Food Technology Program, School of Industrial Technology, Universiti Sains Malaysia, Gelugor, Pulau Pinang, Malaysia.
Womens Health (Lond). 2024 Jan-Dec;20:17455057241275587. doi: 10.1177/17455057241275587.
Postpartum depression (PPD) is a mental health disorder that affects 10%-15% women globally. Longitudinal and meta-analyses have consistently demonstrated the negative impacts of PPD on both the affected mothers and subsequent infant development. Given the consideration that antidepressant side effects in breastfeeding infants and the cost-effectiveness considerations of psychotherapies, attention has been paid towards the promising role of social support interventions in order to prevent and reduce the PPD symptoms. Confirming the assertion, this narrative review examines the potential of five social support interventions to ameliorate PPD-related maternal and infant outcomes. The wide implications of psychoeducational strategy, nurses' supportive and non-directive counselling and home-visiting approach are outlined. Furthermore, the evidence underlying the role of peer support, culturally tailored intervention and community-based participatory approach in PPD is elucidated. In clinical practice, this review reinforce the roles of discharge educational intervention led by the experienced nurse during the postpartum stay, in order to maintain psychological mental health among the postpartum mothers. More importantly, the skilled and competence public health nurses act as valuable assets in treating PPD, and this effective treatment alternative should be considered by healthcare planners. In future, major investigations will be strategized to discover the synergistic effects of combined social support approaches to yield a better outcome in the prevention and treatment of PPD.
产后抑郁症(PPD)是一种全球范围内影响 10%-15%女性的心理健康障碍。纵向和荟萃分析一致表明,PPD 对受影响的母亲和随后的婴儿发育都有负面影响。鉴于抗抑郁药在母乳喂养婴儿中的副作用以及心理治疗的成本效益考虑,人们关注社会支持干预在预防和减轻 PPD 症状方面的潜在作用。本叙述性综述证实了这一观点,探讨了五种社会支持干预措施改善与 PPD 相关的母婴结局的潜力。概述了心理教育策略、护士支持性和非指导性咨询以及家访方法的广泛影响。此外,还阐明了同伴支持、文化适应干预和基于社区的参与式方法在 PPD 中作用的证据。在临床实践中,本综述强调了由经验丰富的护士在产后期间进行的出院教育干预的作用,以维持产后母亲的心理健康。更重要的是,熟练且有能力的公共卫生护士是治疗 PPD 的宝贵资产,医疗保健规划者应考虑这种有效的治疗选择。未来,将制定重大调查研究,以发现联合社会支持方法的协同作用,以在 PPD 的预防和治疗中取得更好的结果。