Efficacy of psychosocial interventions for psychological distress among women undergoing termination of pregnancy for fetal anomaly: a systematic review

作者：Jiaying Xie, Siyuan Tang, Chi‐Hsien Huang, Jiarui Chen, Theresah Owusua, Siqing Hu, Jing Lu, Mei Sun, Huiting Peng, Chunxiang Qin · 发表于：Annals of Palliative Medicine · 年份：2022 · DOI：10.21037/apm-21-2415 · 被引用次数：8 · 研究领域：Prenatal Screening and Diagnostics、Grief, Bereavement, and Mental Health、Maternal Mental Health During Pregnancy and Postpartum

BACKGROUND: Accumulating evidence shows that women experience serious psychological distress after terminating their pregnancy for fetal anomaly (TOPFA). Although the number of studies on psychosocial interventions (PSIs) for TOPFA women has increased, access to evidence-based support for medical staff who provide care to TOPFA women remains limited. A systematic review was conducted to provide an overview of available PSIs. METHODS: Nine major electronic databases in available in English and Chinese languages were searched to identify articles published from the databases' inception to November 2021. Our participants were TOPFA women; interventions were PSIs; the comparison was no limits; outcomes were psychological distress including depression, anxiety, and post-traumatic stress (PTSD); and study designs were experimental studies including randomized controlled trials (RCTs) and quasi-experimental studies. The Joanna Briggs Institute Critical Appraisal Checklist for RCTs and quasi-experimental studies was used to assess the quality of evidence. Subsequently, synthesis without meta-analysis of the findings was completed. RESULTS: A total of 1,730 studies were identified from the initial database, 37 of which were included in this research. The interventions tested included cognitive therapy, mindfulness, sandplay therapy, psychological counseling, family support, peer support, empathy nursing, bereavement care, solution-focused psychological nursing, and staged psychologica...