Scope Alison, Booth Andrew, Morrell C Jane, Sutcliffe Paul, Cantrell Anna
The University of Sheffield, School of Health and Related Research (ScHARR), Sheffield, UK.
University of Nottingham, School of Health Sciences, Nottingham, UK.
J Affect Disord. 2017 Mar 1;210:100-110. doi: 10.1016/j.jad.2016.12.017. Epub 2016 Dec 19.
More women experience depressive symptoms antenatally than postnatally. Supporting women through the antenatal period is recognised as important in mitigating negative outcomes and in preventing postnatal depression (PND). A systematic review was conducted which aimed to provide a detailed service user and service provider perspective on the uptake, acceptability, and perception of harms of antenatal interventions and postnatal interventions for preventing PND.
A comprehensive literature search was conducted in 12 major bibliographic databases in November 2012 and updated in December 2014. Studies were included if they contained qualitative evidence on the perspectives and attitudes of pregnant women and postnatal women who had taken part in, or healthcare professionals (HCPs) involved in delivering, preventive interventions for PND.
Twenty-two studies were included. Support and empowerment through education were identified as particularly helpful to women as intervention components, across all intervention types. Implications for accessing the service, understanding the remit of the service and women's preferences for group and individual care also emerged.
The majority of the included studies were of moderate or low quality, which may result in a lack of rich data consistently across all studies, limiting to some degree interpretations that can be made.
The synthesis demonstrated important considerations for devising new interventions or adapting existing interventions. Specifically, it is important that individual or group interventions are carefully tailored to women's needs or preferences and women are aware of the remit of the HCPs role to ensure they feel able to access the support required.
产前出现抑郁症状的女性比产后更多。人们认识到，在孕期为女性提供支持对于减轻负面后果和预防产后抑郁症（PND）至关重要。本研究进行了一项系统综述，旨在从服务使用者和服务提供者的详细视角，探讨预防产后抑郁症的产前干预和产后干预的采用情况、可接受性及对危害的认知。
2012年11月在12个主要文献数据库中进行了全面的文献检索，并于2014年12月更新。纳入的研究需包含关于参与预防产后抑郁症干预措施的孕妇和产后女性或参与提供此类干预措施的医疗保健专业人员（HCPs）的观点和态度的定性证据。
纳入了22项研究。在所有干预类型中，通过教育提供支持和增强权能被确定为对女性特别有帮助的干预组成部分。还出现了关于获得服务、理解服务范围以及女性对团体和个人护理的偏好等方面的影响。
纳入的大多数研究质量中等或较低，这可能导致所有研究缺乏一致的丰富数据，在一定程度上限制了可做出的解释。
该综述表明在设计新干预措施或调整现有干预措施时需重要考虑的因素。具体而言，重要的是个人或团体干预要根据女性的需求或偏好进行精心调整，并且女性要了解医疗保健专业人员的角色范围，以确保她们觉得能够获得所需的支持。
