The effectiveness of technology-based cognitive behavioral therapy on perinatal depression and anxiety: A systematic review and meta-analysis.

IF 3.4 2区 医学 Q1 NURSING
Worldviews on Evidence-Based Nursing Pub Date : 2023-10-01 Epub Date: 2023-08-09 DOI:10.1111/wvn.12673
Hannie Ching, Joelle Yan Xin Chua, Jing Shi Chua, Shefaly Shorey
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引用次数: 0

Abstract

Background: Extensive literature has shown the effectiveness of cognitive behavioral therapy in treating perinatal depression, but little is known about the effectiveness of its technology-based version.

Aim: The aim of this review was to examine the effectiveness of technology-based cognitive behavioral therapy in reducing depressive and anxiety symptoms in women suffering from or at risk of experiencing perinatal depression.

Methods: Six electronic databases were searched until February 2023 for articles published in English. Random-effect meta-analyses were conducted. Heterogeneity was assessed using the I2 statistics and Cochran's Q chi-squared test. Sensitivity analyses and subgroup analyses were also performed, and quality appraisals at the study and outcome levels were conducted.

Results: A total of 16 randomized controlled trials were included in the review. Results from meta-analyses suggest that technology-based cognitive behavioral therapy has a medium effect in reducing perinatal depressive symptoms and a small effect in reducing perinatal anxiety symptoms. Overall, women suffering from or at risk of perinatal depression may benefit from technology-based cognitive behavioral therapy.

Linking evidence to action: Future interventions can be improved by addressing both perinatal depression and anxiety, paying more attention to antenatal women to prevent postnatal mental health issues, and using self-guided mobile applications for accessibility.

基于技术的认知行为疗法对围产期抑郁和焦虑的有效性:一项系统综述和荟萃分析。
背景:大量文献表明认知行为疗法在治疗围产期抑郁症方面的有效性,但对其基于技术的版本的有效性知之甚少。目的:本综述的目的是检验基于技术的认知行为疗法在减轻围产期抑郁症患者或有围产期抑郁症风险的女性的抑郁和焦虑症状方面的有效性。方法:检索截至2023年2月的六个电子数据库中的英文文章。进行了随机效应荟萃分析。使用I2统计和Cochran Q卡方检验来评估异质性。还进行了敏感性分析和亚组分析,并在研究和结果水平上进行了质量评估。结果:共纳入16项随机对照试验。荟萃分析结果表明,基于技术的认知行为疗法在减轻围产期抑郁症状方面效果中等,在减轻围产儿焦虑症状方面效果较小。总的来说,患有围产期抑郁症或有围产期抑郁症风险的女性可能受益于基于技术的认知行为疗法。将证据与行动联系起来:未来的干预措施可以通过解决围产期抑郁和焦虑问题、更加关注产前妇女以预防产后心理健康问题以及使用自助移动应用程序来改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.10
自引率
11.60%
发文量
72
审稿时长
>12 weeks
期刊介绍: The leading nursing society that has brought you the Journal of Nursing Scholarship is pleased to bring you Worldviews on Evidence-Based Nursing. Now publishing 6 issues per year, this peer-reviewed journal and top information resource from The Honor Society of Nursing, Sigma Theta Tau International, uniquely bridges knowledge and application, taking a global approach in its presentation of research, policy and practice, education and management, and its link to action in real world settings. Worldviews on Evidence-Based Nursing is written especially for: Clinicians Researchers Nurse leaders Managers Administrators Educators Policymakers Worldviews on Evidence­-Based Nursing is a primary source of information for using evidence-based nursing practice to improve patient care by featuring: Knowledge synthesis articles with best practice applications and recommendations for linking evidence to action in real world practice, administra-tive, education and policy settings Original articles and features that present large-scale studies, which challenge and develop the knowledge base about evidence-based practice in nursing and healthcare Special features and columns with information geared to readers’ diverse roles: clinical practice, education, research, policy and administration/leadership Commentaries about current evidence-based practice issues and developments A forum that encourages readers to engage in an ongoing dialogue on critical issues and questions in evidence-based nursing Reviews of the latest publications and resources on evidence-based nursing and healthcare News about professional organizations, conferences and other activities around the world related to evidence-based nursing Links to other global evidence-based nursing resources and organizations.
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