School of Nursing, Jilin University, Changchun, Jilin, China.
Department of Developmental Pediatrics, Second Hospital of Jilin University, Changchun, Jilin, China.
J Adv Nurs. 2021 Jan;77(1):125-146. doi: 10.1111/jan.14588. Epub 2020 Oct 13.
To quantify the effect of mind-body interventions on stress in pregnant women.
A systematic review and meta-analysis of randomized controlled trials was performed.
PubMed, Embase, CENTRAL, Web of Science and PsycINFO were searched from each database inception to January 2020.
Randomized controlled trials regarding mind-body interventions for stress in pregnant women were included. Methodological quality was evaluated using the Cochrane Collaboration 'Risk of Bias' tool and meta-analysis was performed via RevMan 5.3. Subgroup analysis and publication bias assessment were conducted. Post hoc sensitivity analysis was performed to investigate the source of heterogeneity.
In total, 28 studies comprising 1944 participants were included. The overall meta-analysis showed that antenatal stress of pregnant women in the mind-body interventions groups showed significant high improvements (SMD=-0.94; 95% CI [-1.25, -0.63]; p < .00001) compared with the control groups. Results of subgroup analyses indicated that all types of mind-body interventions including mindfulness intervention, cognitive behavioural therapy, relaxation techniques and yoga were beneficial to antenatal stress. Both groups and individual formats mind-body interventions were effective. 4-8 weeks mind-body interventions were seemed as the optimal choice. Moreover, mind-body interventions were concomitant with reducing antenatal anxiety and depression.
Mind-body interventions are promising approaches for stress reduction in pregnant women. Nevertheless, the results should be interpreted with caution because of high heterogeneity and publication bias. Further high-quality studies are needed to verify the findings.
Mind-body interventions have been widely implemented to ameliorate antenatal stress, but conflicting results were found across studies. This systematic review and meta-analysis suggested that mind-body interventions are relatively safe and convenient and can successfully promote antenatal stress. The suggestions proposed in this review may be useful for developing a scientific mind-body interventions regimen and encouraging the application of mind-body interventions in pregnant women, thereby managing antenatal stress effectively.
定量评估身心干预对孕妇压力的影响。
系统评价和荟萃分析随机对照试验。
从每个数据库的创建到 2020 年 1 月，检索 PubMed、Embase、CENTRAL、Web of Science 和 PsycINFO。
纳入了针对孕妇压力的身心干预随机对照试验。使用 Cochrane 协作“偏倚风险”工具评估方法学质量，并通过 RevMan 5.3 进行荟萃分析。进行亚组分析和发表偏倚评估。进行事后敏感性分析以调查异质性的来源。
共纳入 28 项研究，包含 1944 名参与者。总体荟萃分析显示，身心干预组孕妇的产前压力明显改善（SMD=-0.94；95%CI[-1.25，-0.63]；p<.00001），与对照组相比。亚组分析结果表明，包括正念干预、认知行为疗法、放松技术和瑜伽在内的所有类型的身心干预都对产前压力有益。团体和个体形式的身心干预都有效。4-8 周的身心干预似乎是最佳选择。此外，身心干预还可降低产前焦虑和抑郁。
身心干预是减轻孕妇压力的有前途的方法。然而，由于存在高度异质性和发表偏倚，结果应谨慎解释。需要进一步开展高质量的研究来验证这些发现。
身心干预已广泛用于改善产前压力，但研究结果存在冲突。本系统评价和荟萃分析表明，身心干预相对安全方便，可成功促进产前压力。本综述中提出的建议可能有助于制定科学的身心干预方案，并鼓励在孕妇中应用身心干预，从而有效管理产前压力。
