Sun Xiaoqing, Fan Xuemei, Cong Shengnan, Wang Rui, Feng Jingyi, Sha Lijuan, Xie Hongyan, Han Jingjing, Zhu Zhu, Zhang Aixia
School of Nursing, Nanjing Medical University, Jiangsu, China; Affiliated Hospital of Xuzhou Medical University, Jiangsu, China.
Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Jiangsu, China.
J Affect Disord. 2023 Oct 15;339:706-716. doi: 10.1016/j.jad.2023.07.085. Epub 2023 Jul 17.
No targeted review has assessed the effect of psychological interventions on the mental health, personal relationships, and the quality of life of women who have subjectively experienced traumatic childbirth.
Eight databases were searched from inception to January 2023. Study selection, data extraction, quality appraisal, and data analysis were conducted by two researchers independently.
In total, eight studies were included. The results indicated that psychological interventions could effectively alleviate post-traumatic stress disorder (PTSD) symptoms, depression, and anxiety in women who have subjectively experienced traumatic childbirth. The interventions were more effective in alleviating PTSD symptoms than depression or anxiety. The subgroup analysis results showed that the effect of multiple sessions might be better than that of a single session. There was insufficient evidence supporting the effect of psychological interventions to improve personal relationships and the quality of life.
Study limitations included the small number of studies included for meta-analysis, substantial heterogeneity, and the retrieval of only studies written in English or Chinese.
Psychological intervention is a promising method for the mental health of women who have subjectively experienced traumatic childbirth, but more studies are needed to confirm the effects. More studies are also required to explore the impact of psychological interventions on personal relationships and the quality of life. Future studies should focus on comparing which specific type of psychological intervention is most effective. Additional investigations should include the potential adverse effects and long-term effects of psychological interventions and details, such as content, process, and timing.
尚无针对性的综述评估心理干预对主观经历过创伤性分娩的女性心理健康、人际关系和生活质量的影响。
检索了从建库至2023年1月的八个数据库。由两名研究人员独立进行研究筛选、数据提取、质量评估和数据分析。
共纳入八项研究。结果表明，心理干预可有效减轻主观经历过创伤性分娩的女性的创伤后应激障碍（PTSD）症状、抑郁和焦虑。这些干预措施在减轻PTSD症状方面比减轻抑郁或焦虑更有效。亚组分析结果显示，多次干预的效果可能优于单次干预。没有足够的证据支持心理干预对改善人际关系和生活质量的效果。
研究的局限性包括纳入荟萃分析的研究数量少、异质性大，以及仅检索了英文或中文撰写的研究。
心理干预对于主观经历过创伤性分娩的女性心理健康是一种有前景的方法，但需要更多研究来证实其效果。还需要更多研究来探索心理干预对人际关系和生活质量的影响。未来的研究应侧重于比较哪种具体类型的心理干预最有效。进一步的调查应包括心理干预的潜在不良反应和长期影响以及细节，如内容、过程和时机。
