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本文通过系统分析产后抑郁领域的国内研究现状.为研制针对性的干预策略奠定基础.研究遵循循证医学的理念,运用文献计量分析方法,时国内1998年~2007年阃发表的111篇产后抑郁领域的研究文献进行分析.可见研究文献数量呈现逐年上升趋势,但研究范围主要局限于医学中心及区域范畴,研究内容主要涉及产后抑郁的评估与诊断,危险因素研究和预防干预方法的探索,但总体研究设计存在较大缺陷.可见亟需加强社区层面研究,提高研究设计的科学性,并将预防干预方法研究作为重点. 相似文献
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老年抑郁症心理干预的研究进展 总被引:2,自引:0,他引:2
老年抑郁症是老年人所有心理问题之中最常见的一种,其发生与躯体、心理及社会因素密切相关。通过文献检索,查阅老年抑郁症相关文献,综述其临床心理干预方法,对指导老年抑郁患者实施有效地心理干预,维护老年人的心理健康、预防具有重要意义。 相似文献
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Gordon T. Harold Katherine H. Shelton Frances Rice Jacky Boivin Dale Hay Marianne Van Den Bree Anita Thapar 《心理学报》2008,40(10):1124-1134
本文介绍一个可以用于研究遗传与环境互动的新颖方法。此研究收集了上千个4~10岁儿童的数据。这些儿童的出生都借助于不同的辅助受孕技术(Assisted Reproductive Technologies),包括试管婴儿、精子捐赠、卵子捐赠、胚胎捐赠及代孕技术。本项目通过妇科(助孕)医院收集被试的行为数据,包括家庭互动、养育方式、父母婚姻质量、家庭成员的心理健康及经济状况等。本文选择性地介绍一些分析的结果,以彰显这种设计在分离遗传和产前产后环境对儿童发展的贡献。首先,我们比较了“助孕”儿童与“自然孕”儿童在父母冲突、父母对子女敌意以及儿童抑郁症状之间关系的异同。其次,我们比较了这两组儿童在父母抑郁症状、家庭关系质量以及儿童抑郁症状之间关系的异同。再次,本文介绍了这一可分离遗传与环境因素的研究设计。最后,我们讨论了这一设计对发展心理病干预及预防的意义 相似文献
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本文旨在梳理近年来国内外青少年抑郁及其自动情绪调节在相关研究领域的研究成果,以进一步促进青少年抑郁的自动情绪调节研究。首先,阐明了青少年脑发展与抑郁之间的关系,并概括了三种青少年抑郁模型。然后,澄清了自动情绪调节的内涵和经典范式,而且从时间和空间方面,总结了青少年抑郁的自动情绪调节的神经机制的相关文献。最后,未来要加强功能连接研究,采用经颅直流电刺激(t DCS)、重复经颅磁刺激(r TMS)技术开展干预研究。 相似文献
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UNDERSTANDING THE CONNECTION BETWEEN ATTACHMENT TRAUMA AND MATERNAL SELF‐EFFICACY IN DEPRESSED MOTHERS
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Natalie Brazeau Samantha Reisz Deborah Jacobvitz Carol George 《Infant mental health journal》2018,39(1):30-43
Maternal self‐efficacy predicts sensitive and responsive caregiving. Low maternal self‐efficacy is associated with a higher incidence of postpartum depression. Maternal self‐efficacy and postpartum depression can both be buffered by social support. Maternal self‐efficacy and postpartum depression have both been linked independently, albeit in separate studies, to the experience of violent trauma, childhood maltreatment, and spousal abuse. This study proposed a model in which postpartum depression mediates the relation between attachment trauma and maternal self‐efficacy, with emotional support as a moderator. Participants were 278 first‐time mothers of infants under 14 months. Cross‐sectional data were collected online. Mothers completed questionnaires on attachment trauma, maternal self‐efficacy, postpartum depression, and emotional support. A moderated mediation model was tested in a structural equation modeling framework using Mplus’ estimate of indirect effects. Postpartum depression fully mediated the relation between trauma and maternal self‐efficacy. Emotional support moderated only the pathway between postpartum depression and maternal self‐efficacy. Attachment trauma's implications for maternal self‐efficacy should be understood in the context of overall mental health. Mothers at the greatest risk for low maternal self‐efficacy related to attachment trauma also are those suffering from postpartum depression. Emotional support buffered mothers from postpartum depression, though, which has implications for intervention and future research. 相似文献
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探讨心理干预对产褥期精神障碍患者生活质量的影响。将85例产褥期精神障碍患者随机分为研究组45例和对照组40例,两组均给予精神科常规护理,研究组在此基础上根据患者的具体情况,实施有针对性的心理护理干预。于心理护理干预后采用Hamilton抑郁量表(HAMD)、Hamilton焦虑量表(HAMA)和生存质量量表(SF-36... 相似文献
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Edith C. Kieffer Cleopatra H. Caldwell Diana B. Welmerink Kathleen B. Welch Brandy R. Sinco J. Ricardo Guzmán 《American journal of community psychology》2013,51(1-2):76-89
Depression during the prenatal and postpartum periods is associated with poor maternal, perinatal and child outcomes. This study examines the effectiveness of a culturally and linguistically tailored, social support-based, healthy lifestyle intervention led by trained community health workers in reducing depressive symptoms among pregnant and early postpartum Latinas. A sample of 275 pregnant Latinas was randomized to the Healthy MOMs Healthy Lifestyle Intervention (MOMs) or the Healthy Pregnancy Education (control) group. More than one-third of participants were at risk for depression at baseline. MOMs participants were less likely than control group participants to be at risk for depression at follow-up. Between baseline and 6 weeks postpartum, MOMs participants experienced a significant decline in depressive symptoms; control participants experienced a marginally significant decline. For MOMs participants, most of this decline occurred during the pregnancy intervention period, a time when no change occurred for control participants. The change in depressive symptoms during this period was greater among MOMs than control participants (“intervention effect”). From baseline to postpartum, there was a significant intervention effect among non-English-speaking women only. These findings provide evidence that a community-planned, culturally tailored healthy lifestyle intervention led by community health workers can reduce depressive symptoms among pregnant, Spanish-speaking Latinas. 相似文献
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Prospective study of postpartum depression: 4 1/2-year follow-up of women and children 总被引:5,自引:0,他引:5
The consequences of maternal postpartum depression for mothers and children were investigated in a 4 1/2-year follow-up study, which included 70 of 99 women who had participated in an earlier study of postpartum depression. Information about maternal adjustment and depression during the follow-up period and child adjustment at age 4 1/2 years was obtained. Women who had experienced a postpartum depression were predicted to be at increased risk for subsequent depression and poor adjustment of their child. Postpartum depression was directly related to subsequent depression but not child problems. Later depression was related to child problems at 4 1/2 years. We concluded that postpartum depression may increase risk for later maternal depression and in turn increases risk for child behavior problems. Intervening with women who have experienced a postpartum depression may reduce likelihood of future depressions and child behavior problems. 相似文献
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This study explored the relationships among daily stresses, specifically interpersonal conflict, the quality of supportive
spousal relationships, and the experience of postpartum depressive symptoms. In our sample of 51 women nearly 30% reported
symptoms consistent with postpartum depression. Using regression analysis and controlling for depression during pregnancy,
results suggested that arguments with family members and the depth of the spousal relationship acted as significant predictors
of the severity of reported postpartum depressive symptoms. Results of the regression were in the expected direction, but
due to the small sample size, the findings should be interpreted with caution. Post-hoc analyses were conducted separating
the women into three groups based on their depression scores. Therapeutic interventions to reduce postpartum depressive symptoms
are considered.
An erratum to this article can be found at 相似文献
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Mother's prenatal and postpartum depression have been associated with infant's sleep problems. This study aimed to analyze (a) the effects of mother's prenatal and postpartum depression symptoms, including the effects of prenatal and postpartum anxiety and depression scores of the Edinburgh Postnatal Depression Scale (EPDS), on infant's sleep problems at 6 months, and (b) the interaction effect between mother's prenatal and postpartum depression symptoms and infant's sex on infant's sleep problems at 6 months. The sample was comprised of 164 mother–infant dyads whose mothers completed measures of depression at the third trimester of pregnancy, 2 weeks, 3 and 6 months postpartum and a measure of infant's sleep problems at 6 months (CSHQ-I). Mother's prenatal depression symptoms, specifically depression scores of the EPDS, predicted more infant's sleep anxiety and daytime sleepiness, while mother's depression symptoms at 2 weeks postpartum, specifically anxiety scores of the EPDS, predicted more bedtime resistance and CSHQ-I total scores at 6 months. Boys of mothers with more prenatal depression symptoms presented more sleep anxiety at 6 months. Both mother's prenatal and early postpartum depression symptoms have a negative effect on the emergence of infant's sleep problems. Additionally, boys seem more vulnerable to mother's prenatal depression symptoms. 相似文献
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大脑通过视觉、听觉、嗅觉、味觉和触觉等感官通道接收来自外界的信息。不同感觉功能受损涉及抑郁发生的中枢机制,而基于不同感官通道进行适当刺激以及多感官联合干预也可能发挥显著的抑郁治疗作用。笔者以症状-脑区-机制-治疗为逻辑主线,首次系统梳理了五种主要感觉障碍人群的抑郁临床症状、抑郁神经机制以及基于感觉刺激的抗抑郁治疗。结果表明,不同感觉功能障碍对抑郁相关神经机制的影响可能表征了不同的抑郁病理,涉及神经元电活动(某些神经元放电和神经环路激活等)和神经生化改变(神经可塑性和神经发生、炎症免疫和HPA轴、神经激素和神经递质等),且主要发生在边缘系统及其附近脑区,涉及岛叶、颞叶、额叶等。因此,未来研究可聚焦于机体对不同感觉信息的提取,这将为人类抑郁的病因和治疗提供新的研究视角。 相似文献