Group cognitive behavioural therapy for postnatal depression: a systematic review of clinical effectiveness, cost-effectiveness and value of information analyses

Abstract

E Kalthenthaler and the group cognitive behavioural therapy for postnatal depression advisory groupHow to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address. Paying by credit cardYou can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume. How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. 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 research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sough...

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

“…There were two studies for which multiple papers for the same study were found 45,57,392,393 and in both cases the more detailed paper was selected. 45,392 An additional paper that was published after the search was completed was identified by a member of the project team who was an author on the paper and the paper was included. 396 It was not identified in a systematic way and other papers that were published after the search was conducted will have been missed.…”

“…397 It had been excluded at the title and abstract stage as PND or associated terms were not included in the title or abstract. Of the 13 papers identified, 61,174,199,264,[392][393][394][398][399][400] nine described an economic evaluation that was conducted alongside a trial, 53,61,174,199,264,299,392,393,400 three papers described an economic decision model 45,56,394 and one paper described a cost study. 398 …”

“…The nine economic evaluations 53,61,174,199,264,299,392,393,400 and the one cost study 398 are described in Table 56 and the three economic decision models 45,56,392 are described in Table 57.…”

“…Two of the studies evaluating treatment interventions included only women diagnosed with PND. 392,399 The other two studies that evaluatied the incremental cost of PND included women regarded as having PND 400 and women at risk of PND. 51 In the Dagher et al 400 study, women were regarded as having PND if they scored 13 or more on the EPDS at 5 weeks postpartum.…”

Eficacia de la terapia cognitivo conductual en la prevención de la depresión posparto

“…Por tal razón, algunos autores han propuesto la TCC de grupo para reducir los costos y las listas de espera, pero los datos de estudios que apoyen dicha alternativa son todavía escasos y no permiten extraer conclusiones ciertas o indicar guías de tratamiento basadas en evidencia (69).…”