School of Nursing, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Pediatric, Yan'an Hospital Affiliated To Kunming Medical University, Kunming, Yunnan, China.
PLoS One. 2024 Nov 6;19(11):e0312996. doi: 10.1371/journal.pone.0312996. eCollection 2024.
To determine the psychological experiences of patients with postpartum depression by systematically reviewing, retrieving, and synthesizing data from qualitative studies.
Nine databases were systematically searched for relevant publications, from database establishment to September 20, 2024. All qualitative studies in English and Chinese that explored the real-life experiences, feelings, etc., of individuals affected by postpartum depression after childbirth were included. The qualitative meta-synthesis was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. Two independent reviewers selected these studies and evaluated the quality of each study, conducting a meta-analysis to integrate the results.
A total of 28 studies revealed 12 sub-themes and 3 descriptive themes: negative physical and psychological experiences and coping strategies, role transition discomfort and impact, lack of relevant support.
The prominence of negative physical and psychological experiences, the discomfort of role transformation, and the lack of relevant support in patients with postpartum depression. In future studies, more attention should be paid to maternal mental health, and full mental health screening during pregnancy and childbirth should be implemented. Psychological counseling services should also be provided to pregnant women. [REGISTRATION: PROSPERO ID: CRD42024504506].
通过系统地回顾、检索和综合定性研究中的数据,确定产后抑郁症患者的心理体验。
从数据库建立到 2024 年 9 月 20 日,系统地在 9 个数据库中搜索相关文献。纳入所有探讨产后抑郁症患者在产后真实生活体验、感受等的英文和中文定性研究。按照系统评价和荟萃分析的首选报告项目(PRISMA)建议进行定性元分析。两位独立的评审员选择这些研究并评估每个研究的质量,进行荟萃分析以整合结果。
共 28 项研究揭示了 12 个亚主题和 3 个描述性主题:负性的身心体验和应对策略、角色转变的不适和影响、缺乏相关支持。
产后抑郁症患者的负性身心体验、角色转变的不适和缺乏相关支持较为突出。未来的研究应更加关注产妇的心理健康,在妊娠和分娩期间进行全面的心理健康筛查,并为孕妇提供心理咨询服务。[注册:PROSPERO 注册号:CRD42024504506]