中国科学院心理研究所机构知识库

目的 探讨认知融合与分娩前后焦虑抑郁之间的关系,为接纳承诺疗法对孕产妇的焦虑抑郁进行心理治疗提供实证依据.方法 通过整群随机取样,选取309名待产妇作为被试,用自编孕产妇一般资料调查表、自评焦虑量表、自评抑郁量表和认知融合量表,分别对其在住院待产期间和产后3~7d进行测查.结果 (1)产前产后焦虑组CFQ得分[(32.18± 10.78)分,(31.54±10.30)分]均高于正常组[(21.49±9.56)分,(20.84±9.82)分],差异有统计学意义(t=-8.26,-8.22;均P=0.000);产前产后抑郁组CFQ得分[(26.74±11.76)分,(26.84±12.11)分]均高于正常组[(23.06±10.33)分,(21.79±9.90)分],差异有统计学意义(t=-2.76,-3.71;P=0.006,0.000).(2)产前产后CFQ总分分别与产前产后SAS总分呈正相关关系(r=0.51,0.45,0.50,0.55;均P=0.000),产前产后CFQ总分分别与产前产后SDS总分呈正相关关系(r=0.26,0.31,0.21,0.38;均P=0.000).(3)层次回归分析显示,产前CFQ分别对产后SAS(△R^2=0.02,P=0.006)和产后SDS(△R^ 2=0.02,P=0.006)有预测作用,回归方程差异有统计学意义.结论 认知融合对产后焦虑抑郁具有一定的预测作用,认知融合程度越高,产后焦虑抑郁发生的可能性越大.

Objective To explore the relationship between cognitive fusion and the state of anxiety and depression of perinatal women and to provide empirical evidences for acceptance and commitment therapy in mental treatment of anxiety and depression in perinatal women.Methods 309 perinatal women collected by cluster random sampling were assessed with self-made general information questionnaire,Self-Rating Anxiety Scale (SAS),Self-Rating Depression Scale (SDS) and Cognitive Fusion Questionnaire (CFQ) in predelivcry period and 3-7 days after childbirth respectively.Results (1) CFQ scores in the predelivery or postpartum anxiety group ((32.18±10.78),(31.54±10.30))were higher than that in the normal group((21.49±9.56),(20.84±9.82)),and the difference was statistically significant (t=-8.26,-8.22;all P=0.000);CFQ scores in the predelivery or postpartum depression group ((26.74 ±11.76),(26.84 ± 12.11)) were higher than that in the normal group((23.06± 10.33),(21.79±9.90)),and the difference was statistically significant(t=-2.76,-3.71;P=0.006,0.000).(2)It was found that the predelivery or postpartum CFQ scores were positively associated with the SAS scores of predelivery periods and postpartum periods respectively(r=0.51,0.45,0.50,0.55;P=0.000);the predelivery or postpartum CFQ scores were positively associated with the SDS scores of predelive1y periods and postpartum periods respectively (r =0.26,0.31,0.21,0.38;P =0.000).(3) Hierarchical multiple regression analyses were then conducted.The predelivery CFQ had a significant effect on postpartum SAS(△R^ 2=0.02,P=0.006)and postpartum SDS respectively(△R ^2=0.02,P=0.006),and the regression equations were statistically significant.Conclusion A function to predict the occurrence of matemal postpartum anxiety and depression is obtained from the cognitive fusion which is attributed to the risk of maternal postpartum anxiety and depression.