与成年期关键生活事件和转变相关的心理健康促进和保护:系统综述的快速系统综述

IF 2.9 4区 医学 Q2 PSYCHIATRY
Journal of Mental Health Pub Date : 2025-04-01 Epub Date: 2022-06-06 DOI:10.1080/09638237.2022.2069724
Eleonora P Uphoff, Victoria Zamperoni, Jade Yap, Ruth Simmonds, Mark Rodgers, Sarah Dawson, Catherine Seymour, Antonis Kousoulis, Rachel Churchill
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引用次数: 0

摘要

在代表成年工作年龄的几十年里,大多数人都会经历一个或几个重大的生活事件或转变。这些可能对心理健康构成挑战。目的:对系统评价进行快速系统评价的主要目的是总结现有证据,证明干预措施在促进和保护与四个关键生活事件和过渡相关的心理健康方面的有效性:怀孕和早期生育、丧亲、失业和住房问题。进行这项审查的目的是为英国国家心理健康支持政策提供信息。方法:我们检索了关键数据库,对工作年龄成年人(19至64岁)的干预措施进行了系统回顾,这些成年人经历过或有经历四种关键生活事件之一的风险。题目和摘要由两名审稿人一式两份进行筛选,相关记录的全文手稿也是如此。我们评估了纳入的综述的质量,并提取了每个文献综述的特征数据。我们优先考虑高质量,最近的系统评论,以获得更详细的数据提取和合成。结果对3997篇题目/摘要和239篇全文论文进行检索筛选,共获得134篇相关研究,其中68篇纳入叙事综合。支持怀孕期间和分娩后妇女的干预措施的证据是最有力和质量最高的。例如,我们发现体育活动和心理治疗对出生后的心理健康有好处。有高质量的证据表明,在线丧亲干预和心理干预对悲伤、创伤后应激和抑郁症状有积极影响。其他一系列丧亲干预、失业支持干预和住房干预的证据不确定,质量也较低。结论:虽然基于证据的心理健康预防和促进在怀孕和早期生育以及丧亲期间是可用的,但如何最好地支持经历失业、失业和住房问题的成年人尚不清楚。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mental health promotion and protection relating to key life events and transitions in adulthood: a rapid systematic review of systematic reviews.

Background: During the decades representing working-age adulthood, most people will experience one or several significant life events or transitions. These may present a challenge to mental health.

Aim: The primary aim of this rapid systematic review of systematic reviews was to summarise available evidence on the effectiveness of interventions to promote and protect mental health relating to four key life events and transitions: pregnancy and early parenthood, bereavement, unemployment, and housing problems. This review was conducted to inform UK national policy on mental health support.

Methods: We searched key databases for systematic reviews of interventions for working-age adults (19 to 64 years old) who had experienced or were at risk of experiencing one of four key life events. Titles and abstracts were screened by two reviewers in duplicate, as were full-text manuscripts of relevant records. We assessed the quality of included reviews and extracted data on the characteristics of each literature review. We prioritised high quality, recent systematic reviews for more detailed data extraction and synthesis.

Results: The search and screening of 3997 titles/abstracts and 239 full-text papers resulted in 134 relevant studies, 68 of which were included in a narrative synthesis. Evidence was strongest and of the highest quality for interventions to support women during pregnancy and after childbirth. For example, we found benefits of physical activity and psychological therapy for outcomes relating to mental health after birth. There was high quality evidence of positive effects of online bereavement interventions and psychological interventions on symptoms of grief, post-traumatic stress, and depression. Evidence was inconclusive and of lower quality for a range of other bereavement interventions, unemployment support interventions, and housing interventions.

Conclusions: Whilst evidence based mental health prevention and promotion is available during pregnancy and early parenthood and for bereavement, it is unclear how best to support adults experiencing job loss, unemployment, and housing problems.

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来源期刊
Journal of Mental Health
Journal of Mental Health PSYCHOLOGY, CLINICAL-
CiteScore
6.40
自引率
3.00%
发文量
117
期刊介绍: The Journal of Mental Health is an international forum for the latest research in the mental health field. Reaching over 65 countries, the journal reports on the best in evidence-based practice around the world and provides a channel of communication between the many disciplines involved in mental health research and practice. The journal encourages multi-disciplinary research and welcomes contributions that have involved the users of mental health services. The international editorial team are committed to seeking out excellent work from a range of sources and theoretical perspectives. The journal not only reflects current good practice but also aims to influence policy by reporting on innovations that challenge traditional ways of working.
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