Roman Maria, Constantin Ticu, Bostan Cristina Maria
Department of Psychology, Alexandru Ioan Cuza University of Iasi, Iasi, Romania.
Women Health. 2020 Jan;60(1):99-112. doi: 10.1080/03630242.2019.1610824. Epub 2019 May 6.
Postpartum depression (PD) is a frequently occurring disorder that affects the cognitive, emotional and social development of a mother after childbirth. Online cognitive-behavioral therapy (OCBT) is used as therapy for PD symptomatology, but no clear evidence is available about its effectiveness. The goal of this meta-analysis was to identify, synthesize and analyze the empiric studies regarding the OCBT effectiveness for PD. A search for indexed articles and unpublished theses between 2000 and 2017 was made in Google Scholar, Proquest, ScienceDirect, APA PsycNet, Cochrane, SpringerLink, Medline, PubMed and Dissertations Abstract International. Six studies were selected based on the following eligibility criteria: (1) papers published in English, (2) papers about PD, (3) papers that empirically investigated the effectiveness of OCBT for PD, and (4) papers comparing an experimental group with a control group. Exclusion criteria included investigations of PD for: (1) mothers diagnosed with another severe disorder and (2) mothers with deceased children and (3) women with an age below 18 years old. This meta-analytic study identified a moderate significant size-effect ( = - 0.54, 95% [-0.716; -0.423]) of the OCBTs in reducing PD, and practical implications and limitations are discussed.
产后抑郁症（PD）是一种常见的疾病，会影响母亲产后的认知、情感和社会发展。在线认知行为疗法（OCBT）被用作治疗产后抑郁症症状的方法，但尚无明确证据表明其有效性。本荟萃分析的目的是识别、综合和分析关于OCBT治疗产后抑郁症有效性的实证研究。在谷歌学术、Proquest、ScienceDirect、APA PsycNet、Cochrane、SpringerLink、Medline、PubMed和国际学位论文摘要数据库中搜索了2000年至2017年期间的索引文章和未发表的论文。根据以下纳入标准选择了六项研究：（1）以英文发表的论文，（2）关于产后抑郁症的论文，（3）实证研究OCBT治疗产后抑郁症有效性的论文，以及（4）将实验组与对照组进行比较的论文。排除标准包括对以下产后抑郁症患者的研究：（1）被诊断患有其他严重疾病的母亲，（2）孩子已死亡的母亲，以及（3）年龄低于18岁的女性。这项荟萃分析研究发现，OCBT在减轻产后抑郁症方面具有中等显著的效应量（ = - 0.54，95% [-0.716; -0.423]），并讨论了实际意义和局限性。
