Godier-McBard Lauren Rose, Ibbitson L, Hooks C, Fossey M
Veterans and Families Institute, Anglia Ruskin University, Chelmsford, UK
Veterans and Families Institute, Anglia Ruskin University, Chelmsford, UK.
J R Army Med Corps. 2019 Oct;165(5):363-370. doi: 10.1136/jramc-2018-001069. Epub 2019 Jan 5.
Poor mental health in the perinatal period is associated with a number of adverse outcomes for the individual and the wider family. The unique circumstances in which military spouses/partners live may leave them particularly vulnerable to developing perinatal mental health (PMH) problems.
A scoping review was carried out to review the literature pertaining to PMH in military spouses/partners using the methodology outlined by Arksey and O'Malley (2005). Databases searched included EBSCO, Gale Cengage Academic OneFile, ProQuest and SAGE.
Thirteen papers fulfilled the inclusion criteria, all from the USA, which looked a PMH or well-being in military spouses. There was a strong focus on spousal deployment as a risk factor for depressive symptoms and psychological stress during the perinatal period. Other risk factors included a lack of social/emotional support and increased family-related stressors. Interventions for pregnant military spouses included those that help them develop internal coping strategies and external social support.
US literature suggests that military spouses are particularly at risk of PMH problems during deployment of their serving partner and highlights the protective nature of social support during this time. Further consideration needs to be made to apply the findings to UK military spouses/partners due to differences in the structure and nature of the UK and US military and healthcare models. Further UK research is needed, which would provide military and healthcare providers with an understanding of the needs of this population allowing effective planning and strategies to be commissioned and implemented.
围产期心理健康状况不佳会给个人及整个家庭带来一系列不良后果。军属所处的特殊环境可能使她们在围产期心理健康（PMH）问题上特别容易受到影响。
采用阿克西和奥马利（2005年）概述的方法进行了一项范围综述，以回顾与军属围产期心理健康相关的文献。检索的数据库包括EBSCO、盖尔·坎杰学术一号文件、ProQuest和SAGE。
13篇论文符合纳入标准，均来自美国，研究了军属的围产期心理健康或幸福感。研究重点强烈聚焦于配偶部署，将其视为围产期抑郁症状和心理压力的一个风险因素。其他风险因素包括缺乏社会/情感支持以及家庭相关压力源增加。针对怀孕军属的干预措施包括帮助她们制定内部应对策略和外部社会支持的措施。
美国文献表明，军属在其现役配偶部署期间尤其面临围产期心理健康问题的风险，并强调了此时社会支持的保护作用。由于英美两国军事和医疗模式在结构和性质上存在差异，需要进一步考虑将这些研究结果应用于英国军属。英国需要开展进一步研究，这将使军事和医疗服务提供者了解这一群体的需求，从而能够制定并实施有效的规划和策略。
