School of Psychology and Speech Pathology, Curtin University, Australia.
School of Psychology and Speech Pathology, Curtin University, Australia.
Behav Res Ther. 2017 Oct;97:26-32. doi: 10.1016/j.brat.2017.06.006. Epub 2017 Jun 27.
Repetitive negative thinking and perfectionism have both been proposed as processes that are related to depressive symptoms. The purpose of this study was to investigate concurrent and prospective relationships between antenatal and postnatal depression, perfectionism, and repetitive negative thinking. A longitudinal design was used and 71 women were followed from their third trimester of pregnancy to six weeks post birth. A structural equation model was tested with antenatal perfectionism predicting antenatal repetitive negative thinking, perfectionism predicting postnatal depression, and antenatal repetitive negative thinking predicting antenatal and postnatal depression. The final model provided an adequate fit to the data but the pathway from antenatal repetitive negative thinking to postnatal depression was not significant. The findings provide support for the role of perfectionism and repetitive negative thinking in the onset and maintenance of perinatal symptoms of depression. It is suggested that future research investigates the efficacy of targeting repetitive negative thinking and perfectionism in pregnancy to examine if this can reduce perinatal depression.
重复性消极思维和完美主义都被认为与抑郁症状有关。本研究旨在探讨产前和产后抑郁、完美主义和重复性消极思维之间的并发和前瞻性关系。采用纵向设计，对 71 名女性从妊娠第三个月到产后六周进行了随访。使用结构方程模型对产前完美主义预测产前重复性消极思维、完美主义预测产后抑郁以及产前重复性消极思维预测产前和产后抑郁进行了检验。最终模型与数据拟合良好，但产前重复性消极思维到产后抑郁的路径不显著。研究结果为完美主义和重复性消极思维在围产期抑郁症状的发生和维持中的作用提供了支持。因此，建议未来的研究调查针对怀孕期间的重复性消极思维和完美主义进行干预的效果，以检验这是否可以降低围产期抑郁。
