School of Nursing, Shandong University, No. 44 Wenhua Xi Road, Jinan, 250012, Shandong, People's Republic of China.
Society and Law School, Shandong Women's University, Jinan, Shandong, People's Republic of China.
Arch Womens Ment Health. 2018 Oct;21(5):491-503. doi: 10.1007/s00737-018-0835-0. Epub 2018 Apr 4.
Previous studies have reported different effect sizes for self-help interventions designed to reduce postpartum depression symptoms; therefore, a comprehensive quantitative review of the research was required. A meta-analysis was conducted to examine the effectiveness of self-help interventions designed to treat and prevent postpartum depression, and identified nine relevant randomized controlled trials. Differences in depressive symptoms between self-help interventions and control conditions, changes in depressive symptoms following self-help interventions, and differences in postintervention recovery and improvement rates between self-help interventions and control conditions were assessed in separate analyses. In treatment trials, depression scores continued to decrease from baseline to posttreatment and follow-up assessment in treatment subgroups. Changes in treatment subgroups' depression scores from baseline to postintervention assessment were greater relative to those observed in prevention subgroups. Self-help interventions produced larger overall effects on postpartum depression, relative to those observed in control conditions, in posttreatment (Hedges' g = 0.51) and follow-up (Hedges' g = 0.32) assessments; and self-help interventions were significantly more effective, relative to control conditions, in promoting recovery from postpartum depression. Effectiveness in preventing depression did not differ significantly between self-help interventions and control conditions.The findings suggested that self-help interventions designed to treat postpartum depression reduced levels of depressive symptoms effectively and decreased the risk of postpartum depression.
先前的研究报告了旨在减轻产后抑郁症症状的自助干预措施的不同效果大小；因此，需要对研究进行全面的定量综述。进行了荟萃分析，以检查旨在治疗和预防产后抑郁症的自助干预措施的有效性，并确定了九项相关的随机对照试验。在单独的分析中，评估了自助干预措施与对照条件之间的抑郁症状差异、自助干预措施后抑郁症状的变化以及自助干预措施与对照条件之间的干预后恢复和改善率差异。在治疗试验中，治疗亚组的抑郁评分从基线持续下降到治疗后和随访评估。与预防亚组观察到的相比，治疗亚组的抑郁评分从基线到干预后评估的变化更大。与对照条件相比，自助干预措施在治疗后（Hedges' g = 0.51）和随访（Hedges' g = 0.32）评估中对产后抑郁症的总体影响更大；与对照条件相比，自助干预措施在促进产后抑郁症的康复方面更有效。与对照条件相比，自助干预措施在预防抑郁症方面的效果没有显著差异。研究结果表明，旨在治疗产后抑郁症的自助干预措施可有效降低抑郁症状水平，并降低产后抑郁症的风险。
