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死胎后心理治疗干预对悲伤过程和抑郁的影响:系统评价与荟萃分析

The Effect of Psychotherapy Interventions After Stillbirth on the Grief Process and Depression: Systematic Review and Meta-Analysis.

作者信息

Yıldız Karaahmet Aysu, Bilgiç Fatma Şule

机构信息

Faculty of Health Sciences, Department of Midwifery, Haliç University, Istanbul, Turkey.

出版信息

Omega (Westport). 2024 Aug 9:302228241272686. doi: 10.1177/00302228241272686.

Abstract

This study aimed to provide a systematic overview of existing quantitative research on the effects of psychotherapy interventions given to women with stillbirth on the grief process and depression in the postpartum period and to analyze the results. Four databases (PubMed (MEDLINE), Cochrane, Google Scholar, Web of Science) were searched between January-March 2024. Risk of bias and precision of evidence were assessed with the Cochrane risk of bias tool ROB-2 and ROBIN-1. Ten studies were included. Meta-analysis results showed that psychotherapeutic interventions significantly reduced the grief adaptations of mothers in the mourning process and there was a significant difference in the assessment of grief adaptation. Sub-group analyzes revealed mothers' depression values and stress levels compared to the control groups and there was a significant difference between the groups. Psychotherapeutic interventions given to women positively affect their grief adaptation and reduce stress, anxiety, and depression. CRD42024516195.

摘要

本研究旨在系统综述现有关于对死产妇女进行心理治疗干预对产后悲伤过程和抑郁影响的定量研究,并分析结果。于2024年1月至3月期间检索了四个数据库(PubMed(MEDLINE)、Cochrane、谷歌学术、科学网)。使用Cochrane偏倚风险工具ROB-2和ROBIN-1评估证据的偏倚风险和精确性。纳入了十项研究。荟萃分析结果表明,心理治疗干预显著降低了母亲在哀悼过程中的悲伤适应度,并且在悲伤适应度评估方面存在显著差异。亚组分析揭示了与对照组相比母亲的抑郁值和压力水平,且组间存在显著差异。对妇女进行的心理治疗干预对她们的悲伤适应有积极影响,并减轻压力、焦虑和抑郁。CRD42024516195。

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