抑郁情绪的交叉滞后面板模型以及影响高风险围产期抑郁症的因素
Shuting Lin1, Yuezhen Hong1, Huilan Hong1,2
1School of Nursing, Fujian Medical University, Fuzhou, Fujian, China.
BMC psychology
|January 15, 2026
概括
高风险孕妇患产周抑郁症 (PND) 与分娩后的认知反应能力,压力和较差的心理健康有关. 早期干预对于母亲的福祉至关重要.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 认知反应 (CR),睡眠质量,感知压力,家庭功能,正念和围产期抑郁 (PND) 之间的时间动态尚不清楚.
- 之前的研究主要使用横截面分析,缺乏对双向关系的纵向探索.
研究的目的:
- 为了检查CR,睡眠质量,感知压力,家庭功能,正念和PND之间的纵向,双向关系,在患抑郁症高风险的孕妇中.
主要方法:
- 在中国福建省的329名高风险孕妇中,采用了交叉滞后的面板模型.
- 数据是在基线 (第三季度) 和产后三个月收集的.
- 标准化尺度测量了关键变量;使用IBM SPSS 26和R 4.2.3软件进行统计分析.
主要成果:
- 临产期抑郁症 (PND) 在基线预测增加产后认知反应 (CR),感知压力和抑郁症状.
- 此外,PND还预测产后家庭功能,正念和睡眠质量会降低.
- 基线时感知到的压力显著预测了产后PND,但其他因素对PND没有显著的交叉滞后影响.
结论:
- 高风险女性的妊娠后期抑郁症可能与不良的分娩后心理和人际关系因素有关.
- 这些发现强调了在怀孕期间需要早期,有针对性的干预措施,以预防和管理PND.
- 建议使用CBT,家庭咨询,正念和睡眠优化等策略来改善母亲的心理健康.
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