School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
School of Nursing, University of California San Francisco, San Francisco, CA, USA.
Matern Child Health J. 2021 Jun;25(6):870-880. doi: 10.1007/s10995-021-03130-6. Epub 2021 Apr 27.
Perinatal mood and anxiety disorders can have far reaching negative impact on both maternal mental health and child growth and development. Multimodal group parenting programs have been shown to improve maternal mental health symptoms however, they are often costly to provide and not accessible to many mothers, especially those mothers suffering from mental health symptoms. Therefore, the authors sought to answer the following question by undertaking a systematic review of the literature: are parenting interventions aimed at improving maternal-child interaction also a way to address mental health symptoms (i.e. depression, anxiety, stress) in mothers?
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. An online platform that supports the systematic review process and quality assessment according to Cochrane guidelines, Covidence, was used in conjunction with an adapted extraction tool to identify relevant studies and extract data for analysis.
11 articles were included in the qualitative synthesis. There was great heterogeneity between study interventions and measurement of outcomes for maternal mental health symptoms which precluded meta-analysis.
Studies reviewed did not demonstrate consistent evidence to recommend that parenting interventions leads to improvement in maternal mental health symptoms for depression, anxiety or stress. However, there was evidence that participating in parenting programs does not worsen these symptoms and some encouraging evidence that alternative delivery methods, beyond face to face, could, with more research, lead to more financially feasible and sustainable models of delivery of these types of interventions in the future.
围产期情绪和焦虑障碍会对产妇的心理健康和儿童的成长发育产生深远的负面影响。多模式团体育儿计划已被证明可以改善产妇的心理健康症状，但这些计划通常成本高昂，而且许多母亲无法获得，尤其是那些患有心理健康症状的母亲。因此，作者通过对文献进行系统评价，试图回答以下问题：旨在改善母婴互动的育儿干预措施是否也是解决母亲心理健康症状（即抑郁、焦虑、压力）的一种方法？
遵循系统评价和荟萃分析的首选报告项目（PRISMA）指南。使用了一个支持系统评价过程和根据 Cochrane 指南进行质量评估的在线平台 Covidence，并结合了一个经过改编的提取工具，以确定相关研究并提取数据进行分析。
11 篇文章被纳入定性综合分析。研究干预措施和产妇心理健康症状的测量结果之间存在很大的异质性，因此无法进行荟萃分析。
综述研究没有提供一致的证据表明育儿干预措施可以改善抑郁、焦虑或压力等心理健康症状。然而，有证据表明，参加育儿计划不会使这些症状恶化，而且有一些令人鼓舞的证据表明，除了面对面之外，其他替代的交付方法，如果有更多的研究，可以在未来为这些类型的干预措施提供更经济可行和可持续的交付模式。
