关键词: Childbirth Intervention Meta-analysis Post-traumatic stress disorder Trauma

来  源:   DOI:10.1016/j.jad.2023.07.085

Abstract:
BACKGROUND: No targeted review has assessed the effect of psychological interventions on the mental health, personal relationships, and the quality of life of women who have subjectively experienced traumatic childbirth.
METHODS: Eight databases were searched from inception to January 2023. Study selection, data extraction, quality appraisal, and data analysis were conducted by two researchers independently.
RESULTS: In total, eight studies were included. The results indicated that psychological interventions could effectively alleviate post-traumatic stress disorder (PTSD) symptoms, depression, and anxiety in women who have subjectively experienced traumatic childbirth. The interventions were more effective in alleviating PTSD symptoms than depression or anxiety. The subgroup analysis results showed that the effect of multiple sessions might be better than that of a single session. There was insufficient evidence supporting the effect of psychological interventions to improve personal relationships and the quality of life.
CONCLUSIONS: Study limitations included the small number of studies included for meta-analysis, substantial heterogeneity, and the retrieval of only studies written in English or Chinese.
CONCLUSIONS: Psychological intervention is a promising method for the mental health of women who have subjectively experienced traumatic childbirth, but more studies are needed to confirm the effects. More studies are also required to explore the impact of psychological interventions on personal relationships and the quality of life. Future studies should focus on comparing which specific type of psychological intervention is most effective. Additional investigations should include the potential adverse effects and long-term effects of psychological interventions and details, such as content, process, and timing.
摘要:
背景:没有针对性的评价评估心理干预对心理健康的影响,个人关系,以及主观上经历过创伤性分娩的女性的生活质量。
方法:从开始到2023年1月搜索了8个数据库。研究选择,数据提取,质量评估,数据分析由两名研究者独立进行。
结果:总计,纳入了8项研究。结果表明,心理干预能有效缓解创伤后应激障碍(PTSD)症状,抑郁症,以及主观上经历过创伤性分娩的女性的焦虑。干预措施在减轻PTSD症状方面比抑郁或焦虑更有效。亚组分析结果表明,多个会话的效果可能优于单个会话。没有足够的证据支持心理干预改善人际关系和生活质量的效果。
结论:研究的局限性包括纳入荟萃分析的研究数量少,实质性异质性,只检索英文或中文的研究。
结论:心理干预对于主观经历过创伤性分娩的妇女的心理健康是一种有希望的方法,但需要更多的研究来证实其效果。还需要更多的研究来探索心理干预对人际关系和生活质量的影响。未来的研究应该集中在比较哪种特定类型的心理干预最有效。其他调查应包括心理干预的潜在不利影响和长期影响以及细节,比如内容,process,和时间。
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