PDF(Pubmed)
Abstract：
OBJECTIVE: This scoping review sought to investigate the association between pregnancy-related complications and post-traumatic stress disorder (PTSD) among postpartum women, then summarize effective psychological interventions for pregnancy-related PTSD or sub-PTSD.
METHODS: Publications in English and Chinese were searched in PubMed, Embase, Cochrane, ISI Web of Science, China National Knowledge Infrastructure (CNKI), and WanFang databases using the subject headings of \"Stress Disorders, Post-Traumatic\", \"Pregnant Women\", and \"psychotherapy\". To ensure that as many relevant studies are incorporated as possible, free terms such as prenatal, postnatal, perinatal and gestation were also used. Intervention studies and related cases published by July 1st, 2023, were also searched.
RESULTS: Twenty-one articles (including 3,901 mothers) were included in this review. Evidence showed that typical psychological interventions exhibited great effect, and family support programs, peer support, online yoga, and music therapy were also effective in reducing risk and improving the psychological well-being of the studied population.
CONCLUSIONS: Fetal abnormalities, miscarriage, premature birth, infants with low birth weights, hypertension, pre-eclampsia, HELLP syndrome, and hyperemesis gravidarum are associated with an increased risk of PTSD. Moreover, high-risk pregnant women may benefit from psychological interventions such as cognitive behavioral therapy (CBT). It may also be feasible and well-accepted for music therapy and exposure therapy to lessen the intensity of PTSD in mothers.
METHODS: Publications in English and Chinese were searched in PubMed, Embase, Cochrane, ISI Web of Science, China National Knowledge Infrastructure (CNKI), and WanFang databases using the subject headings of \"Stress Disorders, Post-Traumatic\", \"Pregnant Women\", and \"psychotherapy\". To ensure that as many relevant studies are incorporated as possible, free terms such as prenatal, postnatal, perinatal and gestation were also used. Intervention studies and related cases published by July 1st, 2023, were also searched.
RESULTS: Twenty-one articles (including 3,901 mothers) were included in this review. Evidence showed that typical psychological interventions exhibited great effect, and family support programs, peer support, online yoga, and music therapy were also effective in reducing risk and improving the psychological well-being of the studied population.
CONCLUSIONS: Fetal abnormalities, miscarriage, premature birth, infants with low birth weights, hypertension, pre-eclampsia, HELLP syndrome, and hyperemesis gravidarum are associated with an increased risk of PTSD. Moreover, high-risk pregnant women may benefit from psychological interventions such as cognitive behavioral therapy (CBT). It may also be feasible and well-accepted for music therapy and exposure therapy to lessen the intensity of PTSD in mothers.
摘要：
目的：本研究旨在探讨产后妇女妊娠相关并发症与创伤后应激障碍（PTSD）之间的关系。然后总结妊娠相关PTSD或亚PTSD的有效心理干预措施。
方法：在PubMed,Embase,科克伦,ISIWebofScience,中国国家知识基础设施(CNKI),和万方数据库使用“应激障碍”的主题词，创伤后\",\"孕妇\",和“心理治疗”。为了确保尽可能多的相关研究被纳入，免费条款，如产前，产后,围产期和妊娠期也被使用。7月1日发表的干预研究和相关案例，2023年，也进行了搜索。
结果：本综述包括21篇文章（包括3,901名母亲）。证据表明，典型的心理干预措施表现出巨大的效果，和家庭支持计划，同行支持，在线瑜伽,和音乐疗法在降低风险和改善被研究人群的心理健康方面也是有效的。
结论：胎儿异常，流产,早产,低出生体重婴儿，高血压,先兆子痫,HELLP综合征,妊娠剧吐与PTSD的风险增加有关。此外，高危孕妇可从认知行为疗法(CBT)等心理干预中获益.对于音乐疗法和暴露疗法来说，减轻母亲PTSD的强度也可能是可行且广为接受的。
方法：在PubMed,Embase,科克伦,ISIWebofScience,中国国家知识基础设施(CNKI),和万方数据库使用“应激障碍”的主题词，创伤后\",\"孕妇\",和“心理治疗”。为了确保尽可能多的相关研究被纳入，免费条款，如产前，产后,围产期和妊娠期也被使用。7月1日发表的干预研究和相关案例，2023年，也进行了搜索。
结果：本综述包括21篇文章（包括3,901名母亲）。证据表明，典型的心理干预措施表现出巨大的效果，和家庭支持计划，同行支持，在线瑜伽,和音乐疗法在降低风险和改善被研究人群的心理健康方面也是有效的。
结论：胎儿异常，流产,早产,低出生体重婴儿，高血压,先兆子痫,HELLP综合征,妊娠剧吐与PTSD的风险增加有关。此外，高危孕妇可从认知行为疗法(CBT)等心理干预中获益.对于音乐疗法和暴露疗法来说，减轻母亲PTSD的强度也可能是可行且广为接受的。
