The impact of childhood trauma on psychological interventions for depression during pregnancy and postpartum: a systematic review.
The impact of childhood trauma on psychological interventions for depression during pregnancy and postpartum: a systematic review.
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DOI：
10.1007/s00737-020-01066-4
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Werner E
中科院分区：
文献类型：
--
作者：
Reuveni I;Lauria M;Monk C;Werner E
经历过童年创伤 (CT) 的女性在怀孕期间和产后患抑郁症的风险会增加，怀孕并发症也会增加，并且会增加不良的儿童结局。有有效的心理治疗干预措施可以治疗妊娠期和产后抑郁症，但关于 CT 对治疗结果影响的文献却很少。本综述旨在确定孕产妇 CT 病史是否以及如何影响孕期和产后抑郁症心理干预的结果。我们对 PubMed、PsycINFO 和 Cochrane 图书馆进行了检索，以确定有关旨在治疗 CT 女性妊娠期和产后抑郁症的心理干预措施的论文。七份手稿描述了六项研究，符合纳入标准 (N=1,234)。三项研究利用了人际心理治疗（IPT）的核心原则。两项研究调查了基于认知行为疗法（CBT）的干预措施。一项研究基于心理教育部分。结果表明，基于 IPT 的干预措施对患有 CT 的女性有益。关于基于 CBT 的干预措施的证据尚不那么确凿。鉴于缺乏系统地解决该问题的研究，撰写了这篇评论。儿童创伤问卷（CTQ）是评估 CT 的主要措施。与事故、疾病和政治暴力有关的创伤不包括在内。结果仅适用于基于 IPT 或 CBT 的干预措施，不能推广到其他形式的心理治疗。心理治疗干预对于孕期和产后有 CT 病史的抑郁女性有益；然而，还需要进一步的系统研究。
Women who have experienced childhood trauma (CT) are at increased risk for depression during pregnancy and postpartum, increased pregnancy complications, and adverse child outcomes. There are effective psychotherapeutic interventions to treat depression during pregnancy and postpartum, yet there is a paucity of literature on the impact of CT on treatment outcomes. This review aims to determine whether and how maternal CT history affects the outcomes of psychological interventions for depression during pregnancy and postpartum. PubMed, PsycINFO, and Cochrane Library searches were conducted to identify papers on psychological interventions designed to treat depression during pregnancy and postpartum in women with CT. Seven manuscripts, describing six studies, met the inclusion criteria (N=1,234). Three studies utilized core principles of Interpersonal Psychotherapy (IPT). Two studies investigated interventions based on Cognitive-Behavioral Therapy (CBT). One study was based on a psychoeducation component. Results suggest that IPT-based interventions are beneficial for women with CT. The evidence regarding CBT-based interventions is less conclusive. This review is written in light of the paucity of research addressing the question systematically. The Childhood Trauma Questionnaire (CTQ) was the main measure used to assess CT. Trauma related to accidents, illness, and political violence were not included. The results are only applicable to interventions based on either IPT or CBT and cannot be generalized to other forms of psychotherapy. Psychotherapeutic interventions are beneficial for depressed women with history of CT during pregnancy and postpartum; however, further systematic research is needed.
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