袋鼠式护理对母亲产后焦虑的缓解及其作用机制
The effects of kangaroo mother care on postpartum anxiety and its mechanisms
杨彬 1孔令楠 1高军1
作者信息
- 1. 西南大学心理学部;西南大学认知与人格教育部重点实验室
- 折叠
摘要
产后焦虑发病率高，严重影响母亲心理健康与母婴关系。袋鼠式护理作为非药物干预手段，可有效缓解产后焦虑，但现有研究对其机制解释多停留在单一路径。本文系统整合其神经与生理机制，并在扩展母婴依恋理论的背景下，根据产后焦虑特征，分别从认知加工、情绪调节与行为强化层面提出了动态交互模型，以揭示袋鼠式护理缓解产后焦虑的作用机制。模型指出，袋鼠式护理可通过注意力转换与育儿自我效能增强重塑认知加工，通过压力减轻与睡眠改善提升情绪调节能力，通过积极反馈与母亲角色内化强化养育行为，三者相互作用，达到缓解产后焦虑的效果。在焦虑缓解的基础上促进母婴情感联结的深化，从而巩固干预效果。模型最终揭示袋鼠式护理缓解产后焦虑的心理—神经—行为的跨层级作用机制，为其临床应用与干预的推广提供理论基础。
Abstract
Postpartum anxiety is highly prevalent and adversely affects maternal mental health and mother-infant bonding. Kangaroo mother care (KMC), as a non-pharmacological intervention, can effectively alleviate postpartum anxiety, yet existing studies have largely treated its mechanisms as single-pathway phenomena. This review systematically integrates the neural and physiological mechanisms of KMC and, within an expanded framework of maternal infant attachment theory, proposes a dynamic interaction model tailored to the characteristics of postpartum anxiety from the perspectives of cognitive processing, emotion regulation, and behavioral reinforcement. The model posits that KMC can remodel cognitive processing by shifting attention away from threat-related cues toward the infants present signals and by enhancing parenting self-efficacy; it can improve emotion regulation via stress reduction and sleep restoration; also can strengthen caregiving behaviors through positive feedback and the internalization of the maternal role. These three processes interact to produce an overall anxiolytic effect. On the basis of anxiety reduction, KMC further deepens maternal infant emotional bonding, thereby consolidating the interventions effects. In sum, the model delineates the cross-level psycho-neuro-behavioral mechanisms through which KMC mitigates postpartum anxiety and provides a theoretical foundation for its clinical application and broader implementation.关键词
袋鼠式护理/产后焦虑/认知—情绪—行为动态交互模型/母婴依恋Key words
kangaroo mother care/postpartum anxiety/cognitive-emotional-behavioral interaction model/mother-infant attachment引用本文复制引用
杨彬,孔令楠,高军.袋鼠式护理对母亲产后焦虑的缓解及其作用机制[EB/OL].(2026-01-10)[2026-01-13].https://chinaxiv.org/abs/202601.00113.学科分类
妇产科学
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