现有研究告诉我们影响非服役军人配偶母亲围产期心理健康体验的因素是什么？一个系统的回顾与文本叙事综合

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-05-23 DOI:10.1016/j.midw.2025.104468

Lyndsay M.H. Spencer , Elizabeth A. Barley , Ann Robinson , Hilary Davies-Kershaw

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引用次数: 0

摘要

围产期心理健康障碍影响五分之一的母亲，军事生活引入的独特压力因素可能加剧这些疾病。非军人配偶的母亲可能特别容易受到伤害，但她们的具体需求仍未得到充分发掘。了解影响其心理健康的因素是至关重要的，因为它对个人福祉和英国军人的保留都有影响。本综述系统地研究了影响非服役军人配偶母亲围产期心理健康的因素，确定了关键的压力源和研究空白。我们于2024年4月对proquest、MEDLINE、PsycINFO、PsycArticles、CINAHL、EMBASE、Web of science等8个电子数据库进行了全面检索，并提取了相关数据。由于研究的异质性，本文采用了文本叙事综合方法。7项美国研究符合纳入标准，但质量有限。没有针对欧洲非服役军人母亲的研究。部署成为主要压力源，与怀孕有关的感知风险和部署时间影响心理健康结果。然而，更广泛的围产期经验在很大程度上没有得到检验。研究结果表明，军队特定因素，特别是配偶部署，影响非在职配偶母亲的围产期心理健康。然而，现有的研究质量低，过度关注部署，以美国为中心，并且在围产期范围有限。未来的研究应该探索英国武装部队的背景，考虑部署之外的因素，并包括整个围产期。这些见解对于医疗保健专业人员和决策者制定有针对性的干预措施和军方知情的围产期护理至关重要。

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What does existing research tell us about the factors impacting non-serving military spouse mothers’ perinatal mental health experiences? A systematic review with textual narrative synthesis

Perinatal mental health disorders affect 1 in 5 mothers, with military life introducing unique stressors that may exacerbate these conditions. Non-serving military spouse mothers may be particularly vulnerable, yet their specific needs remain underexplored. Understanding factors affecting their mental health is crucial, given its impact on both individual wellbeing and military personnel retention in the U.K.

This review systematically examines the factors influencing perinatal mental health in non-serving military spouse mothers, identifying key stressors and research gaps. A comprehensive search of eight electronic databases—ProQuest, MEDLINE, PsycINFO, PsycArticles, CINAHL, EMBASE, and Web of Science—was conducted in April 2024, with relevant data extracted. Due to heterogeneity among studies, a textual narrative synthesis was applied.

Seven U.S-based studies met inclusion criteria, though all were of limited quality. No studies focused on European non-serving military mothers. Deployment emerged as a primary stressor, with perceived risk and timing of deployments in relation to pregnancy affecting mental health outcomes. However, broader perinatal experiences were largely unexamined.

Findings suggest military-specific factors, particularly spousal deployment, influence non-serving spouse mothers’ perinatal mental health. However, existing research is low quality, overly focused on deployment, U.S-centric, and limited in scope within the perinatal period.

Future research should explore the U.K Armed Forces context, consider factors beyond deployment, and encompass the entire perinatal period. These insights are essential for healthcare professionals and policymakers to develop targeted interventions and military-informed perinatal care.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.