Abstract：
This systematic review aimed to synthesise evidence of the effectiveness of psychoeducation in improving self-efficacy and social support and reducing depression and anxiety in first-time mothers.
A comprehensive search was conducted on nine databases, grey literature, and trial registries for randomised controlled trials published from the databases\' inception to 27 December 2021. Two independent reviewers screened studies, extracted data, and appraised the risk of bias. RevMan 5.4 was used for the meta-analyses of all outcomes. Sensitivity and subgroup analyses were conducted. Overall evidence quality was appraised using GRADE approach.
Twelve studies involving 2083 first-time mothers were included. The meta-analyses favoured psychoeducation as compared to control groups. At immediate post-intervention, statistically significant increments were seen in self-efficacy and social support, while a significant reduction in depression was observed but not in anxiety. At three months postpartum, a statistically significant decrease in depression was observed, but the effects on self-efficacy and social support were insignificant.
Psychoeducation improved first-time mothers\' self-efficacy, social support, and depression. However, the evidence was very uncertain.
Psychoeducation might be incorporated into patient education of first-time mothers. More studies with familial and digital-based psychoeducation interventions, especially in non-Asian countries, are needed.
A comprehensive search was conducted on nine databases, grey literature, and trial registries for randomised controlled trials published from the databases\' inception to 27 December 2021. Two independent reviewers screened studies, extracted data, and appraised the risk of bias. RevMan 5.4 was used for the meta-analyses of all outcomes. Sensitivity and subgroup analyses were conducted. Overall evidence quality was appraised using GRADE approach.
Twelve studies involving 2083 first-time mothers were included. The meta-analyses favoured psychoeducation as compared to control groups. At immediate post-intervention, statistically significant increments were seen in self-efficacy and social support, while a significant reduction in depression was observed but not in anxiety. At three months postpartum, a statistically significant decrease in depression was observed, but the effects on self-efficacy and social support were insignificant.
Psychoeducation improved first-time mothers\' self-efficacy, social support, and depression. However, the evidence was very uncertain.
Psychoeducation might be incorporated into patient education of first-time mothers. More studies with familial and digital-based psychoeducation interventions, especially in non-Asian countries, are needed.
摘要：
目的：本系统评价旨在综合证据，证明心理教育在提高初产妇的自我效能感和社会支持以及减少抑郁和焦虑方面的有效性。
方法：对9个数据库进行了全面搜索，灰色文学，以及从数据库开始到2021年12月27日公布的随机对照试验的试验登记册。两名独立审稿人筛选了研究，提取的数据，并评估了偏差的风险。RevMan5.4用于所有结果的荟萃分析。进行敏感性和亚组分析。总体证据质量采用分级方法进行评价。
结果：纳入了12项研究，涉及2083名初产妇。与对照组相比，荟萃分析更有利于心理教育。在干预后立即，自我效能感和社会支持有统计学意义的增加，虽然抑郁症显著减少，但焦虑没有。产后三个月，观察到抑郁症的统计学显着下降，但对自我效能感和社会支持的影响不明显。
结论：心理教育提高了初产妇的自我效能，社会支持,和抑郁症。然而,证据非常不确定。
结论：心理教育可以纳入初产妇的患者教育中。更多关于家庭和数字心理教育干预的研究，尤其是在非亚洲国家，是需要的。
方法：对9个数据库进行了全面搜索，灰色文学，以及从数据库开始到2021年12月27日公布的随机对照试验的试验登记册。两名独立审稿人筛选了研究，提取的数据，并评估了偏差的风险。RevMan5.4用于所有结果的荟萃分析。进行敏感性和亚组分析。总体证据质量采用分级方法进行评价。
结果：纳入了12项研究，涉及2083名初产妇。与对照组相比，荟萃分析更有利于心理教育。在干预后立即，自我效能感和社会支持有统计学意义的增加，虽然抑郁症显著减少，但焦虑没有。产后三个月，观察到抑郁症的统计学显着下降，但对自我效能感和社会支持的影响不明显。
结论：心理教育提高了初产妇的自我效能，社会支持,和抑郁症。然而,证据非常不确定。
结论：心理教育可以纳入初产妇的患者教育中。更多关于家庭和数字心理教育干预的研究，尤其是在非亚洲国家，是需要的。
