基于正念的干预措施 (MBI) 对孕妇抑郁症的影响:系统性审查和元分析
Chuntana Reangsing1, Sasinun Punsuwun2, Sarah Oerther3
1School of Nursing, Mae Fah Luang University, Chiangrai, Thailand; Nursing Innovation Research and Resource Unit, Mae Fah Luang University, Thailand.
基于正念的干预措施显著减少了孕妇的抑郁症. 基于正念的认知疗法显示出最大的效果,这表明MBI是一种有价值的补充治疗.
科学领域:
- 精神病学和行为科学 精神病学和行为科学
- 生殖健康 生殖健康
- 基于证据的医学基于证据的医学.
背景情况:
- 怀孕期间的抑郁症是影响母亲和胎儿福祉的一个重大问题.
- 基于正念的干预措施 (MBI) 越来越多地被探索为治疗心理健康状况的非药物治疗方法.
研究的目的:
- 系统地综合有关基于正念的干预措施 (MBI) 减少孕妇抑郁症状的有效性的证据.
- 为了比较不同类型的MBI在这个人群中的有效性.
主要方法:
- 在10个电子数据库中进行了全面的文献搜索,截至2022年9月.
- 对19项涉及1480名孕妇的研究进行了随机效应元分析 (MBI组717名,对照组763名).
- 使用漏斗图,Q统计和I2评估异质性;进行调节器分析.
主要成果:
- 总的来说,与对照条件相比,MBI显示抑郁症状显著减少 (效果大小g = 0.457).
- 基于正念的认知疗法 (MBCT) 与基于正念的压力减轻 (MBSR,g = 0.64) 和适应的MBI (g = 0.31) 相比,表现出更强的效果 (g = 1.13).
- 没有发现研究质量指标可以缓和干预的效果大小.
结论:
- 基于正念的干预措施,特别是MBCT,可以有效地改善孕妇的抑郁症.
- 在这种人群中,MBI代表了一种有前途的补充或替代治疗策略,用于管理和预防抑郁症.
- 医疗保健提供者应该考虑将MBI纳入常规产前护理.
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