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Nursing Science 2025
神经质人格在围产期抑郁症状中的研究进展
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Abstract:
当今社会，产后抑郁症(PPD)是一个重要的全球健康问题，抑郁发生率急剧增长，其心理健康状态在一定程度上影响了其身体健康及生活质量，对母亲、家庭和社会具有深远影响。而神经质人格作为抑郁症中研究最为广泛的人格特质，是一种相对稳定、长期的人格特质，与消极情绪的关系最为密切。本文从神经质人格的概念、与产后抑郁的关系、评估工具以及对产后抑郁的影响等方面进行综述，以期在今后的临床工作中，对有神经质人格的围产期女性能够尽早筛查、早诊断，从而尽早采取干预措施进行治疗，降低产后抑郁发生率及不良风险，提高围产期女性生活质量。
In today’s society, postpartum depression (PPD) is an important global health problem, the incidence of depression is increasing dramatically, and its mental health status affects the physical health and quality of life to some extent. It has a profound impact on mothers, families and society. Neurotic personality, as the most widely studied personality trait in depression, is a relatively stable and long-term personality trait, which is most closely related to negative emotions. This paper summarizes the concept of neurotic personality, its relationship with postpartum depression, assessment tools and the impact on postpartum depression, so as to screen and diagnose perinatal women with neurotic personality as early as possible in future clinical work, so as to take intervention measures for treatment as early as possible, and reduce the incidence and adverse risks of postpartum depression, and improve the quality of life of perinatal women.
| [1] | Modak, A., Ronghe, V., Gomase, K.P., Mahakalkar, M.G. and Taksande, V. (2023) A Comprehensive Review of Motherhood and Mental Health: Postpartum Mood Disorders in Focus. Cureus, 15, e46209. https://doi.org/10.7759/cureus.46209 |
| [2] | Hamel, C., Lang, E., Morissette, K., Beck, A., Stevens, A., Skidmore, B., et al. (2019) Screening for Depression in Women during Pregnancy or the First Year Postpartum and in the General Adult Population: A Protocol for Two Systematic Reviews to Update a Guideline of the Canadian Task Force on Preventive Health Care. Systematic Reviews, 8, Article No. 27. https://doi.org/10.1186/s13643-018-0930-3 |
| [3] | 沐婷玉, 李玉红, 高雅琴, 等. 不同孕次产妇产后抑郁发生率及影响因素调查[J]. 中国妇幼保健, 2018, 33(10): 2319-2322. |
| [4] | Gupta, A., Pajai, S., Gupta, A., Singh Thakur, A., Muneeba, S., Batra, N., et al. (2024) In the Shadows of Motherhood: A Comprehensive Review of Postpartum Depression Screening and Intervention Practices. Cureus, 16, e54245. https://doi.org/10.7759/cureus.54245 |
| [5] | Alizadeh, Z., Feizi, A., Rejali, M., Afshar, H., Keshteli, A.H. and Adibi, P. (2018) The Predictive Value of Personality Traits for Psychological Problems (Stress, Anxiety and Depression): Results from a Large Population Based Study. Journal of Epidemiology and Global Health, 8, 124-133. https://doi.org/10.1016/j.jegh.2017.11.003 |
| [6] | Dong, J., Xiao, T., Xu, Q., Liang, F., Gu, S., Wang, F., et al. (2022) Anxious Personality Traits: Perspectives from Basic Emotions and Neurotransmitters. Brain Sciences, 12, Article 1141. https://doi.org/10.3390/brainsci12091141 |
| [7] | Neda-Stepan, O., Giurgi-Oncu, C., Sălcudean, A., Bernad, E., Bernad, B., Boeriu, E., et al. (2024) Evaluating the Impact of Obsessive-Compulsive Symptoms and Personality Types on Perinatal Depressive Symptoms. Behavioral Sciences, 14, Article 589. https://doi.org/10.3390/bs14070589 |
| [8] | Roman, M., Bostan, C.M., Diaconu-Gherasim, L.R. and Constantin, T. (2019) Personality Traits and Postnatal Depression: The Mediated Role of Postnatal Anxiety and Moderated Role of Type of Birth. Frontiers in Psychology, 10, Article 1625. https://doi.org/10.3389/fpsyg.2019.01625 |
| [9] | 刘青飞, 袁勇贵. 神经质人格特征的研究现状[J]. 心理学通讯, 2019, 2(4): 269-275. |
| [10] | 陈玲玲, 许华山, 陈瑶. 产后抑郁症患者认知模式与人格特质[J]. 中国健康心理学杂志, 2013, 21(7): 970-972. |
| [11] | Murakami, K., Ishikuro, M., Obara, T., Ueno, F., Noda, A., Onuma, T., et al. (2022) Maternal Personality and Postpartum Mental Disorders in Japan: The Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study. Scientific Reports, 12, Article No. 6400. https://doi.org/10.1038/s41598-022-09944-w |
| [12] | 聂衍刚, 林崇德, 郑雪, 等. 青少年社会适应行为与大五人格的关系[J]. 心理科学, 2008, 31(4): 774-779. |
| [13] | 钱铭怡, 武国城. 艾森克人格问卷简式量表中国版(EPQ-RSC)的修订[J]. 心理学报, 2000, 32(3): 317-323. |
| [14] | Ren, Y., Guo, Y., Tang, J., He, L., Li, M., Huang, X., et al. (2024) Effect of Personality and Pain Catastrophizing on Postoperative Analgesia Following Cesarean Section: A Prospective Cohort Study. Journal of Pain Research, 17, 11-19. https://doi.org/10.2147/jpr.s443230 |
| [15] | 章雪倩. 产后抑郁与产妇人格特质相关性[D]: [硕士学位论文]. 武汉: 武汉轻工大学, 2019. |
| [16] | 施旺红. 从森田原著看“顺其自然 为所当为”的真正涵义[C]//第六届中国森田疗法学术大会. 西安: 第四军医大学心理学教研室, 2006: 2. |
| [17] | 王新琦, 寻知元, 毛富强, 等. 大学生森田神经质性格与抑郁症状的关系：负性情绪与空虚感的链式中介效应[J]. 中国健康心理学杂志, 2023, 31(4): 487-494. |
| [18] | Puyané, M., Subirà, S., Torres, A., Roca, A., Garcia-Esteve, L. and Gelabert, E. (2022) Personality Traits as a Risk Factor for Postpartum Depression: A Systematic Review and Meta-analysis. Journal of Affective Disorders, 298, 577-589. https://doi.org/10.1016/j.jad.2021.11.010 |
| [19] | Verkerk, G.J.M., Denollet, J., Van Heck, G.L., Van Son, M.J.M. and Pop, V.J.M. (2005) Personality Factors as Determinants of Depression in Postpartum Women: A Prospective 1-Year Follow-Up Study. Psychosomatic Medicine, 67, 632-637. https://doi.org/10.1097/01.psy.0000170832.14718.98 |
