Rumination and postnatal depression: A systematic review and a cognitive model.
Rumination and postnatal depression: A systematic review and a cognitive model.
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DOI：
10.1016/j.brat.2016.05.003
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发表时间：
2016-07
影响因子：
4.1
通讯作者：
Stein A
中科院分区：
文献类型：
--
作者：
DeJong H;Fox E;Stein A
产后抑郁症（PND）赋予一系列负面儿童发展结果的风险，至少部分通过其对父母行为的影响。虽然抑郁症对养育子女的行为影响已经很好地建立，但可能介导这种影响的认知机制还不太清楚。目前的文件提出，反刍可能是一个关键的认知机制，通过父母在PND的影响，并提供了一个系统的回顾，现有的文献反刍围产期抑郁症的背景下。该审查确定了10个相关文件。其中8项是基于反刍的研究，研究反刍在预测未来抑郁和/或母婴关系结果（如结合）中的作用。其中两项是实验研究，探讨诱导反刍对父母行为的影响。对审查结果进行了讨论，并突出了剩余的问题。然后，我们提出了一个新的理论模型，专门为围产期的情况下，并告知现有的模型反刍和担心。我们的认知模型强调反刍，认知偏差和认知控制之间的关系，以及这些变量对婴儿的线索处理和随后的养育反应的影响。该模型为这一领域的未来工作提供了一个潜在的框架，并指导治疗干预措施的制定。产后抑郁症会影响父母的行为和随后的孩子的结果。有必要了解介导这种效应的认知机制。反刍，认知偏差和认知控制的赤字牵连。这些特征影响婴儿线索的处理，从而改变养育行为。提出了一个认知模型，以指导该领域未来的工作。
Postnatal depression (PND) confers risk for a range of negative child developmental outcomes, at least in part through its impact on parenting behaviour. Whilst the behavioural effects of depression on parenting are well established, the cognitive mechanisms that may mediate this effect are less well understood. The current paper proposes that rumination may be a key cognitive mechanism through which parenting is affected in PND, and provides a systematic review of the existing literature on rumination in the context of perinatal depression. The review identifies ten relevant papers. Eight are questionnaire-based studies examining the role of rumination in predicting future depression and/or mother-infant relationship outcomes, such as bonding. Two are experimental studies examining the effects of induced rumination on parenting behaviours. The results of the review are discussed, and remaining questions highlighted. We then present a new theoretical model, developed specifically for the perinatal context, and informed by existing models of rumination and worry. Our cognitive model emphasises the relationship between rumination, cognitive biases and cognitive control, and the impact of these variables on infant cue processing and subsequent parenting responses. The model provides a potential framework for future work in this area, and to guide the development of treatment interventions. Postnatal depression affects parenting behaviour and subsequent child outcomes. There is a need to understand cognitive mechanisms that mediate this effect. Rumination, cognitive biases and deficits in cognitive control are implicated. These features affect processing of infant cues and so alter parenting behaviour. A cognitive model is proposed, to guide future work in this area.