Sheffield Karen M, Woods-Giscombé Cheryl L
The University of North Carolina at Chapel Hill School of Nursing
The University of North Carolina at Chapel Hill School of Nursing.
J Holist Nurs. 2016 Mar;34(1):64-79. doi: 10.1177/0898010115577976. Epub 2015 Apr 20.
Perinatal major depressive disorder affects 20% of women, while perinatal anxiety affects 10% of women. Although pharmacological treatment has shown effectiveness, many pregnant women are concerned about potential adverse effects on the fetus, maternal-infant bonding, and child development. Approximately 38% of American adults use complementary and alternative medicine, including yoga and other mind-body strategies. Although complementary and alternative medicine has been less studied in the perinatal population, it potentially offers women and their providers alternatives to traditional medication for treatment of perinatal depression and anxiety. Thus, the purpose of this systematic review was to examine existing empirical literature on yoga and its effects on women's health and well-being during the perinatal period.
Following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for systemic literature reviews, literature searches using relevant search terms were performed in four major electronic databases: CINAHL, PubMed, PsycINFO, and EMBASE. Thirteen publications met inclusion criteria.
Results indicated that yoga interventions are generally effective in reducing anxiety and depression in pregnant women.
The use of yoga in the perinatal period shows promise in improving mental health and well-being for women and infants. This review can inform future yoga intervention studies and clinical practice with the perinatal population.
围产期重度抑郁症影响20%的女性,而围产期焦虑症影响10%的女性。尽管药物治疗已显示出有效性,但许多孕妇担心对胎儿、母婴联结和儿童发育的潜在不良影响。约38%的美国成年人使用补充和替代医学,包括瑜伽和其他身心调节方法。尽管补充和替代医学在围产期人群中的研究较少,但它可能为女性及其医疗服务提供者提供治疗围产期抑郁和焦虑的传统药物之外的选择。因此,本系统评价的目的是研究关于瑜伽及其对围产期女性健康和幸福感影响的现有实证文献。
按照系统文献评价的PRISMA(系统评价和Meta分析的首选报告项目)指南,使用相关检索词在四个主要电子数据库中进行文献检索:CINAHL、PubMed、PsycINFO和EMBASE。13篇出版物符合纳入标准。
结果表明,瑜伽干预通常能有效减轻孕妇的焦虑和抑郁。
围产期使用瑜伽有望改善女性和婴儿的心理健康和幸福感。本综述可为未来针对围产期人群的瑜伽干预研究和临床实践提供参考。