Department of Maternal-Child Nursing and Midwifery Nursing, Srinakharinwirot University, 63 M.7 Rangsit-Nakhonnayok Rd., Nakhonnayok, 26120, Thailand.
Department of Pediatrics Nursing, Faculty of Nursing, Burapha University, Saen Suk, Chon Buri, Thailand.
Arch Womens Ment Health. 2019 Apr;22(2):215-228. doi: 10.1007/s00737-018-0901-7. Epub 2018 Aug 16.
Postpartum depression (PPD) is a major public health problem affecting 10-57% of adolescent mothers which can affect not only adolescent mothers but also their infants. Thus, there is a need for interventions to prevent PPD in adolescent mothers. However, recent systematic reviews have been focused on effective interventions to prevent PPD in adult mothers. These interventions may not necessarily be applicable for adolescent mothers. Therefore, the purpose of this review was to examine the effectiveness of the existing interventions to prevent PPD in adolescent mothers. A systematic search was performed in MEDLINE, CINAHL, and SCOPUS databases between January 2000 and March 2017 with English language and studies involving human subjects. Studies reporting on the outcomes of intervention to prevent PPD particularly in adolescent mothers were selected. Non-comparative studies were excluded. From 2002 identified records, 13 studies were included, reporting on 2236 adolescent pregnant women. The evidence from this systematic review suggests that 6 of 13 studies from both psychological and psychosocial interventions including (1) home-visiting intervention, (2) prenatal antenatal and postnatal educational program, (3) CBT psycho-educational, (4) the REACH program based on interpersonal therapy, and (5) infant massage training is successful in reducing rates of PPD symptoms in adolescent mothers in the intervention group than those mothers in the control group. These interventions might be considered for incorporation in antenatal care interventions for adolescent pregnant women. However, this review did not find evidence identifying the most effective intervention for preventing postpartum depression symptoms in adolescent mothers.
产后抑郁症（PPD）是一个严重的公共卫生问题，影响 10-57%的青少年母亲，这不仅会影响青少年母亲，还会影响她们的婴儿。因此，需要干预措施来预防青少年母亲的 PPD。然而，最近的系统评价集中在预防成年母亲 PPD 的有效干预措施上。这些干预措施不一定适用于青少年母亲。因此，本综述的目的是研究现有的预防青少年母亲 PPD 的干预措施的有效性。从 2000 年 1 月到 2017 年 3 月，在 MEDLINE、CINAHL 和 SCOPUS 数据库中进行了系统搜索，使用英语和涉及人类受试者的研究。选择了报告干预措施预防 PPD 结果的研究，排除了非比较研究。从 2002 年确定的记录中，有 13 项研究入选，报告了 2236 名青少年孕妇。这项系统评价的证据表明，13 项研究中有 6 项来自心理和心理社会干预，包括：（1）家访干预，（2）产前和产后教育计划，（3）CBT 心理教育，（4）基于人际治疗的 REACH 计划，以及（5）婴儿按摩训练，在干预组中，青少年母亲的 PPD 症状发生率低于对照组。这些干预措施可以考虑纳入青少年孕妇的产前护理干预措施中。然而，本综述没有发现确定预防青少年母亲产后抑郁症症状最有效的干预措施的证据。
