Sado Mitsuhiro, Ota Erika, Stickley Andrew, Mori Rintaro
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan.
Cochrane Database Syst Rev. 2012 Jun 13;2012(6):CD009062. doi: 10.1002/14651858.CD009062.pub2.
The morbidity caused by postnatal depression is enormous. Several psychological or psychosocial interventions have appeared to be effective for treating the disorder although they have not shown a clear benefit in preventing the development of PND. As yet however, the effectiveness of hypnosis has not been evaluated in relation to this.
To assess the effect of hypnosis for preventing postnatal depression compared with usual antenatal, intranatal, or postnatal care.
We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 September 2011).
Randomised controlled trials comparing hypnosis with usual antenatal, intranatal, or postnatal care, where the primary or secondary objective is to assess whether there is a reduced risk of developing postnatal depression.
Two review authors independently assessed trials for inclusion and assessed the one included study for risk of bias. The included study did not contribute any data for analysis.
There was one included study (involving 63 women). However, as it did not include the outcomes of interest, no data were available for analysis for this review.
AUTHORS' CONCLUSIONS: There was no evidence available from randomised controlled trials to assess the effectiveness of hypnosis during pregnancy, childbirth, and the postnatal period for preventing postnatal depression. Evidence from randomised controlled trials is needed to evaluate the use and effects of hypnosis during the perinatal period to prevent postnatal depression. Two trials are currently underway which may provide further information in the future.
产后抑郁症所导致的发病率极高。尽管一些心理或社会心理干预措施在预防产后抑郁症的发生方面并未显示出明显益处,但在治疗该疾病方面似乎是有效的。然而,截至目前,尚未评估催眠疗法在此方面的有效性。
评估与常规产前、产时或产后护理相比,催眠疗法预防产后抑郁症的效果。
我们检索了Cochrane妊娠与分娩组试验注册库(2011年9月30日)。
将催眠疗法与常规产前、产时或产后护理进行比较的随机对照试验,其主要或次要目标是评估产后抑郁症发病风险是否降低。
两位综述作者独立评估试验是否纳入,并评估纳入的一项研究的偏倚风险。纳入的研究未提供任何可用于分析的数据。
有一项纳入研究(涉及63名女性)。然而,由于该研究未包括感兴趣的结局,本综述没有可用于分析的数据。
尚无随机对照试验的证据可用于评估孕期、分娩期及产后催眠疗法预防产后抑郁症的有效性。需要随机对照试验的证据来评估围产期催眠疗法预防产后抑郁症的应用及效果。目前有两项试验正在进行,未来可能会提供更多信息。