A Review of the Involvement of Partners and Family Members in Psychosocial Interventions for Supporting Women at Risk of or Experiencing Perinatal Depression and Anxiety.
A Review of the Involvement of Partners and Family Members in Psychosocial Interventions for Supporting Women at Risk of or Experiencing Perinatal Depression and Anxiety.
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DOI：
10.3390/ijerph18105396
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发表时间：
2021-05-18
影响因子：
--
通讯作者：
Doody O
中科院分区：
文献类型：
--
作者：
Noonan M;Jomeen J;Doody O
母亲在围产期出现心理健康状况可能对儿童发育和家庭关系产生严重的短期和长期后果。患有围产期抑郁症和/或焦虑症的妇女主要由其伴侣/配偶和家庭提供支持。本次审查的目的是综合数据的研究，研究纳入的合作伙伴或家庭成员的心理社会干预的风险或经历围产期抑郁症和/或焦虑症的妇女。对5个数据库进行了系统检索，以识别2010年至2020年期间发表的文献。九项实证研究符合资格标准，并由两位作者使用国家心脏，肺和血液研究所质量评估工具进行独立评估，提取数据并在TIDieR（干预描述和复制模板）检查表的指导下进行叙述性合成。符合条件的研究详细介绍了由各种方案促进者促进的各种干预措施，在所有研究中没有明显的干预或研究结果测量的中心模型。除一项研究外，所有研究都报告了母亲抑郁和焦虑评分的显着变化。干预措施对妇女、伴侣或家庭成员参与干预措施的经验评价有限。需要进一步研究，以牢固地建立共同设计的干预措施的有效性，以支持可持续地将这些干预措施纳入常规的围产期心理健康服务。
A maternal experience of perinatal mental health conditions can have serious short- and long-term consequences for child development and family relationships. Women with perinatal depression and/or anxiety are primarily supported by their partner/spouse and family. The aim of this review was to synthesise data from studies that have examined the inclusion of partners or family members in psychosocial interventions for women at risk of or experiencing perinatal depression and/or anxiety. A systematic search of five databases was conducted to identify literature published between 2010 and 2020. Nine empirical studies met the eligibility criteria and were independently assessed by two authors using the National Heart, Lung and Blood Institute Quality Assessment Tools and data were extracted and narratively synthesised guided by TIDieR (Template for Intervention Description and Replication) checklist. Eligible studies detailed diverse interventions facilitated by a variety of programme facilitators, with no central model of intervention or study outcome measures evident across the studies. All studies except one reported a significant change in maternal depression and anxiety scores. The interventions had limited evaluation of the woman’s, partner’s or family member’s experiences of involvement in the intervention. Further research is required to firmly establish the effectiveness of co-designed interventions to support the sustainable integration of such interventions into routine perinatal mental health services.
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