围产期心理健康和现役军人配偶:一个范围审查
Kelly Pretorius1,2,3, Margaret F Sposato4, Wendy Trueblood-Miller4
1Indiana University School of Nursing, 600 Barnhill Dr, Indianapolis, IN, 46202, USA. kpretori@stedwards.edu.
BMC pregnancy and childbirth
|August 27, 2024
概括
围产期心理健康状况在美国军方配偶中很常见,原因是独特的压力因素. 本次审查强调了对这一群体进行更好的查,社会支持和资源的需要.
科学领域:
- 围产期心理健康问题
- 军人配偶福利 军人配偶福利
- 公共卫生 公共卫生
背景情况:
- 围产期心理健康状况在美国很普遍,影响着母亲和婴儿的结果.
- 军人家庭面临着独特的压力因素,特别是现役人员的配偶在产前期.
- 现有的研究表明,压力和怀孕期间的心理健康诊断之间存在联系.
研究的目的:
- 对美国现役军事人员的配偶进行围产期压力和心理健康研究的范围审查.
- 了解当前关于这一人口群体面临的心理健康挑战的知识状态.
- 在现有文献中识别关键概念和需求.
主要方法:
- 在2023年10月进行了对多个数据库 (PubMed,Embase,军事和政府数据库,CINAHL,PsychINFO) 的全面搜索.
- 在与健康科学图书馆员协商后,开发了一个布尔搜索短语.
- 两位审查员选了481项独特的研究,在应用纳入/排除标准后,选择了21项研究进行数据提取和分析.
主要成果:
- 大多数研究是定量性的,主要来自美国南部,空军是代表性最大的分支.
- 虽然大多数研究都包括现役军人和配偶,但28%的研究只关注配偶. 样本缺乏种族多样性,揭示了围产期心理健康的差异.
- 主要发现包括识别有风险的配偶,围产期心理健康查的必要性,以及社会支持的重要性.
结论:
- 进一步的研究至关重要,以解决导致这一群体增加围产期压力和心理健康状况的独特情况.
- 对军人配偶迫切需要改善心理健康查和增加资源.
- 政策变化和大量资金是必要的,以提高获得心理健康服务的机会,确保分娩的个人和婴儿的福祉.
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