prepartum trait levels of rumination, however, did not predict postpartum symptomatology when controlled for baseline symptoms and history of major depressive episode(s).Conclusions. The results of this investigation suggest that the way women cognitively respond to positive affect contributes perhaps even more to the development of postpartum depression than maladaptive response styles to negative affect.
机译:目的。不良反应对不良反应的反应方式已被证明与前瞻性(产后)抑郁症有关。即使快感缺乏症(低积极情感性的相关因素)是抑郁症的主要症状,对于积极情感的不良适应方式也是否也至关重要。本研究是第一个调查认知反应方式对产后抑郁症状的消极(抑郁反刍)和积极影响(阻尼)的预测价值的方法。在怀孕的三个月中,有210名妇女完成了自我报告工具,以评估抑郁症(症状严重程度以及当前和/或过去的发作),并通过量表来衡量是否存在抑郁性反刍和减退。这些妇女中,有187名被保留用于产后随访,在分娩后12周(n = 171)和24(n = 176)时重新评估了抑郁症状。回归分析表明,怀孕期间对正向情感的抑制程度较高,预示了产后12周和24周的抑郁症状水平较高,而与最初症状的严重程度,既往的抑郁史以及反刍的反刍程度无关。但是,如果控制基线症状和重大抑郁发作史,则产前性状反刍水平不能预测产后症状。这项调查的结果表明,女性对积极情绪的认知反应方式对产后抑郁的发展可能比对消极情绪的适应不良反应方式贡献更大。

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