心理社会和药物干预措施,以停止或减少怀孕期间的酒精消费
Silvia Minozzi1, Ludovico Ambrosi2, Rosella Saulle1
1Department of Epidemiology, Lazio Regional Health Service, Rome, Italy.
The Cochrane database of systematic reviews
|April 29, 2024
概括
简短的心理社会干预措施可以改善饮酒的孕妇持续戒酒率. 在怀孕期间治疗酒精使用障碍 (AUD) 的干预措施和药物方面需要更多的研究.
科学领域:
- 产科和妇科 产科和妇科
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 怀孕期间的酒精消费在全球普遍,在欧洲的比例高达25%.
- 尽管已知风险,孕产妇的酒精使用仍然是一个重要的公共卫生问题.
研究的目的:
- 评估心理社会干预和药物的有效性,以减少或停止孕妇的酒精消费.
- 评估这些干预措施对禁欲,消费减少,治疗延续和不良事件的影响.
主要方法:
- 到2024年1月发表的随机对照试验 (RCT) 的系统审查.
- 搜索了多个数据库,包括Cochrane,MEDLINE,Embase和PsycINFO,以及临床试验注册表.
- 包括RCT比较心理干预或药物与安慰剂,常规护理或其他积极治疗.
主要成果:
- 包括8项涉及1369名参与者的研究,所有这些研究都评估了心理社会干预措施;没有发现药物研究.
- 心理社会干预表明,持续戒断率的潜在增加 (低确定性证据).
- 减少每日饮料的证据非常不确定,对治疗完成的影响中等.
- 没有报告关于不良事件的研究.
结论:
- 简短的心理社会干预措施可以增强酒精使用的孕妇的持续戒断.
- 建议进行进一步的研究,以探索心理社会干预和药物治疗怀孕期间酒精使用障碍 (AUD) 的疗效和安全性.
- 未来的研究应该提供详细的酒精使用数据,并报告相关疾病.
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