Department of Psychological Medicine, School of Medicine, University of Auckland, Building 507, Level 3, 22-30 Park Avenue, Grafton, Auckland, 1023, New Zealand.
Department of Paediatrics: Child and Youth Health, School of Medicine, University of Auckland, Auckland, New Zealand.
J Clin Psychol Med Settings. 2023 Jun;30(2):387-402. doi: 10.1007/s10880-022-09902-8. Epub 2022 Aug 19.
Parents with infants in the neonatal intensive care unit (NICU) experience high levels of stress, anxiety, and depression. Mindfulness and relaxation-based interventions are effective in reducing distress in the general postpartum population. The aim of this systematic review was to evaluate whether mindfulness and/or relaxation-based interventions reduce stress, anxiety, and depression in NICU parents. A total of five studies met the inclusion criteria and were assessed for quality using the Downs & Black Checklist. The most consistent results in this review suggest that mindfulness and/or relaxation-based interventions may be effective at reducing anxiety symptoms in NICU parents, with moderate to large effect sizes, and show promise in reducing depressive symptoms. The findings show limited potential benefits on parental stress. Methodological weaknesses, heterogeneous intervention factors (including format and length), and varying participant adherence hinder the ability to make strong conclusions. Directions for future research are discussed.
新生儿重症监护病房 (NICU) 中婴儿的父母会经历高度的压力、焦虑和抑郁。以正念和放松为基础的干预措施在减轻普通产后人群的痛苦方面是有效的。本系统评价的目的是评估以正念和/或放松为基础的干预措施是否能减轻 NICU 父母的压力、焦虑和抑郁。共有五项研究符合纳入标准，并使用唐斯和布莱克清单进行了质量评估。本综述中最一致的结果表明，以正念和/或放松为基础的干预措施可能在减轻 NICU 父母的焦虑症状方面有效，具有中等到较大的效果，并且在减轻抑郁症状方面有一定的效果。研究结果表明，对父母压力的潜在益处有限。方法上的弱点、干预因素的异质性（包括形式和长度）以及参与者的不同坚持程度，都阻碍了得出强有力结论的能力。讨论了未来研究的方向。
