A systematic review of research examining mothers, infants, family and staff in psychiatric mother-baby units

IF 5.3 2区 医学 Q1 PSYCHIATRY
Sam Adhikary, Kerri Gillespie, Hayley Kimball, Lyndall Healey, Olivia Webb, Abha Balram, Grace Branjerdporn
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Abstract

Objective

This systematic review aimed to summarise and synthesise research conducted in psychiatric mother-baby units (MBUs) in relation to patients, their families, or staff, published from 1st January 2016 to 1st May 2024.

Method

Quantitative, qualitative, and mixed-method studies were included for review if they were published in peer-review journals in English and reported research on MBUs between January 2016 and May 2024. From the initial yield of 10,007 unique studies, 53 studies were included for review.

Results

MBU research was found to more frequently investigate maternal characteristics rather than the benefits of MBU treatment compared to studies conducted prior to 2016. Most studies that did investigate impact of admission showed favourable results, however few follow-up studies and studies comparing MBU outcomes to other clinical settings were undertaken. Little research has been conducted to investigate the differential impacts of MBU admission on different diagnoses and long-term (>1 year) patient outcomes. There was a dearth of research investigating partners of women in MBUs and few studies conducted on infant outcomes.

Conclusions

MBUs were consistently found to improve mental health systems and mother-infant attachment in patients after admission. More research investigating patient support networks and child health, impact of diagnosis on outcomes, and studies with adequate follow-up are required.

Abstract Image

对精神科母婴病房的母亲、婴儿、家庭和工作人员的研究进行系统回顾。
目的:本系统性综述旨在总结和归纳 2016 年 1 月 1 日至 2024 年 5 月 1 日期间在精神科母婴病房(MBU)开展的与患者、家属或员工有关的研究:本系统性综述旨在总结和归纳 2016 年 1 月 1 日至 2024 年 5 月 1 日期间发表的有关精神科母婴病房(MBU)患者、家属或员工的研究:如果定量研究、定性研究和混合方法研究发表在同行评审的英文期刊上,并报告了 2016 年 1 月至 2024 年 5 月期间有关母婴病房的研究,则纳入审查范围。在最初产生的 10,007 项独特研究中,有 53 项研究被纳入审查范围:结果发现,与 2016 年之前的研究相比,医疗小组的研究更频繁地调查产妇特征,而非医疗小组治疗的益处。大多数对入院影响进行调查的研究都显示了有利的结果,但很少有后续研究以及将医疗小组的结果与其他临床环境进行比较的研究。很少有研究调查医疗小组入院对不同诊断和长期(>1 年)患者预后的不同影响。对医疗小组中妇女的伴侣进行调查的研究很少,对婴儿结果的研究也很少:结论:研究一致发现,医疗小组能够改善患者的心理健康系统和入院后的母婴依恋关系。需要开展更多的研究,调查病人支持网络和儿童健康、诊断对结果的影响,并进行充分的后续研究。
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
Acta Psychiatrica Scandinavica
Acta Psychiatrica Scandinavica 医学-精神病学
CiteScore
11.20
自引率
3.00%
发文量
135
审稿时长
6-12 weeks
期刊介绍: Acta Psychiatrica Scandinavica acts as an international forum for the dissemination of information advancing the science and practice of psychiatry. In particular we focus on communicating frontline research to clinical psychiatrists and psychiatric researchers. Acta Psychiatrica Scandinavica has traditionally been and remains a journal focusing predominantly on clinical psychiatry, but translational psychiatry is a topic of growing importance to our readers. Therefore, the journal welcomes submission of manuscripts based on both clinical- and more translational (e.g. preclinical and epidemiological) research. When preparing manuscripts based on translational studies for submission to Acta Psychiatrica Scandinavica, the authors should place emphasis on the clinical significance of the research question and the findings. Manuscripts based solely on preclinical research (e.g. animal models) are normally not considered for publication in the Journal.
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