在低收入的初次母亲中,累积的逆境,正念和心理健康
Luciano Garofalo1, Cathryn Booth-LaForce1, Paula Nurius2
1University of Washington, Department of Child, Family, and Population Health Nursing, United States.
Journal of affective disorders reports
|August 18, 2025
概括
童年不良事件 (ACE) 和负面生活事件 (NLE) 恶化了低收入母亲的产前心理健康. 正念可能有所帮助,但它并不能否定社会经济逆境的危害.
科学领域:
- 围产期心理健康研究
- 孕产妇的健康和福祉
- 健康的社会经济决定因素
背景情况:
- 社会经济逆境显著影响到母亲和后代的精神和身体健康.
- 了解围产期对于解决这些相互关系至关重要.
- 这项研究的重点是低收入的孕妇.
研究的目的:
- 评估不良童年事件 (ACE),负面生活事件 (NLE) 和社会经济因素对低收入孕妇心理健康的影响.
- 评估种族/民族差异如何逆境预测围产期心理健康.
- 检查正念与社会经济逆境之间在预测产前心理健康方面的相互作用.
主要方法:
- 一组202名主要非白人,低收入,原生雌性参与了这项研究.
- 这些措施包括对ACE,NLE,社会经济地位,弹性和正念的评估.
- 使用分层多重回归来分析产前抑郁和焦虑的预测因素,包括相互作用效应.
主要成果:
- 较高的ACE和NLE独立预测出更糟糕的产前心理健康,即使在控制了社会经济因素之后.
- 累积社会经济风险与ACE相互作用,预测更高的产前焦虑和抑郁症.
- 增加的正念与较低的焦虑和抑郁症有关,并且与ACEs负相关.
结论:
- 社会经济和心理社会逆境累积损害产前心理健康.
- 在怀孕期间,正念显示出作为提高性干预的潜力.
- 正念不是解决社会和经济边缘化的有害影响的替代品.
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