患有创伤后应激障碍的患者怀孕相关并发症的心理干预:范围审查
Zhuo Peng1, Jin Liu1, Bangshan Liu1
1Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China.
怀孕并发症增加了母亲患创伤后应激障碍 (PTSD) 的风险. 心理干预,如认知行为疗法和音乐疗法,可以有效地减少PTSD症状并改善母亲的福祉.
科学领域:
- 围产期心理健康问题
- 心理创伤学 心理创伤学
- 生殖健康 生殖健康
背景情况:
- 与怀孕相关的并发症与创伤后应激障碍 (PTSD) 的风险增加有关.
- 对于与怀孕相关的PTSD有效的心理干预需要进一步调查.
研究的目的:
- 为了调查怀孕并发症和产后妇女PTSD之间的关联.
- 总结与怀孕相关的PTSD有效的心理干预措施.
主要方法:
- 对包括3,901名母亲在内的21篇文章进行了范围审查.
- 在多个数据库 (PubMed,Embase,CNKI等) 进行了搜索. 对于英语和中文出版物,截至2023年7月1日.
- 使用了与PTSD,孕妇和心理治疗有关的主题标题和自由术语.
主要成果:
- 典型的心理干预显示出显著的积极效果.
- 家庭支持,同龄人支持,在线和音乐治疗在减少PTSD风险方面是有效的.
- 干预措施改善了产后妇女的心理健康.
结论:
- 胎儿异常,流产,早产,低出生体重,高血压,孕前,HELLP综合征和妊娠过度症都与更高的PTSD风险有关.
- 认知行为疗法 (CBT),音乐疗法和暴露疗法对高风险的孕妇和患有PTSD的母亲有好处.
- 心理干预是可行的,并且被广泛接受,用于管理与怀孕相关的PTSD.
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