产后情绪障碍是产后妇女常出现的精神障碍，其临床表现涉及情绪、认知、行为、 生活等几个方面。与普通人群相比，产后抑郁的发生率在产后 5 周内是普通人群的三倍， 随着时间的推移，发病概率逐渐下降。国际上产后抑郁的发病率在 13%左右，而我国报 道的发病率最低为 7.3%，最高为 20.9%。 目前心理治疗为治疗产后抑郁的一线选择，而认知行为疗法相对于其他心理治疗， 则对产后抑郁有显著效果。本文以文献综述和个案报告的方式，介绍了一例以认知行为 疗法对产后抑郁症状来访者的干预过程。 整个干预计划在 Wenzel 提出的产后痛苦的认知行为模型指导下进行。该理论模型认 为产后妇女自身的“遗传脆弱性、神经化学变异性、心理脆弱性”三个特质，在环境作 用下，会影响个体表现出产后抑郁的可能性。通过心理咨询的方式，咨询师主要运用了 心理教育、识别不合理自动思维、认知重建等技术，对导致产妇情绪痛苦的不合理思维 进行改变，可以有效缓解产妇的情绪痛苦。 本文的创新之处在于，详细的记录了在“产后痛苦的认知行为模型”的指导下，对 个案进行咨询的过程，并基于实践过程对这一模型的应用提出了自己的思考。文中个案 的咨询从 2017 年 12 月开始，至 2018 年 1 月结束，根据总体的进展情况，将来访者 的咨询过程划分为，开始阶段(1-3 次)，中间阶段(4-5 次)，结束阶段(第 6 次)。 经 过 共 6 次的咨询，来访者在贝克抑郁量表、爱丁堡产后抑郁评价量表上的分数与评估时 相比，都有显著的下降并已经处于正常值的范畴。这证明了运用认知行为疗法，根据“产 后痛苦的认知行为模型”对产后抑郁干预的有效性。但是， 个案报告并不具备普遍意义， 所以笔者也会在以后的工作中进行更多的理论探索与干预研究，希望对产后抑郁症状的 本土化干预工作有所帮助。

Postpartum mood disorder is a common mental disorder in postpartum women, and its clinical manifestations involve emotions, cognition, behavior, life and other aspects. Compared with the general population, the incidence of postpartum depression was three times that of the general population within five weeks after delivery, and the incidence rate gradually decreased over time. The incidence of postpartum depression in the world is around 13%, while in China the lowest incidence is 7.3%, and the highest is 20.9%. At present, psychotherapy is the first choice for treatment of postpartum depression, while cognitive behavioral therapy has a significant effect on postpartum depression compared with other psychotherapy. In this paper, we present a case study of the intervention process of patients with postpartum depressive symptoms by cognitive behavioral therapy. The whole intervention program was conducted under the guidance of Wenzel's cognitive behavioral model of postpartum pain. The theoretical model that postpartum women's own "genetic vulnerability, neurochemistry variability, psychological vulnerability" three qualities, under the influence of environment, will affect the individual shows the possibility of postpartum depression. Through the way of psychological counseling, consultant, mainly use the psychological education, automatic identification of unreasonable thinking, cognitive restructuring, such as technology, rational thinking lead to maternal emotional pain does not change, can effectively alleviate the emotional pain of women. The innovation of this article is detailed in the records of "cognitive behavioral model of postpartum pain", under the guidance of consultation process was carried out on the case, and based on the application of this model practice put forward its own thinking. Consulting the case since December 2017 and January 2018, according to the overall progress and consultation process is divided into the visitors, beginning (1-3 times), intermediate stage (4-5 times), end stage (6 times). After consulting a total of 6 times, the visitors in the beck depression inventory, the Edinburgh postnatal depression scale scores compared with the assessment, both fell significantly and have been in the normal category. This demonstrates the effectiveness of the use of cognitive behavioral therapy, based on the cognitive behavioral model of postpartum pain, for postpartum depression intervention. Case report, however, does not have universal significance, so the author will also be in the later work more theoretical exploration and intervention research, hope for the localization of postpartum depression symptoms help intervention work.