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产后抑郁症的前瞻性调查:发病及康复的相关因素

Prospective investigation of postpartum depression: factors involved in onset and recovery.

作者信息

Gotlib I H, Whiffen V E, Wallace P M, Mount J H

机构信息

Department of Psychology, University of Western Ontario, London, Canada.

出版信息

J Abnorm Psychol. 1991 May;100(2):122-32. doi: 10.1037//0021-843x.100.2.122.

Abstract

We examined the role of a number of psychosocial variables in the onset of postpartum depression and in recovery from depression that occurs during pregnancy. Women (N = 730) were recruited during pregnancy and were followed through 1 month postpartum. They were assessed on demographic variables and on measures of depressive symptomatology and diagnostic status, perceived stress, marital satisfaction, perceptions of their own parents, dysfunctional cognitions, and coping style. Onset of depression in the postpartum was predicted by the levels during pregnancy of depressive symptomatology and perceived maternal and paternal care during childhood. In contrast, recovery in the postpartum from depression during pregnancy was not predicted by the variables examined in this study. These results are discussed with reference to previous investigations that have examined depression that occurs outside the context of childbirth.

摘要

我们研究了一些社会心理变量在产后抑郁症发病以及孕期发生的抑郁症康复过程中的作用。招募了730名女性,她们在孕期被招募,并随访至产后1个月。对她们进行了人口统计学变量、抑郁症状和诊断状态、感知压力、婚姻满意度、对自己父母的看法、功能失调认知以及应对方式等方面的评估。产后抑郁症的发病可由孕期的抑郁症状水平以及童年时期感知到的父母关爱程度来预测。相比之下,本研究中所考察的变量并不能预测孕期抑郁症在产后的康复情况。我们将结合之前对非分娩情境下抑郁症的调查研究来讨论这些结果。

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