%0 Journal Article
%T The effects of depressive symptom management interventions on low-income mothers: A systematic review and meta-analysis.
%A Kim K
%A Lee Y
%J J Adv Nurs
%V 75
%N 6
%D Jun 2019
%M 30456798
%F 3.057
%R 10.1111/jan.13912
%X <B>OBJECTIVE: </B>To evaluate the effects of depressive symptom management interventions (DSMI) for low-income mothers.<BR><B>BACKGROUND: </B>Depressive symptoms and depression are common complications following childbirth. Depressive symptoms experienced by low-income mothers negatively affect infant-toddler development.<BR><B>METHODS: </B>A systematic review and meta-analysis was conducted to provide a synthesized and critical appraisal of the included studies.<BR><B>METHODS: </B>We conducted a systematic search of randomized controlled trials in the following electronic databases through November 2017: PubMed, EMBASE, CINAHL, PsycInfo, and Cochrane Library CENTRAL.<BR><B>METHODS: </B>Ten studies were found in the systematic review of DSMI in terms of content, mode of delivery, session, and provider. We then conducted a meta-analysis of nine randomized controlled trials with 798 participants, comparing low-income mothers with and without DSMI.<BR><B>RESULTS: </B>A significant effect was noted for DSMI in improving depressive symptoms in low-income mothers with young children and for interventions lasting 8 weeks or less.<BR><B>CONCLUSIONS: </B>The meta-analysis suggested that DSMI for low-income mothers can be effective; however, the effectiveness varies by intervention type, intervention duration, and whether the mothers had other children.<BR><B>CONCLUSIONS: </B>The findings of this study will contribute to the development of effective DSMI by providing scientific evidence for the development of such programmes for low-income mothers, especially with respect to target population and intervention duration.<BR>目的: 评价抑郁症状管理介入(DSMI)对低收入母亲的影响。 背景: 抑郁症状和抑郁症是分娩后常见的并发症。低收入母亲的抑郁症状会对婴幼儿的成长产生负面影响。 设计: 通过系统综述和荟萃分析对纳入研究进行了综合、严格的评价。 资料来源: 截至2017年11月,我们对以下电子数据库中的随机对照试验进行了系统搜索:PubMed、EMBASE、CINAHL、PsycInfo和Cochrane Library CENTRAL。 综述方法: 在对DSMI的系统综述中发现了十项研究,涉及内容、分娩方式、会议和供养人。然后,我们对有798名参与者的九项随机对照试验进行了荟萃分析,比较了有和没有进行抑郁症状管理介入的低收入母亲。 结果: 干预措施持续8周或更短时间的抑郁症状管理介入能显著改善幼儿低收入母亲的抑郁症状。 结论: 荟萃分析表明,抑郁症状管理介入对低收入母亲有效;然而,该影响因介入类型、介入持续时间和母亲是否有其他孩子而异。 影响: 这项研究的结果将有助于发展有效的抑郁症状管理介入,为低收入母亲制定此类方案提供科学证据,特别是在目标人群和干预持续时间方面。.