[1]方帆,陈瑜,王晶,等.妊娠中晚期孕妇产前抑郁情绪与其反刍思维的关系及注意偏向研究[J].军事护理,2021,38(01):13-16.[doi:10.3969/j.issn.1008-9993.2021.01.004]
　FANG Fan,CHEN Yu,WANG Jing,et al.Relationship between Prenatal Depressive Emotion and Rumination and Research on Attentional Bias among Pregnant Women in the Middle or Late Pregnancy[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(01):13-16.[doi:10.3969/j.issn.1008-9993.2021.01.004]
点击复制

妊娠中晚期孕妇产前抑郁情绪与其反刍思维的关系及注意偏向研究
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年01期
页码:
13-16
栏目:
论著
出版日期:
2021-01-15

文章信息/Info

Title:
Relationship between Prenatal Depressive Emotion and Rumination and Research on Attentional Bias among Pregnant Women in the Middle or Late Pregnancy
文章编号:
1008-9993(2021)01-0013-05
作者:
方帆; 陈瑜; 王晶; 肖菊兰; 刘文婷
(南方医科大学 护理学院,广东 广州 510515)
Author(s):
FANG Fan; CHEN Yu; WANG Jing; XIAO Julan; LIU Wenting
(School of Nursing,Southern Medical University,Guangzhou 510515,Guangdong Province,China)
关键词:
孕妇;  产前抑郁;  反刍思维;  情绪Stroop实验;  反应时
Keywords:
pregnant women;  prenatal depression;  rumination;  emotional Stroop task;  reaction time
分类号:
R473.71
DOI:
10.3969/j.issn.1008-9993.2021.01.004
文献标志码:
A
摘要:
目的 结合主客观指标分析妊娠中晚期孕妇产前抑郁情绪与其反刍思维的关系,为临床开展产前抑郁早筛查早干预提供参考。方法 便利抽取广州市3所三级甲等医院277名妊娠中晚期孕妇,使用爱丁堡产后抑郁量表、反刍思维量表等进行调查,对其中47名孕妇开展情绪Stroop实验,研究其对情绪刺激的注意偏向特点。结果 277名妊娠中晚期孕妇产前抑郁情绪检出率为44.4%,其与反刍思维呈正相关(均P<0.001)。文化程度是孕妇产前抑郁情绪的保护因素(OR=0.651),担心分娩安全、疫情对情绪影响及症状反刍是其危险因素(OR=1.717,1.933,1.372)。孕妇反刍思维的强迫思考因子与其情绪Stroop实验的正中负性词反应时均呈负相关(P<0.05)。结论 妊娠中晚期孕妇产前抑郁情绪检出率较高且与其反刍思维呈正相关,产前抑郁情绪孕妇对情绪刺激存在偏向性。护理人员应关注反刍思维水平高的孕妇,可积极尝试和探索结合客观指标开展产前抑郁高危人群的筛查。
Abstract:
Objective To analyze the relationship between prenatal depressive emotion and rumination among pregnant women in their middle or late pregnancy using subjective and objective indicators,so as to provide a reference for early clinical screening and intervention of prenatal depression.Methods Convenient sampling was used to select 277 pregnant women in their middle or late pregnancy from 3 tertiary hospitals in Guangzhou City.The Edinburgh Postpartum Depression Scale and the Ruminative Response Scale were used for investigation.Of these participants,47 pregnant women were screened by emotional Stroop task to explore the features of their attentional bias to emotional stimulation.Results The rate of prenatal depressive emotion was 44.4% among the 277 pregnant women in their middle or late pregnancy.Their prenatal depressive emotion was positively correlated with rumination(P<0.001).The education level was a protective factor of pregnant women's prenatal depressive emotion(OR=0.651); worry about the safety of childbirth,emotional impact of COVID-19 and symptom rumination were the risk factors(OR=1.717,1.933,1.372).The brooding factor of rumination was negatively correlated with their reaction times of positive,neutral and negative words in the emotional Stroop task(P<0.05).Conclusions The rate of prenatal depressive emotion among pregnant women in their middle or late pregnancy was high,and positively correlated with rumination.There was a bias towards emotional stimulation among those prenatal depressed pregnant women.Nurses should pay attention to those pregnant women with high level of rumination,and actively explore the combination of objective indicators to screen those pregnant women with high risk of prenatal depressive emotion.

参考文献/References:

[1] 林翔,郑丹,林雪凤,等.我国围产期抑郁症发生率的Meta分析[J].福建医药杂志,2017,39(5):131-133.
[2] NOLEN-HOEKEEMA S.The role of rumination in depressive disorders and mixed anxiety/depressive symptoms[J].J Abnorm Psychol,2000,109(3):504-511.
[3] DEJONG H,FOX E STEIN A.Rumination and postnatal depression:a systematic review and a cognitive model[J].Behav Res Ther,2016,82:38-49.
[4] 肖长根,蒋怀滨,林珂,等.高低反刍思维个体冷热执行功能特点的比较[J].中华行为医学与脑科学杂志,2016,25(3):262-266.
[5] 张红,李湘兰,陈传锋.不同研究范式下抑郁个体的注意偏向及其加工特点[J].中国老年学杂志,2014,34(2):569-572.
[6] 刘亚,王振宏.情绪Stroop效应与Stroop效应的关系[J].心理科学,2011,34(4):806-812.
[7] COX J L,HOLDEN J M,SAGOVSKY R.Detection of postnatal depression:development of the 10-item Edinburgh postnatal depression scale[J].Br J Psychiatry,1987,150(6):782-786.
[8] LEE D T S,YIP S K,CHIU H F K,et al.Detecting postnatal depression in Chinese women:validation of the Chinese version of the Edinburgh postnatal depression scale[J].Br J Psychiatry,1998,172(5):433-437.
[9] 肖美丽,刘丹,杨东琪,等.家庭功能和孕期生活事件对孕晚期“二孩”孕妇的影响[J].中华护理杂志,2019,54(9):1354-1358.
[10]韩秀,杨宏飞.Nolen-Hoeksema反刍思维量表在中国的试用[J].中国临床心理学杂志,2009,17(5):550-551,549.
[11]杨怀洁,王涛,杨虹,等.919例妊娠晚期女性焦虑、抑郁发生情况及影响因素分析[J].护理研究,2020,34(13):2360-2364.
[12]李珊珊,贝为武,张晓庆,等.孕妇焦虑抑郁状况及其影响因素调查研究[J].中国现代医学杂志,2016,26(24):124-128.
[13]马雪梅,史慧静.孕妇焦虑抑郁水平及影响因素的研究进展[J].中国妇幼保健,2019,34(3):722-724.
[14]WU Y,ZHANG C,LIU H,et al.Perinatal depressive and anxiety symptoms of pregnant women during the coronavirus disease 2019 in China[J].Am J Obstet Gynecol,2020,223(2):240.e1-240.e9.
[15]高雅琴,李玉红,步仰高,等.心理韧性在产妇反刍思维与产后抑郁间的中介效应[J].解放军护理杂志,2020,37(7):11-14,19.
[16]陈义雪.三种反刍思维类型大学生的团体干预研究[D].杭州:浙江大学,2019.
[17]王培培,莫少华,马昕宇,等.结合自评量表和认知任务测量医学生抑郁情绪[J].首都医科大学学报,2018,39(6):889-893.
(本文编辑:陈晓英)

相似文献/References:

[1]谢明艳,丁慧青,顾芬.孕妇体重认知测量工具与现状的研究进展[J].军事护理,2022,39(06):84.[doi:10.3969/j.issn.1008-9993.2022.06.021]
[2]刘文婷,陈瑜,陶艳玲,等.初产妇和经产妇产前抑郁情绪的影响因素研究[J].军事护理,2022,39(07):1.[doi:10.3969/j.issn.2097-1826.2022.07.001]
　LIU Wenting,CHEN Yu,TAO Yanling,et al.Study on the Influencing Factors of Prenatal Depression Among Primiparas and Multiparas[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(01):1.[doi:10.3969/j.issn.2097-1826.2022.07.001]
[3]王晶,陈瑜,杨文娇,等.妊娠晚期孕妇抑郁与焦虑情绪共存现状及影响因素研究[J].军事护理,2022,39(10):33.[doi:10.3969/j.issn.2097-1826.2022.10.009]
　WANG Jing,CHEN Yu,YANG Wenjiao,et al.Co-existence of Depression and Anxiety in Pregnant Women in the Third Trimester and Its Influencing Factors[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(01):33.[doi:10.3969/j.issn.2097-1826.2022.10.009]

备注/Memo

备注/Memo:
【 收稿日期 】 2020-09-02 【 修回日期 】 2020-11-25
【 基金项目 】 国家自然科学基金面上项目(71874075); 教育部人文社会科学研究规划基金项目(18YJAZH008); 广州市高校创新创业(就业)教育项目(穗教高教〔2019〕15 号)
【 作者简介 】 方帆,硕士在读,主要从事精神心理健康研究
【 通讯作者 】 陈瑜,电话:15360015316
更新日期/Last Update: 2021-01-15