技术支持的基于正念的干预措施对孕产妇抑郁症的影响:系统性审查和元分析,以及对资源有限的环境的实施前景
Bekelu Teka Worku1,2, Misra Abdulahi3, Demissew Amenu4
1Department of Population and Family Health, Faculty of Public Health, Jimma University, Jimma, Ethiopia. bekelu.teka@ju.edu.et.
BMC pregnancy and childbirth
|February 13, 2025
概括
技术支持的基于正念的干预措施 (MBI) 有效地减少孕妇在怀孕期间和产后的抑郁症. 需要在低收入和中等收入国家进行进一步的研究,以确保广泛适用.
科学领域:
- 心理健康 心理健康
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- 孕产妇抑郁症,包括产前抑郁症 (PND) 和产后抑郁症 (PPD),是影响孕产妇福祉和婴儿发育的全球重大健康问题.
- 基于正念的干预措施 (MBI) 在治疗母亲抑郁症方面表现出有效性.
- 技术支持的MBI提供了一个可扩展的解决方案,特别是对于资源有限的低收入和中等收入国家 (LMICs),尽管证据仍然有限.
研究的目的:
- 系统地审查和元分析技术支持的MBI对孕产妇抑郁症的有效性.
- 确定整合MBI的相关研究和适用健康技术.
- 评估这些干预措施的综合效果大小.
主要方法:
- 按照PRISMA-P 2020指南进行系统审查和元分析.
- 使用PEDro规模评估的偏差风险.
- 使用R软件进行的数据分析.
主要成果:
- 包括18篇文章 (15篇在元分析中) 与2,481名参与者;没有研究来自低收入国家.
- 技术支持的MBI显示,对母亲抑郁症有显著的积极影响 (SMD -0.55,p < 0.001).
- 分组分析证实了PND (SMD -0.57) 和PPD (SMD -0.53) 的有效性.
结论:
- 建议将技术支持的MBI整合到孕产妇医疗保健中,以改善孕产妇的心理健康.
- 由于缺乏来自LMIC的研究,因此需要进一步研究以提高可概括性和外部有效性.
- 特定背景的试验对于定制干预措施和最大限度地提高方案采用率和有效性至关重要.
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