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首页> 外文期刊>BMC Pregnancy and Childbirth >Appraisal of systematic reviews on interventions for postpartum depression: systematic review
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Appraisal of systematic reviews on interventions for postpartum depression: systematic review

机译：对产后抑郁症干预的系统评价评估：系统评价

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BACKGROUND:Postpartum depression (PPD) is a highly prevalent mental health problem that affects parental health with implications for child health in infancy, childhood, adolescence and beyond. The primary aim of this study was to critically appraise available systematic reviews describing interventions for PPD. The secondary aim was to evaluate the methodological quality of the included systematic reviews and their conclusions.METHODS:An electronic database search of MEDLINE, Embase, and the Cochrane Library from 2000 to 2020 was conducted to identify systematic reviews that examined an intervention for PPD. A Measurement Tool to Assess Systematic Reviews was utilized to independently score each included systematic review which was then critically appraised to better define the most effective therapeutic options for PPD.RESULTS:Of the 842 studies identified, 83 met the a priori criteria for inclusion. Based on the systematic reviews with the highest methodological quality, we found that use of antidepressants and telemedicine were the most effective treatments for PPD. Symptoms of PPD were also improved by traditional herbal medicine and aromatherapy. Current evidence for physical exercise and cognitive behavioural therapy in treating PPD remains equivocal. A significant, but weak relationship between AMSTAR score and journal impact factor was observed (p?=?0.03, r?=?0.24; 95% CI, 0.02 to 0.43) whilst no relationship was found between the number of total citations (p?=?0.27, r?=?0.12; 95% CI, -?0.09 to 0.34), or source of funding (p?=?0.19).CONCLUSION:Overall the systematic reviews on interventions for PPD are of low-moderate quality and are not improving over time. Antidepressants and telemedicine were the most effective therapeutic interventions for PPD treatment.
机译：背景：产后抑郁症（PPD）是一种高度普遍的心理健康问题，影响父母健康，对儿童健康的影响，儿童健康在婴儿期，童年，青春期和超越。本研究的主要目标是批判性地评估用于PPD的干预措施的可用系统审查。二次目的是评估包括的系统审查的方法论和结论。方法：从2000年到2020年的Medline，Embase和Cochrane图书馆的电子数据库搜索，以确定检测PPD干预的系统评论。评估系统评论的测量工具被利用独立评分包括系统审查，然后批判性地评估，以更好地确定最有效的ppd治疗方法：结果，确定的842项研究，达到了纳入的先验标准。基于具有最高方法质量的系统评论，我们发现使用抗抑郁药和远程医疗是PPD最有效的治疗方法。通过传统的草药和芳香疗法还改善了PPD的症状。目前用于治疗PPD的体育运动和认知行为治疗的证据仍然是等因素的。观察到Amstar评分和期刊影响因子之间的重要性，但弱的关系（P？= 0.03，R？= 0.24; 95％CI，0.02至0.43），但在总引用的数量之间没有找到（P？ =？0.27，r？=？0.12; 95％ci， - ？0.09至0.34），或资金来源（p？= 0.19）。结论：总体上的PPD干预措施的系统评论是低于中等的质量和随着时间的推移没有改善。抗抑郁药和远程医疗是PPD治疗中最有效的治疗干预措施。

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