情绪调节在围产期抑郁和焦虑中的作用：系统综述。
The role of emotion regulation in perinatal depression and anxiety: a systematic review.
机构信息
Faculty of Psychology and Educational Sciences, UGent, Ghent, Belgium.
Faculty of Medicine and Health Sciences, UGent, Ghent, Belgium.
出版信息
BMC Psychol. 2024 Oct 2;12(1):529. doi: 10.1186/s40359-024-02033-9.
BACKGROUND
Major depressive disorder and anxiety disorders are highly prevalent and comorbid during the perinatal period. Although research and clinicians agree that emotion regulation (ER) is an important transdiagnostic factor underlying both disorders in the general population, ER during the perinatal period has received less research attention. The aim of this systematic review was to assess the literature regarding the role of ten commonly studied ER strategies in the onset and maintenance of perinatal depression and anxiety in pregnant women and young mothers, using the Process Model of Gross (1998) as a theoretical framework.
METHODS
We searched four electronic databases with variations of the following key words: women; emotion regulation (i.e., behavioral approach, behavioral avoidance, problem solving, support seeking, distraction, rumination, reappraisal, acceptance, expressive suppression, and expressive engagement); perinatal period; and psychopathology. The aim was to identify peer-reviewed, and quantitative studies published between January 1999 and January 2023. Six articles were selected for analysis.
RESULTS
Similar ER strategies emerged as risk and protective factors in perinatal depression and anxiety. Overall, behavioral avoidance, distraction, rumination, and expressive engagement appeared as risk factors, while problem solving, emotional and instrumental support seeking, cognitive reappraisal, and acceptance, emerged as protective factors in the onset and maintenance of perinatal depression and anxiety. These findings align with previous research in perinatal community samples, as well as in non-perinatal clinical samples.
CONCLUSIONS
Our results support the role of ER as a transdiagnostic factor underlying both perinatal depression and anxiety. Clinicians are encouraged to implement ER strategies into the screening, prevention, and treatment of perinatal depression and anxiety. Further research is needed to strengthen these findings and to examine the role of emotion regulation during antenatal depression and anxiety more closely.
背景
重度抑郁症和焦虑症在围产期高发且常合并存在。虽然研究人员和临床医生都认为情绪调节（ER）是普遍人群中这两种疾病的重要共病因素，但围产期的 ER 研究相对较少。本系统评价的目的是根据 Gross（1998）的过程模型，评估关于十种常见 ER 策略在孕妇和年轻母亲中围产期抑郁和焦虑发生和维持中的作用的文献，该模型将 ER 作为潜在的共病因素。
方法
我们在四个电子数据库中进行了搜索，关键词有：女性；情绪调节（如行为接近、行为回避、问题解决、寻求支持、分心、沉思、重新评价、接受、表达抑制和表达参与）；围产期；和精神病理学。目的是确定发表于 1999 年 1 月至 2023 年 1 月的同行评议和定量研究。有 6 篇文章被选入分析。
结果
类似的 ER 策略在围产期抑郁和焦虑中表现为风险和保护因素。总体而言，行为回避、分心、沉思和表达参与似乎是风险因素，而问题解决、情绪和工具性支持寻求、认知重评和接受则是围产期抑郁和焦虑发生和维持的保护因素。这些发现与围产期社区样本以及非围产期临床样本中的先前研究一致。
结论
我们的结果支持 ER 作为围产期抑郁和焦虑的共病因素的作用。鼓励临床医生将 ER 策略纳入围产期抑郁和焦虑的筛查、预防和治疗中。需要进一步的研究来加强这些发现，并更密切地研究 ER 在产前抑郁和焦虑中的作用。
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