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在分娩后预防创伤后应激障碍:系统性审查和元分析

Sharon Dekel¹, Joanna E Papadakis², Beatrice Quagliarini²

¹Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

American journal of obstetrics and gynecology

|December 20, 2023

概括

早期的心理治疗可以有效地减少分娩后创伤后应激障碍的症状. 简短的,以创伤为重点的干预措施显示出预防和治疗这种疾病的最大希望.

科学领域:

产科和妇科产科和妇科
精神病学是一个精神病学.
心理健康心理健康

背景情况:

创伤后应激障碍 (PTSD) 可以在创伤性分娩后发展,在美国的患病率很高.
目前,没有推的常规治疗方法可以预防或减轻与分娩相关的PTSD.
这项研究解决了对产后母亲心理健康的基于证据的干预措施的需求.

研究的目的:

系统地审查和元分析临床试验,评估预防或治疗与分娩相关的PTSD治疗方法.
为了确定有效的干预措施,妇女经历或在分娩后面临PTSD的风险.

主要方法:

在多个数据库 (PubMed,PsycInfo,CENTRAL等) 中进行全面搜索. 这项研究将持续到2023年9月.
包括英语的干预试验,评估任何与分娩相关的创伤后应激障碍治疗,以预防或治疗为目标.
分析评估了二级和三级预防试验的聚合效果大小,并进行了质量和偏差评估.

主要成果:

41项研究 (32项RCT,9项非RCT) 评估了各种心理治疗方法.
二次预防的元分析显示,减轻PTSD症状具有中等效果 (SMD -0.67).
简短的以创伤为重点的治疗和助产士领导的咨询显示出最大的影响 (SMD -0.95和-0.91).

结论:

早期提供简短的心理治疗,特别是以创伤为重点的心理治疗,对于减轻与分娩相关的创伤后应激障碍症状至关重要.
需要进一步研究,整合诊断和生物措施,以完善治疗策略和了解潜在机制.

关键词:

剖腹产分娩是一个剖腹产分娩.出生创伤是因为分娩创伤.与分娩有关的创伤后应激障碍 (CB-PTSD)送货送货送货送货送货送货孕产妇发病率孕产妇发病率产科并发症产科并发症产科产科产科产科在产后的产后期.创伤后应激障碍 (PTSD) 是一种创伤后应激障碍.心理干预是心理干预.

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