عنوان مقاله [English]
Introduction: The present study aimed to investigate brain-behavioral systems, early maladaptive schemas and premenstrual syndrome as predictors of postpartum blues.
Method: The present study was a descriptive correlational research. Study population included all referred females who diagnosed as mothers with postpartum depression in health centers of Mashahd city during 2018. A total sample of 172 mothers with postpartum depression selected with Multi-stage cluster sampling method. The participants completed brain behavioral systems Scale, Early maladaptive Schema Scale, Edinburgh Postpartum Depression Scale, and Premenstrual Syndrome Scale. Collected data were analyzed by a stepwise regression model.
Results: The results showed that inhibition/activation behavioral systems, premenstrual syndrome, impaired autonomy and performance schemas and impaired limits schemas were all related to postpartum Blues. The behavioral inhibition system, impaired autonomy and performance schemas, impaired limits schemas and premenstrual syndrome positively predicted postpartum Blues and the behavioral activation system negatively predicted postpartum Blues.
Conclusion: Overall, the results of the study confirm that mood, are directly or indirectly influenced by psychological, endogenous and biological factors such as brain behavioral system, schema, premenstrual syndrome. In order to conceptualization, prediction and treatment postpartum blues disorder, we need to consider the role of early maladaptive schema, premenstrual syndromes and behavioral inhibition system.
1- Cunningham F, Leveno K, Bloom S, Hauth J, Rouse D, Spong CJWo, 23rd ed. New York: McGraw-Hill. Chapter 35. Obstetrical hemorrhage. 2010.
2- Nagy E, Molnar P, Pal A, Orvos H. Prevalence rates and socioeconomic characteristics of post-partum depression in Hungary. Psychiatry research. 2011; 185(1-2): 113-20.
3- Lincoln A, Feyerharm R, Damron P, DeVault M, Lorenz D, Dooley S. Maternal depression after delivery in Oklahoma. The Journal of the Oklahoma State Medical Association. 2008; 101(12): 307-11.
4- Kleeb B, Rageth C. Influence of prophylactic information on the frequency of baby blues. Zeitschrift fur Geburtshilfe und Neonatologie. 2005; 209(1): 22-8.
5- Faisal-Cury A, Menezes PR, Tedesco JJA, Kahalle S, Zugaib M. Maternity “blues”: prevalence and risk factors. The Spanish Journal of Psychology. 2008; 11(2): 593-9.
6- Sadock BJ, Sadock VA. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry: Lippincott Williams & Wilkins. 2011.
7- Cunningham F, Leveno K, Bloom S, Spong CY, Dashe J. Williams obstetrics, 24e: Mcgraw-hill; 2014.
8- Nwankwo TO, Aniebue UU, Aniebue PN. Menstrual disorders in adolescent school girls in Enugu, Nigeria. Journal of pediatric and adolescent gynecology. 2010; 23(6): 358-63.
9- NL. S. Common psychiatric problems. In: Berek JS. Berek & Novak’s gynecology ed t, editor: Philadelphia:Lippincott Williams & Wilkins. 2007.
10- Agarwal AK, Agarwal A. A study of dysmenorrhea during menstruation in adolescent girls. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine. 2010; 35(1): 159.
11- Bloch M, Rotenberg N, Koren D, Klein E. Risk factors for early postpartum depressive symptoms. General hospital psychiatry. 2006; 28(1): 3-8.
12- Wittchen H-U, Becker E, Lieb R, Krause P. Prevalence, incidence and stability of premenstrual dysphoric disorder in the community. Psychological medicine. 2002; 32(1): 119-32.
13- Haywood A, Slade P, King H. Psychosocial associates of premenstrual symptoms and the moderating role of social support in a community sample. Journal of psychosomatic research. 2007; 62(1): 9-13.
14- Singh H, Walia R, Gorea R, Maheshwari A. Premenstrual syndrome (PMS) the malady and the law. Journal of Indian Academy of Forensic Medicine. 2004; 26(4): 129-31.
15- Silva CMLd, Gigante DP, Carret MLV, Fassa AG. Population study of premenstrual syndrome. Revista de saúde pública. 2006; 40(1): 47-56.
16- Lee Y-J, Yi S-W, Ju D-H, Lee S-S, Sohn W-S, Kim I-J. Correlation between postpartum depression and premenstrual dysphoric disorder: single center study. Obstetrics & gynecology science. 2015; 58(5): 353-8.
17- Buttner MM, Mott SL, Pearlstein T, Stuart S, Zlotnick C, O’Hara MW. Examination of premenstrual symptoms as a risk factor for depression in postpartum women. Archives of women's mental health. 2013; 16(3): 219-25.
18- Beckmann CR LF, Smith RP, Barzansky BM, Herbert WN, Laube DW. . Obstetrics and gynecology. ed. t, editor. Philadelphia: Lippincott Williams and Wilkins. 2006.
19- AJ. R. New Treatment Approaches for premenstrual Disorders. Am J manage care. 2005; 11: 480-91.
20- Weisz G, Knaapen L. Diagnosing and treating premenstrual syndrome in five western nations. Social science & medicine. 2009; 68(8): 1498-505.
21- Hawke LD, Provencher MD, Parikh SV. Schema therapy for bipolar disorder: A conceptual model and future directions. Journal of Affective Disorders. 2013; 148(1): 118-22.
22- Young JE, Klosko JS, Weishaar ME. Schema therapy: A practitioner's guide: Guilford Press; 2003.
23- Riso LP, du Toit PL, Stein DJ, Young JE. Cognitive schemas and core beliefs in psychological problems: A scientist-practitioner guide: American Psychological Association. 2007.
24- Scott JR GR, Karlan BY, Haney AF. Danforth's obstetrics and gynecology. ed t, editor. Philadelphia: Lippincott Williams and Wilkins. 2003.
25- O’keane V, Lightman S, Patrick K, Marsh M, Papadopoulos A, Pawlby S, et al. Changes in the maternal hypothalamic‐pituitary‐adrenal axis during the early puerperium may be related to the postpartum ‘blues’. Journal of neuroendocrinology. 2011; 23(11): 1149-55.
26- Held L, Rutherford A. Can't a mother sing the blues? Postpartum depression and the construction of motherhood in late 20th-century America. History of Psychology. 2012; 15(2): 107.
27- Buttner MM, O’Hara MW, Watson D. The structure of women’s mood in the early postpartum. Assessment. 2012; 19(2): 247-56.
28- Dumitrescu AL, Toma C, Lascu V. Investigating the use of specific cognitive emotion regulation strategies in response to the experience of gingival bleeding. Rom J Intern Med. 2011; 49: 207-15.
29- Gray J, Van Goozen H, Van De Poll N, Sergeant J. Emotions: Essays on emotion theory. 1994.
30- Gray JA. Neural systems, emotion, and personality. Neurobiology of learning, emotion, and affect. 1991.
31- Gray JA. A model of the limbic system and basal ganglia: applications to anxiety and schizophrenia. 1995.
32- Gray JA. Brain systems that mediate both emotion and cognition. Cognition & emotion. 1990; 4(3): 269-88.
33. Azadfallah P, Dadsetan P, Ezheei J, Moazeni M. Stress: Work systems and brain/behavioral changes IVIGA secretory . J Pshycology. 1999;3(9):3-22.
34- Corr PJ. JA Gray's reinforcement sensitivity theory: Tests of the joint subsystems hypothesis of anxiety and impulsivity. Personality and individual differences. 2002; 33(4): 511-32.
35- De Pascalis V, Varriale V, D’Antuono L. Event-related components of the punishment and reward sensitivity. Clinical Neurophysiology. 2010; 121(1): 60-76.
36- Corr PJ. Reinforcement sensitivity theory and personality. Neuroscience & Biobehavioral Reviews. 2004; 28(3): 317-32.
37- Corr PJ, Pickering AD, Gray JA. Personality and reinforcement in associative and instrumental learning. Personality and individual differences. 1995; 19(1): 47-71.
38- Meyer B, Johnson SL, Winters R. Responsiveness to threat and incentive in bipolar disorder: Relations of the BIS/BAS scales with symptoms. Journal of psychopathology and behavioral assessment. 2001; 23(3): 133-43.
39- Keiser HN RS. Carver and Wites’ BIS/ FFFS/ BAS scales and domains and facets of five factor model of personality. Personality and Individual Differences. 2011; 51: 39-44.
40- Vermeersch H TSG, Kaufman JM, Vincke J. T. he relationship between sex steroid hormones and behavioural inhibition (BIS) and behavioural activation (BAS) in adolescent boys and girls. Personality and Individual Differences. 2009; 3(17-13).
41- Gray JA, McNaughton N, editors. The neuropsychology of anxiety: Reprise. Nebraska symposium on motivation; 1996: University of Nebraska Press.
42- Ly C, Gomez R. Unique associations of reinforcement sensitivity theory dimensions with social interaction anxiety and social observation anxiety. Personality and individual differences. 2014; 60: 20-4.
43- mosllanejad L SS. The accuracy of Edinbourgh postpartum depression test. jmj. 2009; 7(4): 1-6.
44- Jackson CJ. Jackson-5 scales of revised Reinforcement Sensitivity Theory (r-RST) and their application to dysfunctional real world outcomes. Journal of Research in Personality. 2009; 43(4): 556-69.
45- Hasani J . sS, Rasoli Azad M. Psychometric Properties of Jackson’s Five Factor Questionnaire: Scales of revised Reinforcement Sensitivity Theory (r-RST). rph. 2012; 6(3): 60-73.
46- JE. Y. Shema therapy. New York: Guilford; 1988.
47- schema Therapy: conceptual.avalablein. [Internet]. 1994.
48- GH. A. Standardization of a short form of the Young Schema Questionnaire (Factor Structure Analysis) among students of Tehran University. 2004.
49- Ashtari N PT, Khodabakhshi Koolaee A, Khosh Konesh A, Khatiban M. . Premenstrual syndrome can affect people’s resilience and quality of life. The aim of this study was to determine the impact of awareness group training of premenstrual syndrome on resilience and quality of life in the female high school students. Sci J Hamadan Nurs Midwifery Fac. 2015; 23(163-73).
50- Kasch KL RJ, Arnow BA, Gotlib IH. Behavioral activation and inhibition systems and the severity and course of depression. J Abnorm Psychol. 2002; 111: 589-97.
51- Gray J, Rowe D. The Hilbert Challenge: Oxford University Press on Demand. 2000.
52- Johnson SL TR, Iwata N. BIS/BAS levels and psychiatric disorder: An epidemiological study. J Psychopathol Behav Assess. 2003; 25: 25-36.
53- Gable SL, Reis HT, Elliot AJ. Behavioral activation and inhibition in everyday life. Journal of personality and social psychology. 2000; 78(6): 1135.
54- Harnett PH, Loxton NJ, Jackson CJ. Revised Reinforcement Sensitivity Theory: Implications for psychopathology and psychological health. Personality and individual differences. 2013; 54(3): 432-7.
55- DC. F. Biological variables in psychopathology: A psychobiological perspective. In: Adams HE, Sutker PB. (editors). . New York: Comprehensive handbook of psychopathology. 1993.
56- D. G. Activity of the behavioral activation system and behavioral inhibition system and psychopathology. Annular of Clinical and Health Psychology. 2012 ;6: 57-60.
57- Segarra P PR, Lopez R, Molto J. . Characterizing Carver and White’s BIS/BAS subscales using the Five Factor Model of personality. Personality and Individual Differences. 2014; 61: 18-23.
58- M. M. The Relationship between Personality Biological Structures and Schema with Signs of Premenstrual Syndrome in Women. 2013.
59- A. M. Study of Schema and Premenstrual syndrome in mothers with distress after delivery. .. Islamic Azad University of Torbat-e-Jam. 2013.
60- Beckmann CR LF, Smith RP, Barzansky BM, Herbert WN, Laube DW. . Obstetrics and gynecology. 5th ed. Philadelphia: Lippincott Williams and Wilkins. 2006.
61- Baker JH PC, Leserman J, Brownley KA. . Active ghrelin and the postpartum. Arch Womens Ment Health. 2016; 19(3): 515-20.
62- Sheets DF SD. Depression and Other Neurotransmitter Related Conditions: The Mercury Connection -DAMS -Dental Amalgam Mercury olutions. 20112011.
63- Onyike CU CR, Lee HB, Lyketsos CG, Eaton WW. I. s obesity associated with major depression? Results from the Third National Health and Nutrition Examination Survey. Am J Epidemiol. 2003; 158(12): 1139-47.
64- Corwin EJ PKT. he psychoneuroimmunology of postpartum depression. J Womens Health (Larchmt). 2008; 17(9): 1529-34.
65- Bakhshipour-Roodsari A M-AM, Beyrami M, Gharabaghi H. The Role of Brain -Behavioral Systems in Psychopathy Disorder based on Triarchic Model of Psychopathy. Journal of Clinical Psychology. 2016; 8(4): 23-34.
66- Shareh H AA. Brain Behavioral Systems, Metacognitive Beliefs, and Thought Control Strategies in Patients with Obsessive-Compulsive Disorder. Journal of Clinical Psychology. 2013; 5(3): 11-21.