Clinical Research Unit for Anxiety and Depression, University of New South Wales at St Vincent's Hospital, Level 4, The O'Brien Centre, 394-404 Victoria Street, Darlinghurst, Sydney, Australia.
School of Psychology, University of New South Wales, Mathews Building, Kensington, NSW, 2052, Australia.
Arch Womens Ment Health. 2018 Oct;21(5):481-490. doi: 10.1007/s00737-018-0812-7. Epub 2018 Jan 24.
Maternal anxiety is common during the perinatal period, and despite the negative outcomes of anxiety on the mother and infant, its treatment has received limited attention. This paper describes the first review of psychological interventions for clinical anxiety during the perinatal period. A systematic search was carried out of six electronic databases. Five studies which evaluated psychological interventions for clinical anxiety in perinatal women were identified. Of the five studies included, four were open trials and one was a randomised controlled trial. Three studies evaluated group-based interventions; one study evaluated an online-delivered intervention; and one study a combined pharmacologic-psychological intervention. All participants demonstrated significant reductions in anxiety symptom severity from pre- to post-treatment. However, this review was limited to published literature evaluating treatments for clinical anxiety in perinatal women, which may have excluded important intervention studies and prevention programs, and unpublished literature. This review identifies an area of research that needs urgent attention, as very few studies have evaluated psychological treatments for perinatal anxiety. The studies included in this review demonstrate that symptoms of anxiety during the perinatal period appear to improve during treatment. Future research is needed to establish the efficacy of perinatal anxiety interventions in randomised controlled trials, whether reductions persist long term and whether benefits extend to other outcomes for the mother, infant and family.
产妇焦虑在围产期很常见，尽管焦虑对母亲和婴儿有负面影响，但对其的治疗却关注有限。本文描述了对围产期临床焦虑的心理干预措施的首次综述。对六个电子数据库进行了系统检索。确定了五项评估围产期妇女临床焦虑的心理干预措施的研究。五项研究中，四项为开放性试验，一项为随机对照试验。三项研究评估了基于小组的干预措施；一项研究评估了在线干预措施；一项研究则评估了药物与心理联合干预措施。所有参与者的焦虑症状严重程度均从治疗前到治疗后显著降低。然而，本综述仅限于评估围产期女性临床焦虑症治疗的已发表文献，这可能排除了重要的干预研究和预防计划以及未发表的文献。本综述确定了一个需要紧急关注的研究领域，因为很少有研究评估过围产期焦虑症的心理治疗方法。本综述中包含的研究表明，围产期期间的焦虑症状在治疗过程中似乎有所改善。需要进一步的研究来在随机对照试验中确定围产期焦虑干预措施的疗效，是否能长期持续缓解，以及对母亲、婴儿和家庭的其他结果是否有益。
