经验性回避作为风险因素的调解者,用于更高层次的内化心理病理学,在围产期
Michelle L Miller1,2, Lily J Jiang3, Michael W O'Hara1
1University of Iowa, Iowa City, Iowa, USA.
Journal of clinical psychology
|January 24, 2024
概括
确定围产期情绪和焦虑障碍风险因素至关重要. 经验性回避调解了不适应应对和恐惧症状之间的联系,提供了潜在的预防目标.
科学领域:
- 围产期心理健康研究
- 心理病理学和情绪障碍 情绪障碍
- 怀孕和产后焦虑障碍 在怀孕和产后焦虑障碍
背景情况:
- 围产期精神病理对母亲和婴儿的福祉构成重大风险.
- 了解风险因素和症状的复杂相互作用对于有效的干预至关重要.
- 经验性回避越来越多地被认为是精神病理学的跨诊断机制.
研究的目的:
- 检查各种风险因素与围产期情绪和焦虑障碍症状之间的关联.
- 评估体验性回避在这些关系中的调解作用.
- 确定可塑性目标,用于预防和治疗围产期心理健康问题.
主要方法:
- 结构方程建模 (SEM) 用于246名参与者的样本.
- 在怀孕期间 (28-32周) 和分娩后 (6-8周) 收集的数据.
- 分析的潜伏因素包括痛苦,恐惧和双极性症状.
主要成果:
- 在怀孕期间,显著的危险因素包括过去的精神病史,焦虑敏感性,适应不良以及年龄.
- 产后,母亲的负面态度和过去的精神病史与痛苦症状有关.
- 经验性回避调解了不适应应对和恐惧症状之间的关联.
结论:
- 在怀孕期间对心理风险因素的早期评估至关重要.
- 鉴定的风险因素和调解者 (经验性回避) 与围产期情绪和焦虑症状的共同点有关.
- 诸如负面的母亲态度和经验性回避等可塑性因素为新的预防和治疗策略提供了机会.
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