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首页> 美国卫生研究院文献>Frontiers in Psychology >Be a Mom, a Web-Based Intervention to Prevent Postpartum Depression: The Enhancement of Self-Regulatory Skills and Its Association With Postpartum Depressive Symptoms
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Be a Mom, a Web-Based Intervention to Prevent Postpartum Depression: The Enhancement of Self-Regulatory Skills and Its Association With Postpartum Depressive Symptoms

机译：做妈妈，基于网络的干预预防产后抑郁：自我调节能力的增强及其与产后抑郁症状的关系

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Aim: Be a Mom is a self-guided, web-based intervention to prevent persistent postpartum depression symptoms [PPD], targeting both at-risk postpartum women and/or women presenting early-onset postpartum depressive symptoms (selective/indicated preventive intervention). Be a Mom is grounded on the principles of Cognitive-Behavior Therapy and incorporates the recent contributions of acceptance and compassion-based approaches (third-wave approaches) applied to the perinatal context. This study aimed to explore the processes underlying therapeutic change in the Be a Mom intervention, by: (1) exploring whether participation in the Be a Mom promotes the enhancement of self-regulatory skills (emotion regulation abilities, psychological flexibility and self-compassion) in comparison with women who did not participate in the program; and (2) exploring whether changes in self-regulatory skills are associated with changes in depressive symptoms, among women who participated in the Be a Mom program.Methods: A pilot randomized, two-arm controlled trial was conducted. Eligible women (presenting PPD risk-factors and/or early-onset PPD symptoms) were enrolled in the study and were randomly assigned to the intervention group (Be a Mom, n = 98) or to the waiting-list control group (n = 96). Participants in both groups completed baseline (T1) and post-intervention assessments (T2), including measures of depressive symptoms, emotion regulation abilities, psychological flexibility and self-compassion.Results: From baseline to post-intervention assessment, women in the intervention group showed a significantly greater decrease in the levels of emotion regulation difficulties (p < 0.001) and a significant greater increase in the levels of self-compassion (p < 0.001) compared to the control group. No significant differences were found concerning psychological flexibility. Moreover, a greater decrease in difficulties in emotion regulation and greater increase in self-compassion levels were significantly associated with a greater decrease in depressive symptoms, among women in the intervention group.Discussion: Be a Mom promotes the enhancement of women’s emotion regulation abilities and self-compassion, and this seems to exert a protective effect in the presence of PPD risk factors (or early-onset symptoms) because it led to a reduction of depressive symptoms. By providing some insights into the processes that underlie treatment response to Be a Mom, this study highlights the important role of the targeted third-wave processes applied to the perinatal context.
机译：目标：做一个妈妈是一种基于网络的自我指导干预措施，旨在预防持续的产后抑郁症状[PPD]，同时针对有风险的产后妇女和/或表现出早发性产后抑郁症状的妇女（选择性/指示性预防干预）。做个妈妈是基于认知行为疗法的原理，并结合了围产期背景下接受和基于同情心的方法（第三波方法）的最新贡献。这项研究旨在探讨“成为妈妈”干预中治疗变革的潜在过程，方法是：（1）探索参与“成为妈妈”是否促进自我调节技能的增强（情绪调节能力，心理灵活性和同情心）与未参加该计划的妇女相比； （2）探讨参加Be a Mom计划的女性的自我调节技能的改变是否与抑郁症状的改变有关。方法：进行。符合条件的妇女（表现出PPD危险因素和/或早期发作的PPD症状）参加了研究，并随机分配到干预组（成为妈妈，n = 98）或等待名单对照组（n = 96）。两组参与者均完成了基线（T1）和干预后评估（T2），包括对抑郁症状，情绪调节能力，心理柔韧性和同情心的测量。结果：：从基线到干预后评估显示，与对照组相比，干预组妇女的情绪调节困难水平显着降低（p <0.001），自我同情水平显着提高（p <0.001）。在心理柔韧性方面没有发现显着差异。此外，干预组女性的情绪调节困难程度的降低和自我同情心水平的提高也与抑郁症状的降低显着相关。讨论：做妈妈可以促进增强女性的情绪调节能力和自我同情心，并且在存在PPD危险因素（或早期发作的症状）的情况下，这似乎起到了保护作用，因为它可以减轻抑郁症状。通过对构成“成为妈妈”的治疗反应基础的过程提供一些见识，本研究突出了针对围产期情况的靶向第三波过程的重要作用。

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