Hajure Mohammedamin, Alemu Solomon Seyife, Abdu Zakir, Tesfaye Gebremeskel Mulatu, Workneh Yadeta Alemayehu, Dule Aman, Adem Hussen Mustefa, Wedajo Lema Fikadu, Gezimu Wubishet
Department of Psychiatry, Maddawalabu University, Shashemene, Ethiopia.
Department of Midwifery, Maddawalabu University, Shashemene, Ethiopia.
Front Psychiatry. 2024 Jul 22;15:1373083. doi: 10.3389/fpsyt.2024.1373083. eCollection 2024.
This review aimed to assess the current evidence on the relationship between resilience and mental health employed in response to the impacts of mental health.
This review was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA). The protocol of this review was registered on the International Prospective Register of Systematic Reviews (PROSPERO: CRD42023470966). Three authors searched peer-reviewed articles using several electronic databases, including Scopus, PubMed/MEDLINE, Psych Info, EMBASE, and Web of Science, from September to October 2023 and included all the studies from any time until November 1, 2023. The review included all eligible quantitative observational and qualitative studies, irrespective of geographical boundaries.
Depression, anxiety, and post-traumatic stress disorders were found to be the most common, but not the only, mental health disorders during the perinatal period, and higher maternal resilience during perinatal periods was found to reduce mental health disorders. It was also found that pregnant women were more resilient to mental health disorders than postpartum women. Tolerance of uncertainty and a positive cognitive appraisal, women's self-behavior and family functioning, and protective psychosocial resources such as dispositional optimism, parental sense of mastery, self-esteem, gratitude, and forgiveness were found to be the most common mechanisms of resilience among perinatal women. Older age, having an adolescent partner, family income, and distress were found to affect resilience.
Noting that women's resilience is an important tool to prevent perinatal mental health disorders, maternal healthcare providers need to counsel perinatal women on resilience-boosting mechanisms, such as applying self-behavior and having social support or close family relationships. It is recommended to counsel or provide psychosocial interventions for the woman's companion or partner to give strong support for the woman in each of the perinatal periods.
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=470966, identifier CRD42023470966.
本综述旨在评估当前关于心理韧性与应对心理健康影响时所采用的心理健康之间关系的证据。
本综述按照系统评价与Meta分析的首选报告项目（PRISMA）进行。本综述方案已在国际系统评价前瞻性注册库（PROSPERO：CRD42023470966）注册。三位作者于2023年9月至10月使用多个电子数据库检索同行评审文章，包括Scopus、PubMed/MEDLINE、Psych Info、EMBASE和Web of Science，并纳入截至2023年11月1日任何时间的所有研究。该综述纳入所有符合条件的定量观察性和定性研究，不受地域限制。
发现抑郁、焦虑和创伤后应激障碍是围产期最常见但并非唯一的心理健康障碍，且围产期较高的母亲心理韧性可减少心理健康障碍。还发现孕妇比产后妇女对心理健康障碍更具心理韧性。不确定性容忍度和积极的认知评价、女性的自我行为和家庭功能以及诸如性格乐观、父母掌控感、自尊、感恩和宽恕等保护性社会心理资源是围产期女性最常见的心理韧性机制。年龄较大、伴侣为青少年、家庭收入和痛苦被发现会影响心理韧性。
鉴于女性的心理韧性是预防围产期心理健康障碍的重要工具，孕产妇保健提供者需要就增强心理韧性的机制为围产期女性提供咨询，例如运用自我行为以及获得社会支持或紧密的家庭关系。建议为女性的伴侣提供咨询或进行社会心理干预，以便在围产期的各个阶段为女性提供有力支持。
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=470966，标识符CRD42023470966。
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