School of Psychology, The University of New South Wales, UNSW Sydney, Sydney, New South Wales, Australia.
Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Psychopathology. 2018;51(3):161-166. doi: 10.1159/000488114. Epub 2018 Apr 25.
There is evidence that anxiety is common, perhaps even more prevalent than depression, in the post-partum period. In this review we propose adopting a transdiagnostic approach to perinatal mental health: to delineate psychopathology and identify potential underlying cognitive mechanisms such as repetitive negative thinking (RNT).
We provide an overview of key studies of RNT in perinatal mental health and suggest directions for future work. We propose the value of examining post-partum depression and anxiety, and their co-occurrence, and of testing whether the psychological mechanisms that predict and maintain depression and anxiety also play a role in these conditions in the post-partum period. Further, given that psychological distress often first emerges in the antenatal phase, we make a case for investigating RNT across the perinatal period - i.e., in antenatal and postnatal women.
RNT may be a modifiable risk factor which can be targeted in pregnancy to prevent depression and anxiety in new mothers.
有证据表明，焦虑在产后时期很常见，甚至比抑郁更为普遍。在本次综述中，我们提出采用一种跨诊断方法来研究围产期心理健康：描绘精神病理学并确定潜在的潜在认知机制，例如重复消极思维（RNT）。
我们提供了围产期心理健康中 RNT 的关键研究概述，并为未来的工作提出了方向。我们提出了检查产后抑郁和焦虑及其共病的价值，并检验预测和维持抑郁和焦虑的心理机制是否也在产后期间发挥作用。此外，鉴于心理困扰通常首先出现在产前阶段，我们建议在围产期期间——即在产前和产后女性中——研究 RNT。
RNT 可能是一种可改变的风险因素，可以在怀孕期间针对它来预防新妈妈的抑郁和焦虑。
