围产期情绪和焦虑障碍的预防性干预:对选定的方案的审查
Elizabeth Werner1, Huynh-Nhu Le2, Vanessa Babineau3
1Department of Psychiatry, Columbia University Irving Medical Center, USA; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, USA.
预防性咨询有效地减少了围产期情绪和焦虑障碍 (PMADs). 四项干预措施显示出有希望的结果,建议将高危人群纳入标准产科护理.
科学领域:
- 围产期心理健康问题
- 心理干预 心理干预
- 产科 产科 产科 产科 产科
背景情况:
- 围产期情绪和焦虑障碍 (PMADs) 影响了许多分娩的人,家庭和社会.
- 咨询干预是管理PMADs的有效和低风险策略.
研究的目的:
- 审查PMADs的四个有效的预防性咨询干预方案的协议和临床试验数据.
- 倡导将PMAD风险查和预防纳入标准产科护理.
主要方法:
- 审查四个不同的预防咨询干预措施:母亲和婴儿 (MB),伸出手来,保持强大,新生儿母亲的必需品 (ROSE),围产期抑郁症的基于正念认知疗法 (MBCT-PD) 和有效产后育儿的实用资源 (PREPP).
- 检查干预方案和临床试验数据的有效性,以预防PMADs.
主要成果:
- 审查的干预措施 (MB,ROSE,MBCT-PD,PREPP) 在预防PMAD方面表现出有效性.
- 这些干预措施利用多种方法,包括认知行为,人际心理治疗,基于正念的和双向策略.
结论:
- 预防性咨询干预是解决PMADs的宝贵工具.
- 查PMAD风险并提供预防性干预措施应该成为产科的标准做法.
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