Psychological distress is the most common complication of pregnancy. High-risk concerns can include severe emotion dysregulation, suicidality and self-injury, and health risk behaviours, which bear substantial consequences for caregivers and families. Yet, effective, comprehensive interventions for high-risk caregivers have received limited attention. Dialectical behaviour therapy (DBT) is a frontline treatment for such concerns. Accordingly, we conducted a scoping review on the implementation of DBT in the perinatal period. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Seven studies were identified; study designs included case studies and single-arm pilot trials. Most studies used DBT-informed protocols with significant adaptations, few included multiple components of DBT (i.e. skills group, individual therapy, phone coaching and consultation team), and none met criteria for adherent delivery of all four modes of DBT treatment. Findings suggest DBT-informed interventions may be successfully implemented to treat a range of perinatal mental health symptoms, including borderline personality disorder, depression, anxiety, and post-traumatic stress, and to promote emotion regulation and positive parenting behaviours. While results provide preliminary support for perinatal DBT, this literature is scant and empirical rigour considerably lacking. Clinical implications and future directions are outlined to aid researchers and providers in addressing the ongoing perinatal mental health crisis and developing sorely needed interventions to address the needs of high-risk caregivers.

中文翻译：

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辩证行为疗法在围产期的应用：范围界定综述

心理困扰是妊娠最常见的并发症。高风险问题可能包括严重的情绪失调、自杀和自残以及健康风险行为，这些行为会给护理人员和家庭带来严重后果。然而，针对高风险护理人员的有效、全面的干预措施受到的关注有限。辩证行为疗法（DBT）是解决此类问题的一线疗法。因此，我们对围产期 DBT 的实施进行了范围审查。遵循系统评价和荟萃分析 (PRISMA) 指南的首选报告项目。确定了七项研究；研究设计包括案例研究和单臂试点试验。大多数研究使用经过显着调整的 DBT 知情方案，很少包括 DBT 的多个组成部分（即技能小组、个体治疗、电话辅导和咨询团队），并且没有一项符合所有四种 DBT 治疗模式的依从性实施标准。研究结果表明，基于 DBT 的干预措施可以成功地治疗一系列围产期心理健康症状，包括边缘性人格障碍、抑郁、焦虑和创伤后应激障碍，并促进情绪调节和积极的养育行为。虽然结果为围产期 DBT 提供了初步支持，但相关文献很少，而且相当缺乏实证严谨性。概述了临床意义和未来方向，以帮助研究人员和提供者解决持续的围产期心理健康危机，并制定急需的干预措施来满足高风险护理人员的需求。