A controlled study of fluoxetine and cognitive-behavioural counselling in the treatment of postnatal depression

Appleby, Louis; Warner, Rachel; Whitton, Anna; Faragher, Brian

doi:10.1136/bmj.314.7085.932

Cited by 465 publications

(160 citation statements)

References 15 publications

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“…There is evidence of the effectiveness of pharmacological 60 and psychological interventions [61][62][63] to treat PND within four main approaches: general counselling, interpersonal psychotherapy (IPT), cognitive-behavioural therapy (CBT) and psychodynamic therapy. 1 Prevention of a major depressive episode implies reducing the intensity, duration and frequency of depressive symptoms.…”

Section: Preventive Interventions For Postnatal Depressionmentioning

confidence: 99%

“…The mainstay of treatment has been antidepressant medication but women are reluctant to take antidepressants, 60 as they are concerned about their safety when breastfeeding and the potential for side effects to disturb their interaction with their infant. 105 It has been reported that fish consumption and omega-3 status after childbirth are not associated with PND, 106 but there is still interest in exploring the role of omega-3 fatty acids in PND, alone or combined with supportive psychotherapy.…”

Section: Pharmacological Interventions or Supplementsmentioning

confidence: 99%

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A systematic review, evidence synthesis and meta-analysis of quantitative and qualitative studies evaluating the clinical effectiveness, the cost-effectiveness, safety and acceptability of interventions to prevent postnatal depression

Morrell

Sutcliffe

Booth

et al. 2016

Health Technol Assess

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A systematic review, evidence synthesis and meta-analysis of quantitative and qualitative studies evaluating the clinical effectiveness, the cost-effectiveness, safety and acceptability of interventions to prevent postnatal depression C Jane Morrell, 1 * Paul Sutcliffe, 2 Andrew Booth, 3 John Stevens, 3 This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full HTA archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hta. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Technology Assessment journalReports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe HTA programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hta This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 11/95/03. The contractual start date was in November 2012. The draft report began editorial review in August 2014 and was accepted for publication in June 2015. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HTA programme or the Department ...

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Section: Preventive Interventions For Postnatal Depressionmentioning

confidence: 99%

Section: Pharmacological Interventions or Supplementsmentioning

confidence: 99%

A systematic review, evidence synthesis and meta-analysis of quantitative and qualitative studies evaluating the clinical effectiveness, the cost-effectiveness, safety and acceptability of interventions to prevent postnatal depression

Morrell

Sutcliffe

Booth

et al. 2016

Health Technol Assess

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“…On the one hand, detailed interval treatment records were not collected. However, even brief psychotherapy or antidepressant use has been found to be effective (Appleby et al 1997); therefore, detailed treatment information is, arguably, not necessary.…”

Section: Limitationsmentioning

confidence: 99%

Trajectories of long-term outcomes for postnatally depressed mothers treated with group interpersonal psychotherapy

Reay

Owen

Shadbolt

et al. 2012

Arch Womens Ment Health

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There is evidence that psychological treatments for postnatal depression are effective in the short-term; however, whether the effects are enduring over time remains an important empirical question. The aim of this study was to investigate the depressive symptoms and interpersonal functioning of participants in a randomised controlled trial (RCT) of group interpersonal psychotherapy (IPT-G) at 2 years posttreatment. The study also examined long-term trajectories, such as whether participants maintained their recovery status, achieved later recovery, recurrence or persistent symptoms. Approximately 2 years posttreatment, all women in the original RCT (N = 50) were invited to participate in a mailed follow-up. A repeated measures analysis of variance assessed differences between the treatment and control conditions on depression and interpersonal scores across five measurement occasions: baseline, mid-treatment, end of treatment and 3-month and 2-year follow-up. Chi-square tests were used to analyse the percentage of participants in the four recovery categories. Mothers who received IPT-G improved more rapidly in the short-term and were less likely to develop persistent depressive symptoms in the long-term. Fifty seven percent of IPT-G mothers maintained their recovery over the follow-up period. Overall, IPT-G participants were significantly less likely to require follow-up treatment. Limitations include the use of self-report questionnaires to classify recovery. The positive finding that fewer women in the group condition experienced a persistent course of depression highlights its possible enduring effects after treatment discontinuation. Further research is needed to improve our long-term management of postnatal depression for individuals who are vulnerable to a recurrent or chronic trajectory.

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“…Das Therapieprogramm integriert therapeutische Verfahren, die sich bei der Behandlung von affektiven und psychotischen Störungen bewährt haben, wie die kognitive Verhaltenstherapie [1], die interpersonelle Psychotherapie [26] und Psychoedukation (Übersicht in [28]) sowie Elemente der interaktionsbezogenen Eltern-Kleinkind-Beratung und Therapie [9]. Therapieschwerpunkte sind die Auseinandersetzung mit der Mutterschaft sowie die Förde-rung mütterlicher Kompetenzen.…”

Section: Therapieprogrammunclassified

Interaktionales Therapieprogramm für Mütter mit postpartalen psychischen Störungen

et al. 2007

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A controlled study of fluoxetine and cognitive-behavioural counselling in the treatment of postnatal depression

Cited by 465 publications

References 15 publications

A systematic review, evidence synthesis and meta-analysis of quantitative and qualitative studies evaluating the clinical effectiveness, the cost-effectiveness, safety and acceptability of interventions to prevent postnatal depression

A systematic review, evidence synthesis and meta-analysis of quantitative and qualitative studies evaluating the clinical effectiveness, the cost-effectiveness, safety and acceptability of interventions to prevent postnatal depression

Trajectories of long-term outcomes for postnatally depressed mothers treated with group interpersonal psychotherapy

Interaktionales Therapieprogramm für Mütter mit postpartalen psychischen Störungen

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