围产期抑郁与依恋模式：一个关键风险因素？
Perinatal Depression and Patterns of Attachment: A Critical Risk Factor?
作者信息
Meuti Valentina, Aceti Franca, Giacchetti Nicoletta, Carluccio Giuseppe Mattia, Zaccagni Michela, Marini Isabella, Giancola Orazio, Ciolli Paola, Biondi Massimo
机构信息
Department of Neurology and Psychiatry, Policlinico Umberto I, Sapienza University of Rome, Viale dell'Università 30, 00185 Rome, Italy.
Department of Social Science, Faculty of Political Science, Sociology, Communication, Sapienza University of Rome, Via Salaria 113, 00198 Rome, Italy.
出版信息
Depress Res Treat. 2015;2015:105012. doi: 10.1155/2015/105012. Epub 2015 Dec 20.
Background. This study aims to verify if the presence and severity of perinatal depression are related to any particular pattern of attachment. Methods. The study started with a screening of a sample of 453 women in their third trimester of pregnancy, who were administered a survey data form, the Edinburgh Postnatal Depression Scale (EPDS) and the Experience in Close Relationship (ECR). A clinical group of subjects with perinatal depression (PND, 89 subjects) was selected and compared with a control group (C), regarding psychopathological variables and attachment patterns. Results. The ECR showed a prevalence of "Fearful-Avoidant" attachment style in PND group (29.2% versus 1.1%, p < 0.001); additionally, the EPDS average score increases with the increasing of ECR dimensions (Avoidance and Anxiety). Conclusion. The severity of depression increases proportionally to attachment disorganization; therefore, we consider attachment as both an important risk factor as well as a focus for early psychotherapeutic intervention.
背景。本研究旨在验证围产期抑郁症的存在及严重程度是否与任何特定的依恋模式相关。方法。该研究始于对453名处于妊娠晚期的女性样本进行筛查，她们被给予一份调查问卷、爱丁堡产后抑郁量表（EPDS）和亲密关系体验量表（ECR）。选取了一组患有围产期抑郁症（PND，89名受试者）的临床研究对象，并与一个对照组（C）就心理病理变量和依恋模式进行比较。结果。ECR显示PND组中“恐惧-回避型”依恋风格的患病率较高（29.2%对1.1%，p<0.001）；此外，EPDS平均得分随着ECR维度（回避和焦虑）的增加而升高。结论。抑郁症的严重程度与依恋紊乱成比例增加；因此，我们认为依恋既是一个重要的风险因素，也是早期心理治疗干预的重点。
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