The metacognitive model of rumination and depression in postpartum women.
depression
metacognition
peripartum
postnatal depression
rumination
Journal
Psychology and psychotherapy
ISSN: 2044-8341
Titre abrégé: Psychol Psychother
Pays: England
ID NLM: 101135751
Informations de publication
Date de publication:
09 2022
09 2022
Historique:
revised:
11
04
2022
received:
12
05
2021
accepted:
12
05
2022
pubmed:
1
6
2022
medline:
2
8
2022
entrez:
31
5
2022
Statut:
ppublish
Résumé
The metacognitive model of rumination and depression (Papageorgiou & Wells, 2003, Cognitive Therapy and Research, 27, 261) postulates that beliefs that perseverative negative thinking, i.e. rumination, will help solve problems contributing to rumination. However, this activates negative beliefs about the uncontrollability and social consequences of ruminations, which exacerbate depression. The metacognitive model has been well-supported but with some inconsistencies in specific pathways. It has also not yet been tested for postpartum depression (PPD). Therefore, this study aimed to examine the relations between the metacognitive model of rumination and depression when applied to PPD symptoms and to compare it with the cognitive model of depression. This is a cross-sectional study. Postpartum mothers (N = 603) participated in an online study in their first postpartum year. They completed the Edinburgh Postnatal Depression Scale (EPDS), Postnatal Negative Thoughts Questionnaire (PNTQ), Ruminative Responses Scale (RRS), Positive Beliefs about Rumination Scale (PBRS) and Negative Beliefs about Rumination Scale (NBRS). A path analysis revealed that the model had an excellent fit to the data. Specifically, positive beliefs about rumination predicted engagement in rumination that, in turn, predicted PPD, both directly and indirectly, through negative beliefs about uncontrollability and the social consequences of rumination. A cognitive model with ruminations as a partial mediator between negative postpartum thoughts and PPD symptoms also had a good fit. The findings of this study contribute to the understanding of the cognitive and metacognitive mechanisms underlying postpartum depression, which might be similar to depression in general and have important implications for treatment strategies.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
838-852Informations de copyright
© 2022 The British Psychological Society.
Références
Ayers, S., Harris, R., Sawyer, A., Parfitt, Y., & Ford, E. (2009). Posttraumatic stress disorder after childbirth: Analysis of symptom presentation and sampling. Journal of Affective Disorders, 119(1-3), 200-204. https://doi.org/10.1016/j.jad.2009.02.029
Bakhtiari, A., & Abedi, A. (2012). Effectiveness of group therapy based on metacognitive model of detached mindfulness on postpartum depression (Abstract). Journal of Applied Psychology, 6(2), 9-24.
Barnum, S. E., Woody, M. L., & Gibb, B. E. (2013). Predicting changes in depressive symptoms from pregnancy to postpartum: The role of brooding rumination and negative inferential styles. Cognitive Therapy and Research, 37(1), 71-77. https://doi.org/10.1007/s10608-012-9456-5
Beck, C. T., & Indman, P. (2005). The many faces of postpartum depression. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 34(5), 569-576. https://doi.org/10.1177/0884217505279995
Bevan, D., Wittkowski, A., & Wells, A. (2013). A multiple-baseline study of the effects associated with metacognitive therapy in postpartum depression. Journal of Midwifery & Women's Health, 58(1), 69-75. https://doi.org/10.1111/j.1542-2011.2012.00255.x
Branquinho, M., de la Fe Rodriguez-Muñoz, M., Rodrigues Maia, B., Marques, M., Matos, M., Osma, J., Moreno-Peral, P., Conejo-Ceron, S., Fonseca, A., & Vousoura, E. (2021). Effectiveness of psychological interventions in the treatment of perinatal depression: A systematic review of systematic reviews and meta-analyses. Journal of Affective Disorders., 291, 294-306. https://doi.org/10.1016/j.jad.2021.05.010
Cano-López, J. B., García-Sancho, E., Fernández-Castilla, B., & Salguero, J. M. (2022). Empirical evidence of the metacognitive model of rumination and depression in clinical and nonclinical samples: A systematic review and meta-analysis. Cognitive Therapy and Research, 46, 367-392. https://doi.org/10.1007/s10608-021-10260-2
Capobianco, L., Heal, C., Bright, M., & Wells, A. (2019). What comes first metacognition or negative emotion? A test of temporal precedence. Frontiers in Psychology, 10, 2507. https://doi.org/10.3389/fpsyg.2019.02507
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150(6), 782-786. https://doi.org/10.1192/bjp.150.6.782
DeJong, H., Fox, E., & Stein, A. (2016). Rumination and postnatal depression: A systematic review and a cognitive model. Behaviour Research and Therapy, 82, 38-49. https://doi.org/10.1016/j.brat.2016.05.003
Falah-Hassani, K., Shiri, R., & Dennis, C. L. (2016). Prevalence and risk factors for comorbid postpartum depressive symptomatology and anxiety. Journal of Affective Disorders, 198, 142-147. https://doi.org/10.1016/j.jad.2016.03.010
Fonseca, A., & Canavarro, M. C. (2018). Exploring the paths between dysfunctional attitudes towards motherhood and postpartum depressive symptoms: The moderating role of self-compassion. Clinical Psychology & Psychotherapy, 25(1), e96-e106. https://doi.org/10.1002/cpp.2145
Gotlib, I. H., & Joormann, J. (2010). Cognition and depression: Current status and future directions. Annual Review of Clinical Psychology, 6, 285-312. https://doi.org/10.1146/annurev.clinpsy.121208.131305
Hahn-Holbrook, J., Cornwell-Hinrichs, T., & Anaya, I. (2018). Economic and health predictors of national postpartum depression prevalence: A systematic review, meta-analysis, and meta-regression of 291 studies from 56 countries. Frontiers in Psychiatry, 8, 248. https://doi.org/10.3389/fpsyt.2017.00248
Halbreich, U., & Karkun, S. (2006). Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptom. Journal of Affective Disorders, 91, 97-111. https://doi.org/10.1016/j.jad.2005.12.051
Hall, P. L., & Wittkowski, A. (2006). An exploration of negative thoughts as a normal phenomenon after childbirth. Journal of Midwifery & Women's Health, 51(5), 321-330. https://doi.org/10.1016/j.jmwh.2006.03.007
Hall, P. L., & Papageorgiou, C. (2005). Negative thoughts after childbirth: Development and preliminary validation of a self-report scale. Depression and Anxiety, 22, 232-129. https://doi.org/10.1002/da.20119
Hayes, A. F., & Coutts, J. J. (2020). Use omega rather than Cronbach's alpha for estimating reliability. But…. Communication Methods and Measures, 14(1), 1-24. https://doi.org/10.1080/19312458.2020.1718629
Howard, L. M., Molyneaux, E., Dennis, C. L., Rochat, T., Stein, A., & Milgrom, J. (2014). Non-psychotic mental disorders in the perinatal period. The Lancet, 384(9956), 1775-1788. https://doi.org/10.1016/S0140-6736(14)61276-9
Huntley, C. D., & Fisher, P. L. (2016). Examining the role of positive and negative metacognitive beliefs in depression. Scandinavian Journal of Psychology, 57(5), 446-452. https://doi.org/10.1111/sjop.12306
Isa Alfaraj, A. M., Spada, M. M., Nikčević, A. V., Puffett, A., & Meer, S. (2009). Positive beliefs about rumination in depressed and non-depressed pregnant women: a preliminary investigation. Journal of Reproductive and Infant Psychology, 27(1), 54-60. https://doi.org/10.1080/02646830701759678
Jones, A. (2019). Help seeking in the perinatal period: A review of barriers and facilitators. Social Work in Public Health, 34(7), 596-605. https://doi.org/10.1080/19371918.2019.1635947
Jones, N. P., Siegle, G. J., & Thase, M. E. (2008). Effects of rumination and initial severity on remission to cognitive therapy for depression. Cognitive Therapy and Research, 32(4), 591-604. https://doi.org/10.1007/s10608-008-9191-0
Kalebić Jakupčević, K., & Živčić-Bećirević, I. (2017). Doprinos ruminacije, usredotočenosti, potiskivanja misli i metakognitivnih vjerovanja objašnjenju depresivnosti [Contribution of Rumination, Mindfulness, Thought Suppression and Metacognitive Beliefs in Depression]. Psihologijske teme, 26(2), 335-354. https://doi.org/10.31820/pt.26.2.4
Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). The Guilford Press.
Leahy, R. L., Holland, S. J., & McGinn, L. K. (2012). Treatment plans and interventions for depression and anxiety disorders (2nd ed.). The Guilford Press.
Levis, B., Negeri, Z., Sun, Y., Benedetti, A., & Thombs, B. D. (2020). Accuracy of the Edinburgh Postnatal Depression Scale (EPDS) for screening to detect major depression among pregnant and postpartum women: Systematic review and meta-analysis of individual participant data. British Medical Journal, 371, m4022. https://doi.org/10.1136/bmj.m4022
Letourneau, N. L., Dennis, C. L., Benzies, K., Duffett-Leger, L., Stewart, M., Tryphonopoulos, P. D., Este, D., & Watson, W. (2012). Postpartum depression is a family affair: Addressing the impact on mothers, fathers, and children. Issues in Mental Health Nursing, 33(7), 445-457. https://doi.org/10.3109/01612840.2012.673054
Little, T. D. (2013). Longitudinal structural equation modeling (3rd ed.). The Guilford Press.
Martinez, R., Johnston-Robledo, I., Ulsh, H. M., & Chrisler, J. C. (2001). Singing "the baby blues": A content analysis of popular press articles about postpartum affective disturbances. Women & Health, 31(2-3), 37-56. https://doi.org/10.1300/J013v31n02_02
Michalak, J., Hölz, A., & Teismann, T. (2011). Rumination as a predictor of relapse in mindfulness-based cognitive therapy for depression. Psychology and Psychotherapy: Theory, Research and Practice, 84(2), 230-236. https://doi.org/10.1348/147608310X520166
Moulds, M. L., Black, M. J., Newby, J. M., & Hirsch, C. R. (2021). Correlates of repetitive negative thinking in postnatal first time mothers. Journal of Reproductive and Infant Psychology. Advance online publication. https://doi.org/10.1080/02646838.2021.1946023
Müller, D., Teismann, T., Havemann, B., Michalak, J., & Seehagen, S. (2013). Ruminative thinking as a predictor of perceived postpartum mother-infant bonding. Cognitive Therapy and Research, 37(1), 89-96. https://doi.org/10.1007/s10608-012-9454-7
Muthén, L.K., & Muthén, B.O. (2017). Mplus User’s Guide (8th ed.). Muthén & Muthén.
Nakić Radoš, S., Tadinac, M., & Herman, R. (2013a). Validation study of the Croatian version of the Edinburgh Postnatal Depression Scale (EPDS). Suvremena psihologija, 16(2), 203-218.
Nakić Radoš, S., Tadinac, M., & Herman, R. (2013b). Prevalence of depression during pregnancy and postpartum in a sample of Croatian women. Klinička psihologija, 1(2), 79-93.
Nakić Radoš, S., Tadinac, M., & Herman, R. (2018). Anxiety during pregnancy and postpartum: Course, predictors and comorbidity with postpartum depression. Acta Clinica Croatica, 57(1), 39-51. https://doi.org/10.20471/acc.2018.57.01.05
Ngai, F. W., Chan, S. W. C., & Ip, W. Y. (2010). Predictors and correlates of maternal role competence and satisfaction. Nursing Research, 59(3), 185-193. https://doi.org/10.1097/NNR.0b013e3181dbb9ee
Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569-582. https://doi.org/10.1037//0021-843x.100.4.569
Nolen-Hoeksema, S. (2004). The Response Styles Theory. In C. Papageorgiou & A. Wells (Eds.), Depressive rumination: Nature, theory and treatment. Wiley.
Nolen-Hoeksema, S., & Morrow, J. (1993). Effects of rumination and distraction on naturally occurring depressed mood. Cognition and Emotion, 7(6), 561-570. https://doi.org/10.1080/02699939308409206
O'Hara, M. W. (2009). Postpartum depression: what we know. Journal of Clinical Psychology, 65(12), 1258-1269. https://doi.org/10.1002/jclp.20644
O'Mahen, H. A., Boyd, A., & Gashe, C. (2015). Rumination decreases parental problem-solving effectiveness in dysphoric postnatal mothers. Journal of Behavior Therapy and Experimental Psychiatry, 47, 18-24. https://doi.org/10.1016/j.jbtep.2014.09.007
O'Mahen, H. A., Flynn, H. A., & Nolen-Hoeksema, S. (2010). Rumination and interpersonal functioning in perinatal depression. Journal of Social and Clinical Psychology, 29(6), 646-667. https://doi.org/10.1521/jscp.2010.29.6.646
Örün, E., Yalçın, S. S., & Mutlu, B. (2013). Relations of maternal psychopathologies, social-obstetrical factors and mother-infant bonding at 2-month postpartum: a sample of Turkish mothers. World Journal of Pediatrics, 9(4), 350-355. https://doi.org/10.1007/s12519-013-0432-2
Papageorgiou, C., & Wells, A. (2001). Positive beliefs about depressive rumination: Development and preliminary validation of a self-report scale. Behavior Therapy, 32, 13-26. https://doi.org/10.1016/S0005-7894(01)80041-1
Papageorgiou, C., & Wells, A. (2003). An empirical test of a clinical metacognitive model of rumination and depression. Cognitive Therapy and Research, 27(3), 261-273. https://doi.org/10.1023/A:1023962332399
Papageorgiou, C., & Wells, A. (2009). A prospective test of the clinical metacognitive model of rumination and depression. International Journal of Cognitive Therapy, 2(2), 123-131. https://doi.org/10.1521/ijct.2009.2.2.123
Parola, N., Zendjidjian, X. Y., Alessandrini, M., Baumstarck, K., Loundou, A., Fond, G., Berna, F., Lançon, C., Auquier, P., & Boyer, L. (2017). Psychometric properties of the Ruminative Response Scale-short form in a clinical sample of patients with major depressive disorder. Patient Preference and Adherence, 11, 929-937.
Pedro, L., Branquinho, M., Canavarro, M. C., & Fonseca, A. (2019). Self-criticism, negative automatic thoughts and postpartum depressive symptoms: The buffering effect of self-compassion. Journal of Reproductive and Infant Psychology, 37(5), 539-553. https://doi.org/10.1080/02646838.2019.1597969
Pour, E. G., Azizi, A., & Mohamadi, J. (2016). The efficacy of detached mindfulness in meta-cognitive therapy on postpartum depression. Journal of Nursing Education, 5(5), 17-22. https://doi.org/10.21859/jne-05053
Roelofs, J., Huibers, M., Peeters, F., Arntz, A., & van Os, J. (2010). Positive and negative beliefs about depressive rumination: A psychometric evaluation of two self-report scales and a test of a clinical metacognitive model of rumination and depression. Cognitive Therapy and Research, 34(2), 196-205. https://doi.org/10.1007/s10608-009-9244-z
Roelofs, J., Papageorgiou, C., Gerber, R. D., Huibers, M., Peeters, F., &Arntz, A. (2007). On the links between self-discrepancies, rumination, metacognitions, and symptoms of depression in undergraduates. Behaviour Research and Therapy, 45(6), 1295-1305. https://doi.org/10.1016/j.brat.2006.10.005
Shorey, S., Chee, C. Y. I., Ng, E. D., Chan, Y. H., San Tam, W. W., & Chong, Y. S. (2018). Prevalence and incidence of postpartum depression among healthy mothers: a systematic review and meta-analysis. Journal of Psychiatric Research, 104, 235-248. https://doi.org/10.1016/j.jpsychires.2018.08.001
Slomian, J., Honvo, G., Emonts, P., Reginster, J. Y., & Bruyère, O. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women's Health, 15, 1-55. https://doi.org/10.1177/1745506519844044
Stein, A., Craske, M. G., Lehtonen, A., Harvey, A., Savage-McGlynn, E., Davies, B., Goodwin, J., Lynne, M., Cortina-Borja, M., & Counsell, N. (2012). Maternal cognitions and mother-infant interaction in postnatal depression and generalized anxiety disorder. Journal of Abnormal Psychology, 121(4), 795-809. https://doi.org/10.1037/a0026847
Stein, A., Pearson, R. M., Goodman, S. H., Rapa, E., Rahman, A., McCallum, M., Howard, L. M., & Pariante, C. M. (2014). Effects of perinatal mental disorders on the fetus and child. The Lancet, 384(9956), 1800-1819. https://doi.org/10.1016/S0140-6736(14)61277-0
Sun, X., Zhu, C., & So, S. H. W. (2017). Dysfunctional metacognition across psychopathologies: A meta-analytic review. European Psychiatry, 45, 139-153. https://doi.org/10.1016/j.eurpsy.2017.05.029
Tolja, R., Nakić Radoš, S., & Anđelinović, M. (2020). The role of maternal mental health, infant temperament, and couple's relationship quality for mother-infant bonding. Journal of Reproductive and Infant Psychology, 38(4), 395-407. https://doi.org/10.1080/02646838.2020.1733503
Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247-259. https://doi.org/10.1023/A:1023910315561
Trizano-Hermosilla, I., & Alvarado, J. M. (2016). Best alternatives to Cronbach's alpha reliability in realistic conditions: Congeneric And asymmetrical measurements. Frontiers in Psychology, 7, 769. https://doi.org/10.3389/fpsyg.2016.00769
Watkins, E., & Moulds, M. (2005). Positive beliefs about rumination in depression - a replication and extension. Personality and Individual Differences, 39(1), 73-82. https://doi.org/10.1016/j.paid.2004.12.006
Wells, A. (2008). Metacognitive therapy: Cognition applied to regulating cognition. Behavioural and Cognitive Psychotherapy, 36(6), 651-658. https://doi.org/10.1017/S1352465808004803
Wells, A., & Matthews, G. (1996). Modelling cognition in emotional disorder: The S-REF model. Behaviour Research and Therapy, 34(11-12), 881-888. https://doi.org/10.1016/S0005-7967(96)00050-2
Wells, A., & Papageorgiou, C. (2004). Metacognitive therapy for depressive rumination. In C. Papageorgiou & A. Wells (Eds.), Depressive rumination: Nature, theory and treatment. Wiley.
Yilmaz, A. E. (2016). Examination of the metacognitive model of depression in a Turkish University student sample. Turkish Journal of Psychiatry, 27(2), 1-9. https://doi.org/10.5080/u13505