Efficacy of Cognitive-Behavioral Therapy to Prevent the Perinatal Depressive Symptoms

認知行為治療對預防圍產期抑鬱症的成效

劉櫻(Ying Lau)

《澳門護理雜誌》 12卷1期 (2013/06) Pp. 48-57

摘要

懷孕期會生顯著的生理及心理變化，是人類一個獨特的生命歷程，但對很多孕婦可誘發一些圍產期抑鬱症狀。本文的目的是回顧使用認知行為治療（CBT）對預防圍產期抑鬱症狀生的成效。從MEDLINE、Science Direct、British Nursing Index及CINAHL的數據庫中，檢索了2011年至2013年期間的英文文章。根據嚴謹的篩選框架挑選了十份優質的相關定量文章。文獻回顧的結果顯示認知行為治療可以有效地防止圍產期抑鬱症狀。認知行為治療進行的方式亦包含小組或單獨形式，多樣化的設計，包括：簡化版本、居家設計、度身訂造或互聯網的方法。認知行為治療的次數為5至16節，每節的治療時間為45分鐘至2小時。認知行為治療的重點是糾正歪曲而負面的認知及根本信念所生的抑鬱症狀。簡化版本的認知行為治療方式可以省時、省錢及功效高而互聯網方式的認知行為治療能為婦女從提供的靈活及方便的治療型式。因此，簡化版本或互聯網方法進行的認知行為治療可以建議推介。

關鍵字

認知行為治療 ； 圍產期抑鬱症狀 ； 回顧

並列摘要

Pregnancy, being a unique life event with conspicuous physiological and psychological changes, can induce perinatal depression in many expectant mothers. The objective of this paper was to review published articles on the efficacy of the cognitive-behavioral therapy (CST) to pre vent perinatal depression. MEDLINE, Science Direct, the British Nursing Index and Archive and the Cumulative Index of Nursing and Allied Health Literature (CINAHL) were searched for English language articles from 2011 through 2013 inclusive. Ten quality primary quantitative studies were selected according to a critical framework checklist. The results of this review highlight the effectiveness of the CBT to prevent perinatal depression. The various formats were included modified version, in-home setting, tailor-made design or internet-based approach either in group or individually. Duration of the CBT was designed from 5 to 16 sessions and each session was lasting for 45 minute to 2 hours. All of them were focused on correcting the negative distorted cognitions and dysfunctional underlying beliefs that maintain depressive symptoms. A brief CST with group approach or internet format may be considering in further recommendation. A brief is a time-limited, cost-effective, efficacious and an internet CST could provide women with the flexibility of receiving treatment at a time and place convenient for them.

並列關鍵字

Cognitive-behavioral therapy ； perinatal depressive symptom ； review