افسردگی دوران بارداری و بیخوابی در زنان باردار: نقش پیش بینی کننده نشخوار شبانه و ذهن آگاهی

نوع مقاله : مقاله پژوهشی

نویسنده

دکترای تخصصی روانشناسی، استادیار گروه روانشناسی موسسه آموزش عالی غیرانتفاعی راه دانش بابل، مازندران، ایران

چکیده

دوران بارداری و ایام پس از زایمان، از حساس ترین دوران زندگی زنان محسوب می شود. این دوران به همان اندازه که از نظر جسمانی مورد توجه قرار می گیرد، از نظر روانی و اجتماعی نیز حایز اهمیت است اختلالات خواب و افسردگی از شکایات شایع دوران بارداری است. این اختلالات که در نتیجه تغییرات فیزیولوژیکی و هورمونی در حاملگی رخ می دهند از علل متفاوتی برخوردارند و می تواند زمینه ساز بسیاری از اختلالات حین بارداری باشد. هدف از انجام این پژوهش تبیین نقش نشخوار شبانه و ذهن آگاهی در پیش بینی افسردگی و بی خوابی است. جامعه شامل زنان مراجعه کننده به کلینیک های زنان و زایمان شهر تهران بود که 136نفر از آنان به صورت در دسترس انتخاب شدند. جهت گردآوری داده ها از پرسشنامه های شدت بیخوابی، افسردگی ادینبورگ، برانگیختگی پیش از خواب و مقیاس تجدید نظر شده شناختی-عاطفی ذهن آگاهی استفاده شد. داده ها به روش رگرسیون، توسط نرم افزار SPSS 24 مورد تجزیه و تحلیل قرار گرفتند. بین بیخوابی و برانگیختگی قبل از خواب با افسردگی در زنان باردار رابطه مثبت وجود داشت. همچنین نشخوار شبانه رابطه مثبتی با هر دو متغیر افسردگی دوران بارداری و بیخوابی و ذهن آگاهی رابطه منفی با افسردگی دوران بارداری و بیخوابی دارد.
نتایج پژوهش حاضر نشان می دهد که با کاهش فرایندهای فکری نشخوارگونه میزان افسردگی کاهش می یابد، و مداخله‌های ذهن‌آگاهانه در خصوص بیخوابی و افسردگی، باعث بهبود و تنظیم استرس و حالات روانی در دوران پیش از زایمان می شود.

کلیدواژه‌ها

عنوان مقاله [English]

Pregnancy depression and insomnia in pregnant women: The predictive role of nocturnal rumination and mindfulness

نویسنده [English]

  • maryam talebi
PhD in Psychology, Assistant Professor, Department of Psychology, Non-Profit Higher Education Institute, Babol, Mazandaran, Iran
چکیده [English]

Pregnancy and postpartum are the most sensitive periods in a woman's life. This period is as important physically as it is physically and psychologically. Sleep disorders and depression are common complaints during pregnancy. These disorders, which occur as a result of physiological and hormonal changes in pregnancy, have different causes and can be the cause of many disorders during pregnancy. The aim of this study was to explain the role of nocturnal rumination and mindfulness in predicting depression and insomnia. The population included women referring to gynecology and obstetrics clinics in Tehran, 136 of whom were selected by convenience sampling. In order to collect data, questionnaires of insomnia severity, Edinburgh depression, pre-sleep arousal and revised cognitive-emotional scale of mindfulness were used. Data were analyzed by SPSS 24 software. There was a positive relationship between insomnia and arousal before sleep and depression in pregnant women. Also, nocturnal rumination has a positive relationship with both variables of depression during pregnancy and insomnia and mindfulness has a negative relationship with both depression during pregnancy and insomnia.
The results of the present study show that the rate of depression decreases with the reduction of ruminant thought processes, and mindful interventions on insomnia and depression improve and regulate stress and mental states in the prenatal period.

کلیدواژه‌ها [English]

  • Depression
  • Pregnancy
  • Insomnia
  • Nocturnal rumination
  • Mindfulness

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فصلنامه زن و جامعه
دوره 13، شماره 49 - شماره پیاپی 49
اردیبهشت 1401
صفحه 171-184

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سابقه مقاله

  • تاریخ دریافت: 20 شهریور 1399
  • تاریخ بازنگری: 09 آذر 1400
  • تاریخ پذیرش: 04 اسفند 1400

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