Clinical management of perinatal anxiety disorders: A systematic review

Abstract

Keeping in mind the scantiness and heterogeneity of the available literature, the best interpretation of the available evidence appears to be that CBT should be the first treatment offered to pregnant and breastfeeding women with AnxD. However SSRIs can represent a first line treatment strategy, and not exclusively in cases where AnxD is refractory to CBT.

Systematic review and meta‐analysis of non‐pharmacological interventions to reduce the symptoms of mild to moderate anxiety in pregnant women

“…The review assessed a wide range of non‐pharmacological interventions to improve mild to moderate symptoms of anxiety in pregnancy and included different populations of pregnant women across the three trimesters of pregnancy. Previous systematic reviews have sought evidence of the effectiveness of interventions to support women with symptoms of distress in pregnancy (depression, anxiety, stress, fear, self‐efficacy and self‐esteem) (Fontein‐Kuipers, Nieuwenhuijze, Ausems, Budé, & de Vries, ), mind‐body interventions for women with symptoms of anxiety in pregnancy (Marc et al., ) and pharmacological and non‐pharmacological treatments for pregnant and postpartum women with a diagnosed anxiety disorder (Marchesi et al., ). The findings highlight points for consideration in the practical aspects of delivering non‐pharmacological interventions in maternity care contexts including training needs for intervention providers.…”

“…The Boots Family Trust Alliance () reported that women who experienced mental health problems in pregnancy stated the main cause as being isolation and lack of support. Interventions delivered to pregnant women which combine education, professional support, peer support and psychological approaches are suggested as approaches to improve women's postnatal psychological outcomes and health outcomes for infants (Glover, ; Marchesi et al., ; Morrell et al., ). The Acorn and First steps trials are currently being conducted to evaluate multi‐component interventions delivered to pregnant women (Barnes et al., ; Wilkinson et al., ).…”

Anxiety Disorders Among Women: A Female Lifespan Approach

“…Providers should consider the potential risks of medication versus the potential impact of untreated anxiety on the pregnancy. A recent review of treatments concluded that in terms of pharmacotherapy, SSRIs and tricyclic antidepressants had some evidence for effectiveness in treating anxiety disorders in the perinatal period (150). For women who do not want to use medication during pregnancy, cognitive behavioral therapy (CBT) may be a good alternative, particularly for women with panic disorder or specific phobias (150; 151).…”

Terapi Thougth Stopping (Ts) Untuk Ansietas Mahasiswa Praktik Klinik Di Rumah Sakit

“…Sehingga memang TS bisa di lakukan untuk mengurangi rasa ansietas tersebut. Hasil peneltian meyebutkan bahwa TS dapat merubah rasa ketakutan seseorang, termasuk ansietas (Marchesi et al, 2016). Hal ini sesuai dengan pernyataan bahwa TS merupakan sebuah upaya yang dilakukan seseorang untuk membuang pikiran negatif dengan cara membuat kata "Stop!"…”