Turning the pink cloud grey: dampening of positive affect predicts postpartum depressive symptoms.
Turning the pink cloud grey: dampening of positive affect predicts postpartum depressive symptoms.
复制标题
将粉红云变成灰色：积极情绪的减弱预示着产后抑郁症状。
DOI：
10.1016/j.jpsychores.2014.04.003
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发表时间：
2014
影响因子：
4.7
通讯作者：
M. Hanssens
中科院分区：
文献类型：
--
作者：
F. Raes;J. Smets;I. Wessel;F. Van Den Eede;Sabine Nelis;E. Franck;Y. Jacquemyn;M. Hanssens
对负面情绪的适应不良反应方式已被证明与预期（产后）抑郁症有关。尽管快感缺乏（与低积极情感相关）是抑郁症的主要症状，但对积极情感的适应不良风格是否也有重要影响还没有充分研究。本研究是第一次调查的预测价值的认知反应风格的负面（抑郁反刍）和积极影响（阻尼）产后抑郁symptoms.MethodsDuring妊娠晚期，210名妇女完成自我报告的工具评估抑郁症（症状的严重程度和当前和/或过去的发作）和规模衡量抑郁反刍和阻尼的存在。在这些妇女中，187人保留产后随访，抑郁症状在产后12周（n= 171）和24周（n= 176）进行重新评估。ResultsRegression analysis显示，在怀孕期间积极情绪的抑制程度越高，产后12周和24周的抑郁症状水平越高，与初始症状的严重程度无关，抑郁史和对负面情绪的沉思程度。然而，反刍的astritum特质水平，并没有预测产后抑郁症的基线症状和历史的主要抑郁发作（S）.ConclusionsThe结果的调查表明，女性的认知方式积极影响的贡献，甚至更多的产后抑郁症的发展比不良反应风格的负面影响。
ObjectiveMaladaptive response styles to negative affect have been shown to be associated with prospective (postpartum) depression. Whether maladaptive styles to positive affect are also critically involved is understudied, even though anhedonia (a correlate of low positive affectivity) is a cardinal symptom of depression. The present study is the first to investigate the predictive value of cognitive response styles to both negative (depressive rumination) and positive affect (dampening) for postpartum depressive symptoms.MethodsDuring the third trimester of pregnancy, 210 women completed self-report instruments assessing depression (symptom severity and current and/or past episodes) and scales gauging the presence of depressive rumination and dampening. Of these women, 187 were retained for postpartum follow-up, with depressive symptoms being reassessed at 12 (n= 171) and 24 (n= 176) weeks after delivery.ResultsRegression analyses showed that higher levels of dampening of positive affect during pregnancy predicted higher levels of depressive symptoms at 12 and 24 weeks postpartum, irrespective of initial symptom severity, past history of depression and levels of rumination to negative affect. Prepartum trait levels of rumination, however, did not predict postpartum symptomatology when controlled for baseline symptoms and history of major depressive episode(s).ConclusionsThe results of this investigation suggest that the way women cognitively respond to positive affect contributes perhaps even more to the development of postpartum depression than maladaptive response styles to negative affect.
影响因子：
4.6
作者：
NOLENHOEKSEMA, S
通讯作者：
NOLENHOEKSEMA, S
影响因子：
6.6
作者：
Vrieze, Elske;Demyttenaere, Koen;Bruffaerts, Ronny;Hermans, Dirk;Pizzagalli, Diego A.;Sienaert, Pascal;Hompes, Titia;de Boer, Peter;Schmidt, Mark;Claes, Stephan
通讯作者：
Claes, Stephan