From: Interventions promoting mental health dimensions in infertile women: a systematic review
Authors, year [Reference] | Type of intervention | Intervention protocol | Outcome | Results | Conclusion | Quality assessment EPHPP |
---|---|---|---|---|---|---|
Bai et al., 2019 [40] | Two guided self-administered interventions (mindfulness, gratitude) | BMG (a weekly session of 1 h for 4 weeks and at least 20 min of daily practice at home), GJG (a weekly session of 1 h for 4 weeks and the three gratitude journals exercise daily at home), CG (routine care) | Depression, anxiety, sleep quality, infertility-related stress, mindfulness and gratitude | Depression mean difference (95% CI) = − 1.69(− 3.01 to − 0.37), d = 0.44 Sleep quality mean difference (95% CI)= -1.24, [− 1.95, − 0.39], d = 0.43 | The brief mindfulness intervention was effective in reducing depression and improving sleep quality in BMG (p = < 0.001). | Moderate |
Clifton et al., 2020 [16] | Internet-based mind/body intervention | 10 sessions of 1 h equivalent to 10 face-to-face sessions | Distress (anxiety and depression) | BDI B, d= -7.98, -0.86, p = 0.01 BAI B, d= -4.86, -0.67, p = 0.00 PSS B, d= -4.15, -0.61, p = 0.08 FPI Total B, d= -6.14, -0.12, p = 0.60 | In the intervention group, anxiety (P = 0.003), depression (P = 0.007), perceived stress (P = 0.041), fertility-social (P = 0.018), fertility-sexual (P = 0.006) decreased significantly. | Strong |
Galhardo et al., 2013 [41] | Mindfulness-Based Program | 10 weekly sessions, group format, 2 h (men attend three Sessions) | Depression, state anxiety, entrapment, defeat, internal and external shame, experiential avoidance, mindfulness, self-compassion, and infertility self-efficacy | Depressive Pre, post Mean(SD) = 11.02(7.05), 6.18(4.05), t = 5.46, p = 0.001 External shame Pre, post Mean(SD) = 8.73 (8.72), 5.85 (6.60), t = 3.62, p = 0.001 Internal shame Pre, post Mean(SD) = 6.78 (6.35), 4.13 (4.86), t = 3.20, p = 0.002 Entrapment Pre, post Mean(SD) = 55.40 (17.84), 48.33 (14.91), t = 3.95, p < 0.001 Defeat Pre, post Mean(SD) = 19.05 (10.67), 14.49 (8.24), t = 3.37, p = 0.001 Self-efficacy Pre, post Mean(SD) = 81.87 (24.45), 98.87 (19.58), t = 6.00, p < 0.001 | MBPI was effective in decrease of depressive symptoms, internal and external shame, entrapment, and defeat and increase in mindfulness skills and self-efficacy to deal with infertility. | Moderate |
Chan, C.H et al., 2006 [42] | Eastern Body-Mind-Spirit (EBMS) group intervention | 4 Sessions of 3 h, weekly, group counseling | Anxiety | State anxiety score T1, T2, T3 = 47.12, 43.53, 42.69, F T1, T2, T3 = 4.663, P < 0.01 | In the intervention group, the Eastern body-mind-spirit group intervention was effective in reducing anxiety (P < 0.01). | Moderate |
Kalhori et al., 2020 [17] | Mindfulness-Based Group Counseling | Eight 90-minute sessions (two each week) | Depression | Depression pre, post Mean(SD)= 20.77 ( 6.35), 10.82 (7.16), P < 0.001 | Mindfulness-based group counseling was effective to reduce depressive symptoms. | Strong |
Psaros et al., 2014 [43] | Mind–body group treatment | 10-week group program (The groups met once weekly for 2 h with one weekend 4-h sessions) | Psychological variables(Depression, MOS, PSS, LOT-R) salivary cortisol levels | Depression pre, post Mean(SD) = 17.9 (1.2), 10.1 (1.3), t = 4.85, p < 0.001 PSS pre, post Mean(SD) = 8.5(0.4), 6.1 (0.5), t = 4.79, P = 0.001 LOT-R pre, post Mean(SD) = 10.7 (0.9), 9.9 (0.9), P = 0.660 MOS social support pre, post Mean(SD) = 68.9 (2.8), 80.4 (3.0), t = 4.98, p = 0.001 | MBI was effect to decrease of depression and perceived stress and increased perceived social support but there were no significant changes in cortisol levels. | Strong |