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从怀孕到孩子5岁期间,预防在职父母心理健康问题并提高其心理复原力的干预策略:一项范围综述

Intervention strategies to prevent mental health problems and improve resilience in employed parents from conception until the child is 5 years of age: a scoping review.

作者信息

Crombag Neeltje, Bollen Bieke, Vancoppenolle Eline, Vandendriessche Thomas, Versmissen Dagmar, Paisi Martha, Shawe Jill, Garthus-Niegel Susan, Bogaerts Annick

机构信息

REALIFE Research Group, Women and Child, Department of Development and Regeneration, KU Leuven, Louvain, 3000, Belgium.

L-C&Y, KU Leuven Child & Youth Institute, Louvain, 3000, Belgium.

出版信息

BMC Pregnancy Childbirth. 2025 Jan 9;25(1):17. doi: 10.1186/s12884-024-07043-4.

DOI:10.1186/s12884-024-07043-4
PMID:39789487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11715540/
Abstract

AIM

To understand the extent and type of evidence in relation to the effectiveness of intervention strategies targeting working pregnant women, and their partners, for the prevention of mental health problems (depression, anxiety) and improving resilience, from conception until the child is 5 years of age.

METHODS

A scoping review was conducted searching Pubmed (including Medline), Embase, Web of Science Core Collection and Scopus. Inclusion criteria were based on population (employed parents), context (from -9 months to 5 years postpartum) and concept (mental health problems, resilience and prevention/ preventative interventions).

RESULTS

Of the 17,699 papers screened, 3 full text papers were included. Studies focused on intervention strategies for working parents which showed a relationship with a reduction in mental health problems (depression and/or anxiety). The intervention strategies extracted from the literature referred to 'social support'. Social support provided by both the social and the work environment correlated with prenatal stress and depressive symptoms in the postpartum period, and supports a healthy work-family balance.

CONCLUSION

Social support seems to have a positive association with the reduction of mental health problems. However, there are still important gaps in the literature such as a lack of RCT designs to test effectiveness of interventions and systematic reviews. Findings from this study may provide a roadmap for future research to close these gaps in knowledge.

摘要

目的

了解针对在职孕妇及其伴侣,从怀孕直至孩子5岁,预防心理健康问题(抑郁、焦虑)并提高心理复原力的干预策略有效性方面的证据范围和类型。

方法

进行了一项范围综述,检索了PubMed(包括Medline)、Embase、科学引文索引核心合集和Scopus。纳入标准基于人群(在职父母)、背景(产后-9个月至5年)和概念(心理健康问题、心理复原力和预防/预防性干预)。

结果

在筛选的17699篇论文中,纳入了3篇全文论文。研究聚焦于在职父母的干预策略,这些策略显示出与心理健康问题(抑郁和/或焦虑)减少之间存在关联。从文献中提取的干预策略涉及“社会支持”。社会和工作环境提供的社会支持与产前压力和产后抑郁症状相关,并有助于实现健康的工作与家庭平衡。

结论

社会支持似乎与心理健康问题的减少呈正相关。然而,文献中仍存在重要空白,如缺乏测试干预措施有效性的随机对照试验设计和系统综述。本研究结果可为未来研究填补这些知识空白提供路线图。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29e9/11715540/772bf981bbe4/12884_2024_7043_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29e9/11715540/11f6477b9fe0/12884_2024_7043_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29e9/11715540/f4493a8407c5/12884_2024_7043_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29e9/11715540/e2ac8b8d857d/12884_2024_7043_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29e9/11715540/772bf981bbe4/12884_2024_7043_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29e9/11715540/11f6477b9fe0/12884_2024_7043_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29e9/11715540/f4493a8407c5/12884_2024_7043_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29e9/11715540/e2ac8b8d857d/12884_2024_7043_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29e9/11715540/772bf981bbe4/12884_2024_7043_Fig4_HTML.jpg

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本文引用的文献

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