期刊
BEHAVIOUR RESEARCH AND THERAPY
卷 82, 期 -, 页码 38-49出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.brat.2016.05.003
关键词
Postnatal depression; Rumination; Contingent responsiveness; Parenting; Cognitive control; Cognitive biases
资金
- Wellcome Trust [106284/Z/14/Z, 090139]
- European Research Council under the European Union's Seventh Framework Programme (FP7) / ERC grant [324176]
- Medical Research Council [MC_PC_14096]
- Wellcome Trust [106284/Z/14/Z] Funding Source: Wellcome Trust
- MRC [MC_PC_14096] Funding Source: UKRI
- Medical Research Council [MC_PC_14096] Funding Source: researchfish
Postnatal depression (PND) confers risk for a range of negative child developmental outcomes, at least in part through its impact on parenting behaviour. Whilst the behavioural effects of depression on parenting are well established, the cognitive mechanisms that may mediate this effect are less well understood. The current paper proposes that rumination may be a key cognitive mechanism through which parenting is affected in PND, and provides a systematic review of the existing literature on rumination in the context of perinatal depression. The review identifies ten relevant papers. Eight are questionnaire-based studies examining the role of rumination in predicting future depression and/or mother-infant relationship outcomes, such as bonding. Two are experimental studies examining the effects of induced rumination on parenting behaviours. The results of the review are discussed, and remaining questions highlighted. We then present a new theoretical model, developed specifically for the perinatal context, and informed by existing models of rumination and worry. Our cognitive model emphasises the relationship between rumination, cognitive biases and cognitive control, and the impact of these variables on infant cue processing and subsequent parenting responses. The model provides a potential framework for future work in this area, and to guide the development of treatment interventions. (C) 2016 The Authors. Published by Elsevier Ltd.
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