Department of Psychology, Picardy Jules Verne University, Amiens, France.
Department of Psychology, Picardy Jules Verne University, Amiens, France.
J Affect Disord. 2018 Dec 1;241:360-366. doi: 10.1016/j.jad.2018.08.063. Epub 2018 Aug 16.
Perinatal loss is known to be associated with a heightened risk of mental health complications. However, the psychological mechanisms underlying the perinatal grief process are less well documented. We hypothesized that negative cognitions are associated with post-perinatal loss symptomatology, and vary according to whether the death occurs before or after birth.
We adopted a cross-sectional design to assess demographics, variables related to the death, five types of negative cognitions (about the self, world, life, future, and self-blame), prolonged grief, and depressive symptoms. The sample included 98 perinatally bereaved mothers with a mean age of 33.9 years.
When we controlled for demographics and variables related to the death, hierarchical linear regression showed that maladaptive cognitions about life, the future and the world were associated with prolonged grief symptoms, whereas only maladaptive cognitions about the world were associated with depressive symptoms. Significant interaction effects confirmed that cognitions about the world were associated with increased depressive symptoms when the death occurred after the birth, and cognitions about life when it occurred before the birth.
The cross-sectional design precluded causal conclusions. However, the sample size was relatively representative and limited to perinatally bereaved mothers.
Different negative cognitions are involved in persistent depressive versus grief symptoms following perinatal loss, and vary depending on the type of loss. These results will serve to enhance perinatal grief interventions.
围产期丧失已知与心理健康并发症的风险增加有关。然而，围产期悲伤过程的心理机制记录较少。我们假设消极认知与产后丧失症状有关，并且根据死亡发生在出生前还是出生后而有所不同。
我们采用横断面设计来评估人口统计学、与死亡相关的变量、五种类型的消极认知（关于自我、世界、生命、未来和自责）、延长的悲伤和抑郁症状。样本包括 98 名围产期丧亲的母亲，平均年龄为 33.9 岁。
当我们控制人口统计学和与死亡相关的变量时，分层线性回归显示，关于生命、未来和世界的适应不良认知与延长的悲伤症状有关，而只有关于世界的适应不良认知与抑郁症状有关。显著的交互效应证实，当死亡发生在出生后时，关于世界的认知与抑郁症状的增加有关，而当死亡发生在出生前时，与生命的认知有关。
横断面设计排除了因果结论。然而，样本量相对具有代表性，仅限于围产期丧亲的母亲。
不同的消极认知涉及围产期丧失后持续的抑郁与悲伤症状，并且取决于丧失的类型。这些结果将有助于增强围产期悲伤干预。
