摘要
目的 系统评价不同心理治疗方法 对产后抑郁症（PPD）的干预效果.方法 通过计算机及手工检索,获得1968年1月至2009年2月国内外的相关文献,再采用RevMan4.2.10软件,从干预结束时、干预结束6个月内、干预结束1年内及干预结束5年内4个时间段进行Meta分析.结果 有8项研究纳入Meta分析.在干预结束时,认知行为疗法（P=0.03）、非指导性咨询（P=0.0009）、心理动力学疗法（P=0.005）及人际心理治疗（P=0.002）4种方法 的干预组与对照组之间均差异有显著性;在干预结束6个月内,认知行为疗法（P=0.006）与病友支持（P=0.03）2种方法 的干预组与对照组之间差异有显著性,而非指导性咨询差异无显著性;在干预结束1年内,认知行为疗法（P=0.02）的干预组与对照组之间差异有显著性,而非指导性咨询和心理动力学疗法差异无显著性;在干预结束5年内认知行为疗法、非指导性咨询和心理动力学疗法均差异无显著性.结论 有5种心理治疗方法 可有效治疗PPD.其中,认知行为疗法对PPD具有良好的近期和远期疗效;非指导性咨询与心理动力学疗法对PPD仅具有良好的近期疗效,远期疗效欠佳.
Objective To systematic evaluate the effectiveness of different psychological treatment methods in the management of postpartum depression （PPD）. Methods Relevant literature between 1968 and February 2009 was searched by computer and manual. And suitable randomized controlled trials were brought into this research according to the inclusion and the exclusion criteria. Then meta-analysis was used in four time periods including immediately post- treatment,6 months after treatment, 1 year after treatment and 5 years after treatment.Results A total of eight studies were brought into this research. Immediately post-treatment,it showed significant differences between intervention and control groups of CBT （P = 0.03 ）, non-directive counseling（P = 0.0009）, psychodynamic therapy （P = 0.005 ） and interpersonal psychotherapy （P = 0.002 ）. Within 6 months after treatment, it showed significant differences between intervention and control groups of CBT（P = 0.006 ）and peer support （P =0.03） ,but not in non-directive counseling. Within 1 year after treatment,it showed significant differences between intervention and control groups of CBT（P= 0.02 ）, but not in non-directive counseling and psychodynamic therapy.Within 5 years after treatment, no significant differences in intervention and control groups of CBT, non-directive counseling and psychodynamic therapy. Conclusions A total of five psychological treatment methods are effective in the management of PPD. CBT has both good short-term and long-term effectiveness. Non-directive counseling and psychodynamic therapy only have a good short-term effectiveness, but a poor long-term effectiveness. Interpersonal psychotherapy and peer support have a good short-term effectiveness.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2010年第10期923-926,共4页
Chinese Journal of Behavioral Medicine and Brain Science
关键词
心理治疗
产后抑郁症
META分析
Psychological treatment
Postpartum depression
Meta analysis
