Evaluating group psychological interventions for mental health in women with infertility undertaking fertility treatment: A systematic review and meta-Analysis.

IF 6.6 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Health Psychology Review Pub Date : 2023-09-01 DOI:10.1080/17437199.2022.2058582

Emma Warne, Melissa Oxlad, Talitha Best

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引用次数: 4

Abstract

ABSTRACT We conducted a systematic review and meta-analysis of the published literature concerning the effectiveness of group psychological interventions in improving anxiety, depression, marital dissatisfaction, fertility quality of life and stress, and pregnancy outcomes of women with infertility, participating in fertility treatment. A search of five databases yielded 1603 studies; 30 articles met inclusion criteria, and computations of effect sizes ensued (Hedges’ g and Odds Ratios (OR)). The total sample comprised 2752 participants, with 1279 participants receiving group intervention and 1473 participants in the comparison group. Group psychological interventions reduced depression (Hgw = −1.277; 95% CI = [−1.739- −0.815]; p = 0.000), anxiety (Hgw = −1.136, 95% CI [−1.527- −0.744]; p = 0.000), fertility stress (Hgw = −0.250, 95% CI [−0.388- −0.122]; p = 0.000), and marital dissatisfaction (Hgw = −0.938; 95% [CI −1.455- −0.421]; p = 0.000), and pregnancy rates improved (OR = 2.422 95% CI [2.037–2.879]; p = 0.000). No improvement was observed regarding fertility quality of life (Hgw = 0. 144; 95% CI [−0.176- 0.463]; p = 0.379). Our findings highlight that participation in group psychological intervention improved the mental health, fertility stress and pregnancy rates of women with infertility.

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评估群体心理干预对接受生育治疗的不孕症妇女心理健康的影响:一项系统回顾和荟萃分析

摘要我们对已发表的关于群体心理干预在改善不孕不育妇女参加生育治疗的焦虑、抑郁、婚姻不满、生育生活质量和压力以及妊娠结局方面的有效性的文献进行了系统回顾和荟萃分析。对5个数据库的搜索得到了1603项研究;30篇文章符合纳入标准，然后计算效应大小(对冲系数g和比值比(OR))。样本总数为2752人，其中实验组干预1279人，对照组干预1473人。群体心理干预减少抑郁(Hgw = -1.277;95% ci = [-1.739- -0.815];p = 0.000),焦虑(Hgw = -1.136, 95% CI (-1.527 - -0.744);p = 0.000),生育压力(Hgw = -0.250, 95% CI (-0.388 - -0.122);p = 0.000)、婚姻不满意度(Hgw = -0.938;95% [ci -1.455- -0.421];p = 0.000)，妊娠率提高(OR = 2.422 95% CI [2.037 ~ 2.879];p = 0.000)。生育生活质量未见改善(Hgw = 0)。144;95% ci [-0.176- 0.463];P = 0.379)。我们的研究结果强调，参与群体心理干预改善了不孕妇女的心理健康、生育压力和怀孕率。

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

Health Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

21.30

自引率

0.00%

发文量

期刊介绍： The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.