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Background: Understanding the effectiveness of nonpharmacological interventions to improve cognitive function in older adults with MCI and identifying the best intervention may help inform ideas for future RCT studies and clinical decision-making. Aim: The main focus of this study was to assess the comparative effectiveness of nonpharmacological interventions on cognitive function in older adults with MCI and to rank the interventions. Methods: RCT studies until September 2022 were searched from six databases, including PubMed, the Cochrane Library, Embase, Web of Science, PsycINFO and CINAHL. The risk of bias in eligible trials was evaluated using the Cochrane Risk of Bias tool. Both pairwise and network meta-analyses were used, and pooled effect sizes were reported using SMD and the corresponding 95% confidence intervals. Results: A total of 28 RCT studies were included in this study, pooling 18 categories of nonpharmacological interventions. MBE (mind–body exercise) (SMD (standard mean difference): 0.24, 95% CI: 0.08–0.41, P = 0.004), DTE (dual-task exercise) (SMD: 0.61, 95% CI: 0.09–1.13, P = 0.02), PE (physical exercise) (SMD: 0.58, 95% CI: 0.04–1.12, P = 0.03) may be effective in improving cognitive function in older adults with MCI. Acupressure + CT (cognitive training) was the top-ranked intervention among all interventions. No greater benefits of MA (mindful awareness) on cognitive function were found. Conclusions: Overall, nonpharmacological interventions significantly improved cognitive function in older adults with MCI. Acupressure + CT(cognitive training) was the most effective intervention for managing cognitive impairment. Future studies with high quality and large sample size RCT studies are needed to confirm our results. [ABSTRACT FROM AUTHOR]

Cognitive behavioural therapy (CBT) has been used for women with infertility. However, the efficacy of CBT among the infertile female population remains inconclusive. We performed a systematic literature search using the Cochrane Library, MEDLINE (OVID), EMBASE (OVID), CINAHL, PsycINFO (OVID), Web of Science, and ProQuest databases from the inception to May 2022. The Cochrane risk of bias tool for randomized trials was used to assess the methodological quality of the included studies. Revman 5.4 was conducted for statistical analysis, and meta‐analyses were performed to calculate the pooled effects of CBT. Sixteen articles were finally included in the meta‐analysis. The results of the meta‐analysis revealed large, significant effects of cognitive‐behavioural interventions that can effectively reduce depression, anxiety symptoms, psychological distress, perceived stress, infertility‐specific stress, and improve the quality of life in women with infertility. However, the pooled MD using a fixed‐effects model was 0.25, 95% CI [−0.33, 0.84], P = 0.40, and no significant differences in BMI were observed among those who received CBT therapy compared with those who did not. CBT effectively alleviates depression, anxiety, psychological distress, and infertility‐specific stress levels and improves the quality of life among women with infertility. Future studies should explore the sustainability and long‐term effect of cognitive‐behavioural interventions in women with infertility. [ABSTRACT FROM AUTHOR]

Aim: The current systematic review aimed to present the pooled estimated prevalence and risk factors of PPD. Background: Postpartum depression seriously affects the physical and mental health of the mother and child. However, high‐quality meta‐analysis is limited, which restricts the screening and intervention of postpartum depression. Design: A systematic review and meta‐analysis. Methods: Cochrane Library, PubMed, Embase and Web of Science were searched for cohort and case‐control studies investigating the prevalence and risk factors of postpartum depression from inception to December 31st, 2020. Meta‐analyses were performed to identify postpartum depression prevalence and risk factors using a random‐effects model. Results: Of the 33 citations evaluated, 27 reported the prevalence of postpartum depression in 33 separate study populations containing 133,313. subjects. Pooled prevalence in all studies was 14.0% (95%CI, 12.0%–15.0%). The prevalence varied according to country (from 5.0% to 26.32%) and developing countries, especially China, have a high prevalence of postpartum depression. The following risk factors were associated with postpartum depression: gestational diabetes mellitus(OR = 2.71, 95%CI 1.78–4.14, I2 = 0.0%), depression during pregnancy(OR = 2.40, 95%CI 1.96–2.93, I2 = 96.7%), pregnant women give birth to boys(OR = 1.62; 95%CI 1.28–2.05; I2 = 0.0%), history of depression during pregnancy(OR = 4.82, 95%CI 1.32–17.54, I2 = 74.9%), history of depression(OR = 3.09, 95%CI 1.62–5.93, I2 = 86.5%) and epidural anaesthesia during delivery(OR =.81, 95%CI.13–4.87, I2 = 90.1%). Conclusions: The prevalence of postpartum depression seems to be high, especially in developing countries. Gestational diabetes mellitus, depression during pregnancy, pregnant women give birth to boys, history of depression during pregnancy, history of depression, epidural anaesthesia during delivery were identified as risk factors for postpartum depression. Understanding the risk factors of PPD can provide the healthcare personnel with the theoretical basis for the patients' management and treatment. Implications for practice: This systematic review and meta‐analysis identified six significant risk factors for PPD, which provides nurses with a theoretical basis for managing and treating women with PPD to effectively improve the screening rate, intervention rate and referral rate of women with PPD. [ABSTRACT FROM AUTHOR]