{"title":"瑜伽对女性产后抑郁的影响:meta分析。","authors":"Wenpian Ruan, Bo Zhang, Jiewei Ma, Haitang Ke","doi":"10.4103/ijoy.ijoy_283_24","DOIUrl":null,"url":null,"abstract":"<p><p>Postpartum depression (PPD) is a common psychological disorder among women after childbirth. As a mind-body practice, yoga has been proposed as a non-pharmacological intervention to alleviate symptoms of PPD. This review aimed to evaluate the effectiveness of yoga in reducing postpartum depression symptoms using the Edinburgh Postnatal Depression Scale (EPDS) by synthesizing evidence from randomized controlled trials (RCTs). A comprehensive search was conducted across multiple databases including Web of Science, ScienceDirect, SpringerLink, PubMed, Google Scholar, CNKI, Wanfang, and VIP, from their inception to December 2023. Eligible studies were RCTs that assessed the efficacy of yoga on PPD with EPDS as the outcome measure. Two independent reviewers carried out study selection, data extraction, and risk of bias assessment. A meta-analysis using a random-effects model was performed. 6 RCTs were included, involving a total of 443 participants (222 in the yoga group and 221 in the control group). The results indicated that yoga significantly reduced EPDS scores compared with the control group (mean difference = -2.97, 95% confidence interval: -4.72 to -1.23, <i>P</i> < 0.00001), although substantial heterogeneity was observed (I² = 95%). These findings suggest that yoga can be an effective complementary therapy for relieving postpartum depression symptoms. However, the high heterogeneity underscores the need for further high-quality, large-scale RCTs to confirm these results. This review is registered with PROSPERO (CRD42023449120).</p>","PeriodicalId":14436,"journal":{"name":"International Journal of Yoga","volume":"18 2","pages":"106-114"},"PeriodicalIF":1.1000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510420/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Effect of Yoga on Women with Postpartum Depression: A Meta-analysis.\",\"authors\":\"Wenpian Ruan, Bo Zhang, Jiewei Ma, Haitang Ke\",\"doi\":\"10.4103/ijoy.ijoy_283_24\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Postpartum depression (PPD) is a common psychological disorder among women after childbirth. As a mind-body practice, yoga has been proposed as a non-pharmacological intervention to alleviate symptoms of PPD. 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The results indicated that yoga significantly reduced EPDS scores compared with the control group (mean difference = -2.97, 95% confidence interval: -4.72 to -1.23, <i>P</i> < 0.00001), although substantial heterogeneity was observed (I² = 95%). These findings suggest that yoga can be an effective complementary therapy for relieving postpartum depression symptoms. However, the high heterogeneity underscores the need for further high-quality, large-scale RCTs to confirm these results. 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引用次数: 0
摘要
产后抑郁症(PPD)是女性产后常见的心理障碍。作为一种身心练习,瑜伽已经被提议作为一种非药物干预来缓解PPD的症状。本综述旨在通过综合随机对照试验(RCTs)的证据,利用爱丁堡产后抑郁量表(EPDS)评估瑜伽减轻产后抑郁症状的有效性。我们对Web of Science、ScienceDirect、SpringerLink、PubMed、b谷歌Scholar、CNKI、万方、VIP等多个数据库进行了全面的检索,检索时间从网站建立到2023年12月。符合条件的研究是评估瑜伽对PPD疗效的随机对照试验,以EPDS作为结果测量。两名独立审稿人进行了研究选择、数据提取和偏倚风险评估。采用随机效应模型进行meta分析。6项随机对照试验共涉及443名参与者(瑜伽组222名,对照组221名)。结果显示,与对照组相比,瑜伽显著降低了EPDS评分(平均差异= -2.97,95%可信区间:-4.72至-1.23,P < 0.00001),尽管存在很大的异质性(I²= 95%)。这些发现表明,瑜伽可以作为缓解产后抑郁症状的有效补充疗法。然而,高异质性强调需要进一步的高质量、大规模随机对照试验来证实这些结果。本综述已在普洛斯彼罗注册(CRD42023449120)。
The Effect of Yoga on Women with Postpartum Depression: A Meta-analysis.
Postpartum depression (PPD) is a common psychological disorder among women after childbirth. As a mind-body practice, yoga has been proposed as a non-pharmacological intervention to alleviate symptoms of PPD. This review aimed to evaluate the effectiveness of yoga in reducing postpartum depression symptoms using the Edinburgh Postnatal Depression Scale (EPDS) by synthesizing evidence from randomized controlled trials (RCTs). A comprehensive search was conducted across multiple databases including Web of Science, ScienceDirect, SpringerLink, PubMed, Google Scholar, CNKI, Wanfang, and VIP, from their inception to December 2023. Eligible studies were RCTs that assessed the efficacy of yoga on PPD with EPDS as the outcome measure. Two independent reviewers carried out study selection, data extraction, and risk of bias assessment. A meta-analysis using a random-effects model was performed. 6 RCTs were included, involving a total of 443 participants (222 in the yoga group and 221 in the control group). The results indicated that yoga significantly reduced EPDS scores compared with the control group (mean difference = -2.97, 95% confidence interval: -4.72 to -1.23, P < 0.00001), although substantial heterogeneity was observed (I² = 95%). These findings suggest that yoga can be an effective complementary therapy for relieving postpartum depression symptoms. However, the high heterogeneity underscores the need for further high-quality, large-scale RCTs to confirm these results. This review is registered with PROSPERO (CRD42023449120).