Rominov Holly, Pilkington Pamela D, Giallo Rebecca, Whelan Thomas A
Australian Catholic University.
Murdoch Children's Research Institute.
Infant Ment Health J. 2016 May;37(3):289-301. doi: 10.1002/imhj.21560. Epub 2016 Apr 15.
Interventions targeting parents' mental health in the perinatal period are critical due to potential consequences of perinatal mental illness for the parent, the infant, and their family. To date, most programs have targeted mothers. This systematic review explores the current status and evidence for intervention programs aiming to prevent or treat paternal mental illness in the perinatal period. Electronic databases were systematically searched to identify peer-reviewed studies that described an intervention targeting fathers' mental health in the perinatal period. Mental health outcomes included depression, anxiety, and stress as well as more general measures of psychological functioning. Eleven studies were identified. Three of five psychosocial interventions and three massage-technique interventions reported significant effects. None of the couple-based interventions reported significant effects. A number of methodological limitations were identified, including inadequate reporting of study designs, and issues with the timing of interventions. The variability in outcomes measures across the studies made it difficult to evaluate the overall effectiveness of the interventions. Father-focused interventions aimed at preventing perinatal mood problems will be improved if future studies utilize more rigorous research strategies.
鉴于围产期精神疾病对父母、婴儿及其家庭可能产生的后果，针对围产期父母心理健康的干预措施至关重要。迄今为止，大多数项目都以母亲为目标人群。本系统综述探讨了旨在预防或治疗围产期父亲精神疾病的干预项目的现状和证据。通过系统检索电子数据库，以识别描述围产期针对父亲心理健康进行干预的同行评审研究。心理健康结果包括抑郁、焦虑和压力，以及心理功能的更综合指标。共识别出11项研究。五项心理社会干预措施中的三项以及三项按摩技术干预措施报告了显著效果。没有一项基于夫妻的干预措施报告有显著效果。识别出了一些方法学上的局限性，包括研究设计报告不充分以及干预时机问题。各研究中结果测量的差异使得难以评估干预措施的总体有效性。如果未来的研究采用更严格的研究策略，旨在预防围产期情绪问题的以父亲为重点的干预措施将会得到改进。
