Predictive Importance of Antenatal Depressive Rumination and Worrying for Maternal–Foetal Attachment and Maternal Well-Being

Predictive Importance of Antenatal Depressive Rumination and Worrying for Maternal–Foetal Attachment and Maternal Well-Being
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产前抑郁反省和担忧对母婴依恋和母亲福祉的预测重要性

DOI:
10.1007/s10608-016-9759-z
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发表时间:
2016
影响因子:
2.8
通讯作者:
Teismann
Teismann
中科院分区:
心理学3区
文献类型:
--
作者:
Schmidt;Seehagen;Schneider;Teismann

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沉思和担忧与抑郁和焦虑的发生和维持有关。然而,目前尚不清楚,抑郁反刍和担忧是否预示着怀孕期间的抑郁和焦虑症状。同样,抑郁反刍和担心母子依恋的潜在作用也很少被探索。在目前的纵向研究中,N= 215名孕妇在怀孕的前4个月和怀孕的后4个月进行了评估。通过回归分析,研究了焦虑和抑郁反刍与母子依恋、抑郁和焦虑之间的关系,并控制了年龄、子女数量、社会支持和产前抑郁和焦虑的基线症状。基线反刍是妊娠后期母婴依恋损伤的显著预测因子。基线担忧是抑郁症状和焦虑加剧的重要预测因素。这些影响是适度的。尽管如此,我们的研究结果表明,不同类型的持续性思维(即反刍与担忧)可能对母亲的幸福感和母婴依恋有不同的影响。
Rumination and worrying are relevant to the onset and maintenance of depression and anxiety. Yet, it is unclear, whether depressive rumination and worrying are predictive for depressive and anxious symptomatology during pregnancy. Likewise, the potential role of depressive rumination and worrying for maternal–foetal attachment has been rarely explored. In the present longitudinal study,N= 215 pregnant women were assessed within the first 4 months of pregnancy and again in the last 4 months of pregnancy. Using regression analysis, associations between worrying and depressive rumination on the one hand and maternal–foetal attachment, depression and anxiety on the other were studied—controlling for age, number of children, social support and baseline antenatal depressive and anxious symptoms. Baseline rumination was a significant predictor of impairments in maternal–foetal attachment in later pregnancy. Baseline worrying was a significant predictor of heightened depressive symptoms and anxiety. These effects were of modest magnitude. Nonetheless, our findings reveal that different types of perseverative thinking (i.e., rumination vs. worry) might have differential effects on maternal well-being and maternal–foetal attachment.
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