Jessica Radley, Claire Grant, Billie Lever Taylor, Michelle Moulds, Victoria Pile
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引用次数: 0
Abstract
Background: Mental imagery is an important maintenance factor in many mental health difficulties, and imagery-based treatments are effective, yet often underutilised. The perinatal period is a critical time for mental health outcomes. This review synthesised data on the relationship between imagery and mental health and the effectiveness of imagery-based interventions in the perinatal period.
Methods: Eligibility criteria were quantitative design, perinatal sample, a mental health outcome and either a measure of imagery or an intervention with an imagery component. Six databases were searched in May 2024 with the search updated in May 2026. Risk of bias was assessed using the Mixed Methods Appraisal Tool. Data were synthesised narratively and in meta-analyses.
Results: Of 1592 de-duplicated identified reports, 38 studies were included (34 intervention studies, 2 retrospective cohort studies, 2 cross-sectional studies). Meta-analyses found no clear effect on anxiety (SMD -0.17, 95% CI -0.36 to 0.03) or depression (SMD -0.17, 95% CI -1.15 to 0.80), with overall low certainty of evidence.
Conclusion: This review found that mental imagery has been harnessed in a limited fashion in the perinatal period. The majority of identified interventions aimed to enhance positive imagery with very few aiming to address negative imagery. Only one of the cross-sectional studies included examined the relationship between measures of perinatal mental imagery and mental health. In order to develop effective interventions that can both use and target dysfunctional mental imagery, it is critical that a strong theoretical basis is developed for use of imagery in the perinatal period.
背景：心理意象是许多心理健康困难的重要维持因素，基于意象的治疗是有效的，但往往未得到充分利用。围产期是影响心理健康结果的关键时期。本综述综合了图像与心理健康之间的关系以及围产期基于图像的干预措施的有效性的数据。方法：入选标准为定量设计、围产期样本、一项心理健康结果以及意象测量或含有意象成分的干预。2024年5月搜索了6个数据库，并于2026年5月更新了搜索结果。使用混合方法评估工具评估偏倚风险。通过叙述和荟萃分析对数据进行综合。结果：在1592份重复的鉴定报告中，纳入了38项研究（34项干预研究，2项回顾性队列研究，2项横断面研究）。荟萃分析发现，对焦虑（SMD -0.17, 95% CI -0.36至0.03）或抑郁（SMD -0.17, 95% CI -1.15至0.80）没有明显的影响，证据的总体确定性较低。结论：本综述发现，心理意象在围产期已被利用在有限的方式。大多数确定的干预措施旨在增强积极意象，很少旨在解决消极意象。只有一项横断面研究包括了围产期心理意象测量和心理健康之间的关系。为了制定有效的干预措施，既可以使用也可以针对功能失调的心理意象，至关重要的是，为围产期意象的使用建立一个强有力的理论基础。
期刊介绍：
The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.
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