Nurs Womens Health. 2024 Feb;28(1):41-49. doi: 10.1016/j.nwh.2023.09.005. Epub 2023 Dec 13.
To examine the effect of an Emotional Freedom Techniques (EFT) group intervention on perceived stress, depression, and anxiety symptoms in women in the postpartum period.
A one-group pre- and posttest quasi-experimental design.
SETTING/LOCAL PROBLEM: Postpartum depression (PPD) and anxiety affect nearly one in five women in the first 12 months after childbirth. The COVID-19 pandemic was associated with a significant worsening of symptoms of PPD, stress, and anxiety in this population. Mental health screening is the standard of care in perinatal settings. This practice has led to an increased rate of PPD and anxiety diagnoses and the need for evidence-based nonpharmacologic interventions to support mothers with PPD and anxiety.
Eleven mothers seeking care for lactation concerns who screened positive for PPD and anxiety symptoms.
INTERVENTION/MEASUREMENTS: A total of eight 1-hour group EFT sessions were offered to participants over a period of 4 weeks. During the group sessions, participants were taught how to perform the steps of EFT and apply it in a supportive group format. Measurement tools included the Subjective Unit of Distress Scale, Edinburgh Postnatal Depression Scale, and Generalized Anxiety Disorder-7. The preintervention and postintervention scores of these tools were compared using a paired-samples t test.
After implementing EFT as a group intervention, we observed a reduction in mental health burden experienced by women in the postpartum period. There was a statistically significant decrease in depression (p = .003), anxiety (p <.001), and perceived stress (p <.001) scores 1 month after the EFT intervention.
These findings suggest that EFT may be a viable adjunctive intervention for managing depression, anxiety, and stress in the postpartum period. Further research with larger and more diverse samples is needed to confirm these findings.
探讨情绪自由技术(EFT)团体干预对产后妇女感知压力、抑郁和焦虑症状的影响。
单组前后测试准实验设计。
背景/问题:产后抑郁症(PPD)和焦虑症影响近五分之一的女性在分娩后 12 个月内。COVID-19 大流行导致该人群的 PPD、压力和焦虑症状明显恶化。心理健康筛查是围产期护理的标准。这一做法导致 PPD 和焦虑症的诊断率增加,需要有循证的非药物干预措施来支持患有 PPD 和焦虑症的母亲。
11 名因哺乳问题寻求护理且筛查出患有 PPD 和焦虑症状的母亲。
干预/措施:在 4 周的时间内,为参与者提供了总共 8 次 1 小时的 EFT 团体课程。在团体课程中,参与者学习了如何执行 EFT 的步骤,并以支持性的团体形式应用它。测量工具包括主观痛苦单位量表、爱丁堡产后抑郁量表和广泛性焦虑障碍 7 项。使用配对样本 t 检验比较这些工具的干预前后评分。
在实施 EFT 团体干预后,我们观察到产后妇女的心理健康负担有所减轻。EFT 干预后 1 个月,抑郁(p=0.003)、焦虑(p<.001)和感知压力(p<.001)评分均有统计学显著降低。
这些发现表明,EFT 可能是一种可行的辅助干预措施,可用于管理产后抑郁、焦虑和压力。需要进一步开展更大、更多样化样本的研究来证实这些发现。