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01-02-2013 | Original Article

Predicting Changes in Depressive Symptoms from Pregnancy to Postpartum: The Role of Brooding Rumination and Negative Inferential Styles

Auteurs: Sarah E. Barnum, Mary L. Woody, Brandon E. Gibb

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2013

Abstract

The current study examined the role of cognitive factors in the development and maintenance of depressive symptoms from pregnancy into the postpartum period. One hundred and one women were assessed for levels of rumination (brooding and reflection), negative inferential styles, and depressive symptoms in their third trimester of pregnancy and depressive symptom levels again at 4 and 8 weeks postpartum. We found that, although none of the three cognitive variables predicted women’s initial depressive reactions following childbirth (from pregnancy to 1 month postpartum), brooding rumination and negative inferential styles predicted longer-term depressive symptom changes (from pregnancy to 2 months postpartum). However, the predictive validity of women’s negative inferential styles was limited to women already exhibiting relatively high depressive symptom levels during pregnancy, suggesting that it was more strongly related to the maintenance of depressive symptoms into the postpartum period rather than increases in depressive symptoms following childbirth. Modifying cognitive risk factors, therefore, may be an important focus of intervention for depression during pregnancy.

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Although negative inferential styles in adults are most commonly assessed with the Cognitive Style Questionnaire (Haeffel et al. 2008), five of the 12 hypothetical negative events on this scale focus on school work/academic performance, which may be less relevant for a general community sample of expectant mothers. Therefore, we chose to use the EASQ instead because it focuses more broadly on negative events that may be more typical for a community sample.

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Titel: Predicting Changes in Depressive Symptoms from Pregnancy to Postpartum: The Role of Brooding Rumination and Negative Inferential Styles
Auteurs: Sarah E. Barnum
Mary L. Woody
Brandon E. Gibb
Publicatiedatum: 01-02-2013
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 1/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-012-9456-5

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