Feasibility of universal screening for postpartum mood and anxiety disorders among caregivers of infants hospitalized in NICUs: a systematic review.
Feasibility of universal screening for postpartum mood and anxiety disorders among caregivers of infants hospitalized in NICUs: a systematic review.
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DOI：
10.1038/s41372-021-01005-w
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发表时间：
2021-08
期刊：
影响因子：
--
通讯作者：
Mangurian C
中科院分区：
文献类型：
--
作者：
Murthy S;Haeusslein L;Bent S;Fitelson E;Franck LS;Mangurian C
这项系统评价评估了在新生儿重症监护病房 (NICU) 住院婴儿的护理人员中实施产后情绪和焦虑障碍 (PMAD) 普遍筛查计划的可行性。四项中等质量的实施后队列研究满足纳入标准（总共 N = 2752 名参与者）。所有研究都包括母亲；一项研究包括父亲或伴侣。筛查包括抑郁症和创伤后应激障碍的测量。筛查率范围为 48.5%−96.2%。母亲抑郁症的发生率为18%−43.3%，父亲为9.5%。常见的促进因素包括让多学科工作人员参与项目开发和实施、与项目冠军合作以及将筛查纳入常规临床实践。转诊心理健康治疗是最重要的障碍。这项系统评价表明，在 NICU 中进行普遍的 PMAD 筛查可能是可行的。进一步研究比较更广泛的 PMAD 筛查工具和方案对于解决这些对父母和婴儿产生重大影响的普遍病症至关重要。
This systematic review evaluated the feasibility of implementing universal screening programs for postpartum mood and anxiety disorder (PMAD) among caregivers of infants hospitalized in the neonatal intensive care unit (NICU). Four moderate quality post-implementation cohort studies satisfied inclusion criteria (N=2752 total participants). All studies included mothers; one study included fathers or partners. Screening included measures of depression and post-traumatic stress. Screening rates ranged from 48.5%−96.2%. The incidence of depression in mothers ranged from 18%−43.3% and was 9.5% in fathers. Common facilitators included engaging multidisciplinary staff in program development and implementation, partnering with program champions, and incorporating screening into routine clinical practice. Referral to mental health treatment was the most significant barrier. This systematic review suggests that universal PMAD screening in NICUs may be feasible. Further research comparing a wider range of PMAD screening tools and protocols is critical to address these prevalent conditions with significant consequences for parents and infants.
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