تأثیر نوشتن افکار و احساسات بر اختلال استرس پس از سانحه و افسردگی پس از زایمان: یک مطالعه‌ی مروری نظام‌مند

نوع مقاله : مقاله مروری

نویسندگان

1 دانشجوی کارشناسی ارشد آموزش مامایی، کمیته‌ی تحقیقات دانشجویی، گروه مامایی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی گناباد، گناباد، ایران

2 استادیار، گروه مامایی، دانشکده‌ی پزشکی، مرکز تحقیقات توسعه‌ی اجتماعی و ارتقای سلامت، دانشگاه علوم پزشکی گناباد، گناباد، ایران

چکیده

مقدمه: با توجه به اهمیت سلامت روانی پس از زایمان، این مطالعه با هدف بررسی تأثیر نوشتن افکار و احساسات بر اختلال استرس پس از سانحه و افسردگی پس از زایمان به روش مرور نظام‌مند انجام شد.روش‌ها: در این مطالعه‌ی مروری نظام‌مند پایگاه‌های فارسی و پایگاه‌های انگلیسی مورد جستجو قرار گرفتند. واژگان کلیدی بر اساس Medical subject heading (MeSH) و شامل «افسردگی پس از زایمان»، «نوشتن احساسات» و «اختلال استرس پس از سانحه» و نیز «Postpartum depression»، «Writing»، «Postpartum period» و «Post-Traumatic stress disorder» بودند که جستجوی ترکیبی واژگان کلیدی با استفاده از عملگرهای «and»، «or» و «not» بدون محدودیت زمانی تا شهریور ماه ۱۳۹۹ انجام شد. ارزیابی کیفیت مقالات وارد شده به مطالعه با استفاده از آخرین ویرایش چک لیست CONSORT 2017 انجام شد.یافته‌ها: در جستجوی اولیه از پایگاه‌های اطلاعاتی در مجموع 275 مقاله یافت شد که 110 مقاله به دلیل تکراری بودن مقالات و 142 مقاله به علت عدم داشتن شرایط ورود، از مطالعه خارج شدند. پس از بررسی متن کامل 23 مقاله، در نهایت 6 مقاله وارد مطالعه شدند. یافته‌های پژوهش نشان داد که مداخلات نوشتن احساسات با کاهش مؤثر افسردگی، استرس و علایم اختلال استرس پس از سانحه همراه است.نتیجه‌گیری: نوشتن احساسات یک انتخاب مناسب برای زنان است که باعث کاهش علایم استرس پس از سانحه می‌شود و کارایی آن برای افسردگی، قابل توجه بوده است. بنابراین، پیشنهاد می‌شود که در آینده، مطالعات کارآزمایی‌های بالینی بیشتری باید اثربخشی مداخلات نوشتاری طولانی‌تر، مکرر و هدفمندتر را بررسی کند.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Expressive Writing about Thoughts and Feelings of Childbirth Experiences on Posttraumatic Stress Disorder and Postpartum Depression: A Systematic Review

نویسندگان [English]

  • Azam Mohammadi 1
  • Narjes Bahri 2
  • Fatemeh Hadizadeh-Talasaz 2
1 MSc Student in Midwifery Education, Student Research Committee, Department of Midwifery, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran
2 Assistant Professor, Department of Midwifery, School of Medicine AND Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
چکیده [English]

Background: Given the importance of postpartum mental health, this systematic review study was conducted with the aim to investigate the effects of writing thoughts and feelings on postpartum mental health.Methods: In this systematic review study, Persian and English databases were searched. The keywords were based on Medical subject heading (MeSH) and included "Postpartum Depression", "writing", "Postpartum period" and "Posttraumatic stress disorder", and "Postpartum health", that a combination of keywords searches was performed using Bolin’s such as AND, OR, and NOT without time limit until September 2020. The articles were qualitatively assessed for inclusion in the study using the latest edition of the CONSORT-2017 checklist.Findings: A total of 275 articles were found as a result of the initial search in databases, of which, 110 were excluded for being repetitive articles, and 142 for the lack of inclusion and exclusion criteria, and after review of full texts of 23 articles, six were included in the study. Findings research showed expressive writing interventions effective in reduction of depression, stress, and symptoms of posttraumatic stress disorder.Conclusion: Expressive writing is a good choice for women that reduces the symptoms of posttraumatic stress, and its effectiveness for depression has been significant. Therefore, it is suggested that in the future, more clinical trial studies should examine the effectiveness of longer, more frequent, and more targeted written interventions.

کلیدواژه‌ها [English]

  • Writing
  • Postpartum Period
  • Postpartum depression
  • Posttraumatic stress disorder

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مجله دانشکده پزشکی اصفهان
دوره 38، شماره 604 - شماره پیاپی 604
بهمن و اسفند 1399
صفحه 948-957

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سابقه مقاله

  • تاریخ دریافت: 14 مرداد 1399
  • تاریخ بازنگری: 12 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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