Pakenham Kenneth I, Smith Amanda, Rattan Sherean L
Behavior Research and Therapy Centre, School of Psychology, University of Queensland, Brisbane, Queensland, Australia. K.
Psychol Health Med. 2007 May;12(3):266-77. doi: 10.1080/13548500600871702.
This study examined the utility of a stress/coping model of antenatal depressive symptomatology. The direct and moderating effects of appraisal, coping resources and coping strategies on depression were explored. A total of 242 primiparous women completed questionnaires during the third trimester of pregnancy. Predictors included life events, coping resources (social support, quality of women's earlier relationships with parents), appraisal (threat, self-efficacy) and coping strategies (wishful thinking, positive reappraisal, problem solving, emotional approach). Results of regression analyses indicated that higher depression was related to higher stressful life events, threat appraisal and wishful thinking coping, and lower positive reappraisal coping. The expected stress exacerbation effects of wishful thinking on depression were supported. There was no support for the expected stress buffering effects of coping resources and coping strategies on depression. Findings provide preliminary support for the use of a stress/coping model to guide future research into psychosocial predictors of antenatal depression.
本研究考察了产前抑郁症状的压力/应对模型的效用。探讨了评估、应对资源和应对策略对抑郁的直接和调节作用。共有242名初产妇在妊娠晚期完成了问卷调查。预测因素包括生活事件、应对资源（社会支持、女性早期与父母关系的质量）、评估（威胁、自我效能感）和应对策略（如意算盘、积极重新评价、解决问题、情绪应对）。回归分析结果表明，较高的抑郁与较高的应激性生活事件、威胁评估和如意算盘应对方式相关，而与较低的积极重新评价应对方式相关。如意算盘对抑郁的预期压力加剧效应得到了支持。应对资源和应对策略对抑郁的预期压力缓冲效应未得到支持。研究结果为使用压力/应对模型指导未来关于产前抑郁的社会心理预测因素的研究提供了初步支持。
