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Alternative TitleResearch on postpartum depression and experiential avoidance of parturient
祝慧1; 崔云龙1; 熊朋迪1; 祝卓宏1
Source Publication中华行为医学与脑科学杂志
Abstract目的 探讨经验性回避与产后抑郁的关系,为接纳与承诺疗法在产后抑郁的心理治疗中提供实证依据.方法 309名待产妇女采用自编孕产妇一般资料调查表,接纳与行动问卷第二版(AAQ-Ⅱ)和自评抑郁量表(SDS),分别对其在住院待产期间和产后3~7d进行问卷调查.结果 产前、产后抑郁组AAQ-Ⅱ得分[(18.54±8.25)分,(19.07±7.82)分]高于正常组[(15.47±7.03)分,(14.57±6.57)分],差异有统计学意义(t=-3.15,-5.07;均P<0.01);产前产后AAQ-Ⅱ总分与产前SDS、产后SDS总分均呈正相关关系(r=0.34,0.34,0.24,0.42;均P<0.01);层次回归分析显示,在阶层一中,新生儿异常情况和产前抑郁对产后抑郁的预测效应显著(3=0.09,0.62;均P<0.01);在阶层二中,控制孕产妇年龄、产后并发症、新生儿异常情况以及产前SDS后,产前AAQ-Ⅱ对产后SDS的解释力仍显著(β=0.13,P=0.006;△R 2=0.01,P=0.006).结论 经验性回避对产后抑郁具有一定的预测作用,经验性回避程度越高,产后抑郁发生的可能性越大.
Other AbstractObjective To explore the relationship between postpartum depression and experiential avoidance of parturient and to provide empirical evidences for acceptance and commitment therapy in mental treatment of postpartum depression.Methods 309 pregnant women were assessed with self-made general information questionnaire,self-rating depression scale (SDS) and acceptance and action questionnaire-2nd edition (AAQ-Ⅱ) in predelivery periods and 3-7 days after childbirth respectively.Results AAQ-Ⅱ scores in the predelivery or postpartum depression group ((18.54±8.25),(19.07±7.82)) were higher than that in the normal group((15.47±7.03),(14.57±6.57)),and the difference was statistically significant(t=-3.15,-5.07,all P<0.01).It was found that the predelivery or postpartum AAQ-Ⅱ scores were positively associated with the SDS scores of predelivery periods and postpartum periods respectively(r=0.34,0.34,0.24,0.42,all P<0.01).Hierarchical multiple regression analyses were then conducted.In the first block,neonatal exceptional conditions and the predelivery SDS significantly explained variance in postpartum depression(β=0.09,0.62,all P<0.01).In the second block,the predelivery AAQ-Ⅱ still had a significant effect on postpartum depression (β=0.13,P=0.006,△R2=0.01,P=0.006),despite control the age of parturient women,postpartum complication,neonatal exceptional conditions and the predelivery SDS.Conclusion A function to predict the occurrence of maternal postpartum depression is obtained from the experiential avoidance which is attributed to the risk of maternal postpartum depression.
Keyword经验性回避 抑郁 产妇
Subject Area医学心理学
Funding Organization中国科学院知识创新工程重要方向项目
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GB/T 7714
祝慧,崔云龙,熊朋迪,等. 产妇经验性回避与抑郁的关系[J]. 中华行为医学与脑科学杂志,2015(4):364-366.
APA 祝慧,崔云龙,熊朋迪,&祝卓宏.(2015).产妇经验性回避与抑郁的关系.中华行为医学与脑科学杂志(4),364-366.
MLA 祝慧,et al."产妇经验性回避与抑郁的关系".中华行为医学与脑科学杂志 .4(2015):364-366.
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