Effectiveness of psychological interventions in the treatment of perinatal depression: A systematic review of systematic reviews and meta-analyses

Branquinho, Mariana; Rodríguez-Muñoz, María de la Fe; Maia, B.; Marques, Mariana; Matos, Marcela; Osma, Jorge; Moreno-Peral, Patrícia; Conejo-Cerón, Sonia; Fonseca, Ana; Vousoura, Eleni

doi:10.1016/j.jad.2021.05.010

Cited by 49 publications

(45 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, we found two ongoing trials evaluating the impact of ACT on depressive symptoms and anxiety. 74,75 In line with a recent review of reviews of psychological interventions for peripartum depression, 76 we conclude that ACT seems promising, but more research assessing its impact on ADS is needed.…”

Section: Discussionsupporting

confidence: 67%

Resilience-enhancing interventions for antepartum depressive symptoms: systematic review

et al. 2022

View full text Add to dashboard Cite

Background Antepartum depressive symptoms (ADS) are highly prevalent and may affect the mother and child. Cognitive–behavioural therapy and interpersonal therapy are effective psychological interventions for depression. However, low adherence and high attrition rates in studies of prevention and treatment of antepartum depression suggest that these approaches might not be entirely suitable for women with mild/moderate ADS. Considering the protective association between resilience and ADS, women with ADS might benefit more from interventions focusing on promotion of mental well-being and resilience. Aims We aimed to provide an overview of studies evaluating the effectiveness of antepartum resilience-enhancing interventions targeting the improvement of ante- and postpartum depressive symptoms. We also investigated whether these interventions improve resilience and resilience factors in the peripartum period. Method We conducted a systematic review, using PRISMA guidelines. Studies were eligible for inclusion when they utilised a randomised controlled trial or quasi-experimental design, studied pregnant women with ADS, and implemented psychological interventions that (a) aimed to reduce maternal ADS and/or prevent peripartum major depression, and (b) addressed one or more psychological resilience factors. Results Five of the six included cognitive–behavioural therapy interventions and all four mindfulness-based interventions were effective in reducing peripartum depressive symptoms and/or the incidence of depression. However, the methodological quality of most of the included studies was low to moderate. Only three studies assessed change in resilience factors. Conclusions Resilience-enhancing interventions might be beneficial for mental well-being of pregnant women with ADS, although more rigorously designed intervention studies are needed.

show abstract

Section: Discussionsupporting

confidence: 67%

Resilience-enhancing interventions for antepartum depressive symptoms: systematic review

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Our findings that higher support leads to fewer worries and in turn psychological distress are in line with the IPT framework and as such provide further support for this therapeutic approach. Other therapies that involve social support, such as person-centered approach (PCA)-based and cognitive-behavioral therapy (CBT)-based interventions, may also be effective in reducing psychological distress in pregnancy 63 . Moreover, online support groups for pregnant women, led by healthcare professionals, might help to address the feelings, emotions and concerns that pregnant women experience as a result of the pregnancy and of living in a pandemic or other type of crisis.…”

Section: Discussionmentioning

confidence: 99%

The risk and protective factors of heightened prenatal anxiety and depression during the COVID-19 lockdown

Vacaru

Beijers

Browne

et al. 2021

Sci Rep

View full text Add to dashboard Cite

While pregnant women are already at-risk for developing symptoms of anxiety and depression, this is heightened during the COVID-19 pandemic. We compared anxiety and depression symptoms, as indicators of psychological distress, before and during COVID-19, and investigated the role of partner, social network and healthcare support on COVID-19-related worries and consequently on psychological distress. A national survey, conducted during the first lockdown in The Netherlands, assessed COVID-19 experiences and psychological distress (N = 1421), whereas a comparison sample (N = 1439) was screened for psychological distress in 2017–2018. During COVID-19, the percentage of mothers scoring above the questionnaires’ clinical cut-offs doubled for depression (6% and 12%) and anxiety (24% and 52%). Women reported increased partner support during COVID-19, compared to pre-pandemic, but decreased social and healthcare support. Higher support resulted in lower COVID-19-related worries, which in turn contributed to less psychological distress. Results suggest that a global pandemic exerts a heavy toll on pregnant women’s mental health. Psychological distress was substantially higher during the pandemic than the pre-pandemic years. We identified a protective role of partner, social, and healthcare support, with important implications for the current and future crisis management. Whether increased psychological distress is transient or persistent, and whether and how it affects the future generation remains to be determined.

show abstract

“…PPD may also be associated with an increased risk of cognitive and behavioral problems in infants [ 3 ]. Timely access to effective interventions such as psychotherapy and pharmacotherapy is important for women affected by PPD [ 4 , 5 ]. However, breastfeeding mothers may have concerns regarding their infant’s exposure to medications because of reported side effects of antidepressant exposure in infants (eg, excessive crying, colic, irritability, sedation, poor feeding, and sleep problems) [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Telehealth Interventions for Women With Postpartum Depression: Systematic Review and Meta-analysis

Zhao¹,

Chen²,

Lan³

et al. 2021

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

Background Postpartum depression (PPD) is a prevalent mental health problem with serious adverse consequences for affected women and their infants. Clinical trials have found that telehealth interventions for women with PPD result in increased accessibility and improved treatment effectiveness. However, no comprehensive synthesis of evidence from clinical trials by systematic review has been conducted. Objective The aim of this study is to evaluate the effectiveness of telehealth interventions in reducing depressive symptoms and anxiety in women with PPD. To enhance the homogeneity and interpretability of the findings, this systematic review focuses on PPD measured by the Edinburgh Postnatal Depression Scale (EPDS). Methods PubMed, The Cochrane Library, CINAHL, PsycINFO, CNKI, and Wanfang were electronically searched to identify randomized controlled trials (RCTs) on the effectiveness of telehealth interventions for women with PPD from inception to February 28, 2021. Data extraction and quality assessment were performed independently by two researchers. The quality of included studies was assessed using the Cochrane risk-of-bias tool, and meta-analysis was performed using RevMan 5.4 software. Results Following the search, 9 RCTs with a total of 1958 women with PPD were included. The EPDS (mean difference=–2.99, 95% CI –4.52 to –1.46; P<.001) and anxiety (standardized mean difference=–0.39, 95% CI –0.67 to –0.12; P=.005) scores were significantly lower in the telehealth group compared with the control group. Significant subgroup differences were found in depressive symptoms according to the severity of PPD, telehealth technology, specific therapy, and follow-up time (P<.001). Conclusions Telehealth interventions could effectively reduce the symptoms of depression and anxiety in women with PPD. However, better designed and more rigorous large-scale RCTs targeting specific therapies are needed to further explore the potential of telehealth interventions for PPD. Trial Registration PROSPERO CRD42021258541; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=258541

show abstract

Effectiveness of psychological interventions in the treatment of perinatal depression: A systematic review of systematic reviews and meta-analyses

Cited by 49 publications

References 58 publications

Resilience-enhancing interventions for antepartum depressive symptoms: systematic review

Resilience-enhancing interventions for antepartum depressive symptoms: systematic review

The risk and protective factors of heightened prenatal anxiety and depression during the COVID-19 lockdown

Effectiveness of Telehealth Interventions for Women With Postpartum Depression: Systematic Review and Meta-analysis

Contact Info

Product

Resources

About