母亲围产期心理健康与完美主义的关系:系统回顾和荟萃分析

IF 3.8 3区 心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Clinical Psychology Pub Date : 2022-06-28 DOI:10.1111/bjc.12378
Clare Evans, Jana Kreppner, Peter J. Lawrence
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引用次数: 2

摘要

完美主义是成人精神病理学的一个重要特征。在缺乏对完美主义在围产期精神病理中的作用的先前审查的情况下,我们旨在确定完美主义是否与母亲围产期抑郁和焦虑症状有关。方法:我们遵循PRISMA指南(PROSPERO: 42019143369),估计加权效应大小并测试可能的调节因素:时间(产前或产后)、用于测量结构的量表、婴儿性别、气质和年龄;并评价学习质量。结果14项研究符合入选标准。完美主义整体和完美主义关注维度与常见的孕产妇围产期心理健康困难存在中度相关(r = .32)(95%置信区间= 0.23 ~ 0.42)。在亚组分析中,完美主义担忧与抑郁相关(r =。35, 95% ci = 0.26-0.43)。我们没有发现显著的关联缓和的证据。纳入的研究存在方法学和概念上的局限性。所有的研究都是关于抑郁的,两项研究是关于焦虑的;所有人都研究了完美主义的担忧,四人研究了完美主义的努力。结论完美主义,即完美主义关注,可能与常见的孕产妇围产期心理健康问题有关。虽然需要进一步的研究,但围产期完美主义的识别可能有助于集中资源进行干预,减少围产期心理健康问题的患病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The association between maternal perinatal mental health and perfectionism: A systematic review and meta-analysis

Background

Perfectionism is an important feature of adult psychopathology. In the absence of a prior review of the role of perfectionism in perinatal psychopathology, we aimed to ascertain whether perfectionism was associated with symptoms of maternal perinatal depression and anxiety.

Method

We followed PRISMA guidance (PROSPERO: 42019143369), estimated weighted effect sizes and tested possible moderators: timing (pre or post- natal), scales used to measure constructs, infant gender, temperament and age; and rated study quality.

Results

Fourteen studies met eligibility criteria. Perfectionism as a whole, and the perfectionistic concerns dimension, were moderately correlated with common maternal perinatal mental health difficulties r = .32 (95% Confidence Interval = 0.23 to 0.42). In sub-group analyses, perfectionistic concerns were associated with depression (r = .35, 95% CI = 0.26–0.43). We found no evidence of significant moderation of associations.

Limitations

Included studies had methodological and conceptual limitations. All studies examined depression and two examined anxieties; all examined perfectionistic concerns and four examined perfectionist strivings.

Conclusions

Perfectionism, namely perfectionistic concerns, is potentially associated with common maternal perinatal mental health problems. While further research is warranted, identification of perfectionism in the perinatal period may help focus resources for intervention, reducing the prevalence of perinatal mental health difficulties.

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来源期刊
CiteScore
5.80
自引率
3.20%
发文量
57
期刊介绍: The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups
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