预防非抑郁孕妇产后抑郁症的积极方法:综合范围审查
Nga Thi Nguyen1,2, Supa Pengpid1
1Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Frontiers in global women's health
|April 24, 2025
概括
怀孕期间的积极干预可以预防产后抑郁症 (PPD). 心理教育和正念计划显示出希望,但数字参与和文化定制需要改进,以实现更广泛的可访问性.
科学领域:
- 产科和妇科 产科和妇科
- 心理健康研究 心理健康研究
- 公共卫生 公共卫生
背景情况:
- 产后抑郁症 (PPD) 是一个关键的全球健康问题,影响母亲,婴儿和家庭.
- 现有的关于PPD预防的评论往往集中在已诊断的病例上,在了解没有临床抑郁症的孕妇的干预措施方面存在差距.
- 怀孕期间启动的积极主动策略对于全面预防PPD至关重要.
研究的目的:
- 进行范围审查,确定和综合有关主动PPD预防计划的证据.
- 评估在怀孕期间为没有目前抑郁症诊断的妇女实施的干预措施.
- 绘制PPD预防策略及其结果的地图.
主要方法:
- 在PubMed和Scopus的系统文献搜索中,遵循PRISMA指南.
- 包括2013-2023年的英语研究,评估在没有被诊断为抑郁症的妇女怀孕期间的干预措施.
- 使用既定标准或经过验证的查工具评估PPD结果.
主要成果:
- 包括49项研究,干预措施分为精神教育,家庭访问,CBT,正念,运动,食补充剂,IPT,咨询和芳香疗法.
- 心理教育和正念干预措施显示出一致的PPD风险降低,特别是在结构化,理论驱动的方法和家庭支持下.
- 由于参与度低,数字CBT的有效性有限;家庭访问和咨询是有效的,但面临着可扩展性问题. 运动和补充剂有不一致的结果.
结论:
- 积极主动的,基于理论的,多元组件的干预措施,特别是心理教育和正念,显示了预防PPD的巨大潜力.
- 未来的研究应该专注于长期成果,增强数字参与,并开发文化定制,可扩展的模型.
- 改善多样化和低资源环境中的可访问性对于有效的PPD预防策略至关重要.
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