基于应用程序的干预措施预防产后抑郁症:系统性审查和元分析
Yumika Miura1, Yusuke Ogawa2, Ayako Shibata3
1Hamamatsu Satocho Clinic, 1-22-22 Sato, Naka-Ku, Hamamatsu-Shi, Shizuoka, 430-0807, Japan.
BMC pregnancy and childbirth
|June 14, 2023
概括
心理社会干预应用程序 (APP) 可以通过改善爱丁堡产后抑郁量表 (EPDS) 的得分来帮助预防产后抑郁症. 虽然这些数字工具并不能预防发病,但在治疗症状方面却是有前途的.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 心理健康技术 心理健康技术
- 生殖精神病学是一种精神病学.
背景情况:
- 产后抑郁症 (PPD) 是影响母亲福祉的一个重大问题.
- 探索用于PPD预防的新型干预措施对公共卫生至关重要.
- 移动应用程序为心理健康支持提供可扩展的解决方案.
研究的目的:
- 评估心理社会干预应用在预防产后抑郁症方面的有效性.
- 综合来自PPD应用程序干预的随机对照试验 (RCT) 的研究结果.
主要方法:
- 在多个电子数据库 (CENTRAL,MEDLINE,Scopus,PsycINFO,CINAHL,ProQuest) 和临床试验注册表中进行全面的文献搜索.
- 在初步选2515个参考后,包括16项研究.
- 对两项关于PPD发病的研究和爱丁堡产后抑郁症量表 (EPDS) 评分进行的元分析.
主要成果:
- 干预组和对照组之间没有发现产后抑郁症发病的显著差异 (RR 0.80;95% CI 0.62至1.04).
- 使用应用程序的干预组与对照组相比 (MD -0.96;95% CI -1.44至 -0.48) 显示爱丁堡产后抑郁量表 (EPDS) 的得分明显较低.
- 在EPDS元分析中注意到了很高的异质性 (I2 = 82%).
结论:
- 基于应用程序的心理社会干预措施显示了通过EPDS测量的改善PPD症状的潜力.
- 这些数字干预措施可能在预防产后抑郁症方面发挥作用.
- 需要进一步的研究来证实应用程序在预防PPD发作的有效性.
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