对围产期抑郁症,焦虑症和孤独症的基于自然的干预措施的系统审查
Chelsea Walker-Mao1, Ashby Lavelle Sachs2, Jessica Walls Wilson3,4
1Department of Community and Behavioral Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. chelsea.walker-mao@cuanschutz.edu.
Maternal and child health journal
|September 23, 2024
概括
基于自然的干预措施对围产期心理健康有希望,但需要更严格的研究. 目前的研究受限于小样本大小和早期设计,需要进一步研究它们在减少孕妇和产后妇女抑郁,焦虑和孤独的有效性.
科学领域:
- 围产期心理健康研究
- 环境心理学环境心理学
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 围产期情绪和焦虑障碍以及社会隔离会对母亲和儿童的健康产生负面影响.
- 正在探索以自然为基础的干预措施 (NBIs) 作为缓解这些问题的潜在策略.
- 在围产期人群中存在NBIs的证据仍然有限.
研究的目的:
- 系统地审查基于自然的干预措施 (NBIs) 的证据,以解决孕妇和产后妇女的抑郁,焦虑和孤独问题.
- 评估围产期心理健康中NBI现有研究的质量和研究结果.
- 确定研究中的差距,并为未来的研究提供建议.
主要方法:
- 通过使用多个数据库 (MEDLINE,Embase,CINAHL,APA PsycINFO,ClinicalTrials.org,Web of Science,Cochrane Reviews) 进行了对研究的系统审查,直到2023年2月.
- 包括的研究是原创的,经过同行评审,并专注于涉及孕妇或产后妇女与自然直接接触的干预措施,测量焦虑,抑郁或孤独.
- 三项涉及68名参与者的研究符合纳入标准.
主要成果:
- 包含的研究处于早期阶段,样本规模小,干预设计多样.
- 研究没有足够的动力来检测心理健康结果的统计学意义上的变化.
- 包括的研究质量各不相同,对自然参与的测量不一致.
结论:
- 更严格的研究是必要的,以确定NBIs对围产期心理健康和社会福祉的有效性.
- 未来的研究应该采用验证的自然参与措施,并考虑围产期人口的各种需求.
- 需要进一步的研究,以了解孕妇和产后妇女的NBIs的潜在益处和最佳实施.
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