正念疗法治疗孕产妇抑郁等负性情绪的系统评价再评价

Mindfulness-based therapies for negative emotions such as depression in pregnant and postpartum women:an overview of systematic reviews

目的:评价正念疗法治疗孕产妇抑郁等负性情绪相关系统评价的报告质量、方法学质量以及结局指标的可靠程度。方法:计算机检索PubMed、Web of Science、Embase、Cochrane Library、MEDLINE、CNKI、CBM、万方和维普数据库,收集正念疗法治疗孕产妇抑郁等负性情绪的相关系统评价/meta分析,检索时间为建库至2022年3月。使用PRISMA工具评价报告质量,AMSTAR-2工具评价方法学质量,GRADE系统对结局指标进行证据质量分级。结果:共纳入10篇系统评价/meta分析。PRISMA得分在15.5~22.5分之间,4篇文献信息报告相对完全。AMSTAR-2评价结果为低质量文献5篇,极低质量文献5篇,无中、高质量文献。GRADE评价结果为高质量证据1个,中等质量证据3个,低质量证据11个,极低质量证据7个。结论:正念疗法治疗孕产妇抑郁等负性情绪有一定疗效,但纳入文献质量总体不高,未来需要更多高质量的研究,以进一步验证其有效性。

Objective:To evaluate the reporting quality,methodological quality,and reliability of outcome indicators in the systematic reviews of mindfulness-based therapies for treating negative emotions such as depression in pregnant and postpartum women.Methods:The databases of PubMed,Web of Science,Embase,Cochrane Library,MEDLINE,CNKI,CBM,Wan Fang,and VIP were searched by computer to collect relevant systematic reviews/meta-analyses of mindfulness-based therapies for treating negative emotions such as depression in pregnant and postpartum women.The search time was from the establishment of databases to March 2022.The PRISMA tool was used to evaluate the quality of reports,the AMSTAR-2 tool was used to evaluate the methodological quality,and the GRADE system was used to grade the quality of evidence for outcome indicators.Results:A total of 10 systematic reviews/meta-analyses were included.The PRISMA score ranged from 15.5 to 22.5,and the reports of four literatures were relatively complete.The evaluation results of AMSTAR-2 included 5 low-quality literatures,5 extremely low-quality literatures,and no medium-or high-quality literature was found.The evaluation results of GRADE showed one high-quality evidence,3 medium-quality evidences,11 low-quality evidences,and 7 extremely low-quality evidences.Conclusion:Mindfulnessbased therapies have a certain therapeutic effect on the negative emotions such as depression in pregnant and postpartum women,but the overall quality of included literatures is not high.In the future,more high-quality researches are needed to further verify the effectiveness of mindfulness-based therapies.