在怀孕期间实施心理创伤:系统性审查
Helena J V Rutherford1, Kathryn M Wall1, Lindsey Wallace Goldman2
1Yale Child Study Center, Yale University School of Medicine.
概括
怀孕期间的心理创伤缺乏一致的评估方法,影响了护理. 标准化,早期和持续的评估对于创伤相关的护理和福祉至关重要.
科学领域:
- 围产期心理健康问题
- 创伤研究的研究.
- 心理评估 心理评估
背景情况:
- 怀孕期间的心理创伤对健康和代际产生重大影响.
- 怀孕期间心理创伤缺乏统一的操作,这阻碍了临床应用.
- 标准化评估对于将研究转化为有效的临床实践至关重要.
研究的目的:
- 提供关于怀孕期间心理创伤的描述的叙事洞察力.
- 强调需要在评估孕妇创伤时采用一致的方法.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 从2021年7月到2023年9月,在多个数据库 (MEDLINE,Embase,Scopus,Web of Science,PsycINFO,Cochrane) 进行了全面的文献搜索.
- 摘要,全文文章的双重独立审稿人选,以及数据提取.
主要成果:
- 576项研究检查了怀孕期间的心理创伤,揭示了重要的方法异质性.
- 大多数评估 (79.7%) 使用了各种基于问卷的方法,因时间和创伤类型而有所不同.
- 很少有研究 (15.8%) 专注于怀孕特异性创伤,只有24%提供了全面的评估;创伤后应激障碍在28.8%被评估.
结论:
- 在怀孕期间心理创伤如何被概念化和评估方面存在实质性的变化.
- 需要对心理创伤进行全面的,季度具体的,重复的评估.
- 实施标准化评估对于创伤信息化的护理至关重要,优化母亲和儿童的福祉.
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