Interventions for the prevention of postpartum depression in adolescent mothers: a systematic review

Abstract

Postpartum depression (PPD) is a major public health problem affecting 10-57% of adolescent mothers which can affect not only adolescent mothers but also their infants. Thus, there is a need for interventions to prevent PPD in adolescent mothers. However, recent systematic reviews have been focused on effective interventions to prevent PPD in adult mothers. These interventions may not necessarily be applicable for adolescent mothers. Therefore, the purpose of this review was to examine the effectiveness of the existing interventions to prevent PPD in adolescent mothers. A systematic search was performed in MEDLINE, CINAHL, and SCOPUS databases between January 2000 and March 2017 with English language and studies involving human subjects. Studies reporting on the outcomes of intervention to prevent PPD particularly in adolescent mothers were selected. Non-comparative studies were excluded. From 2002 identified records, 13 studies were included, reporting on 2236 adolescent pregnant women. The evidence from this systematic review suggests that 6 of 13 studies from both psychological and psychosocial interventions including (1) home-visiting intervention, (2) prenatal antenatal and postnatal educational program, (3) CBT psycho-educational, (4) the REACH program based on interpersonal therapy, and (5) infant massage training is successful in reducing rates of PPD symptoms in adolescent mothers in the intervention group than those mothers in the control group. These interventions might be considered for incorporation in antenatal care interventions for adolescent pregnant women. However, this review did not find evidence identifying the most effective intervention for preventing postpartum depression symptoms in adolescent mothers.

Preventive Factors of Postpartum Depression in Adult Mothers: A Systematic Review of Randomized Controlled Trials

“…These results can be compared with the ndings of previous reviews. Sangsawang et al [21] found effective results for psychological and psychosocial interventions, whereas Werner et al [19] found both signi cant and non-signi cant effects for psychological and psychosocial interventions. In line with those ndings, we found psychological and psychosocial interventions to be effective in the prevention of PPD.…”

“…PPD is one of the most frequent mental diseases of the perinatal period [1] and the importance of prevention of PPD has been highlighted frequently [11,19,21]. Therefore, the aim of this current review was to provide an overview of current literature on preventive interventions for PPD in adult mothers.…”

“…Criteria marked with "n/a" were excluded from both calculations. The quality classi cation was based on the percentage score: poor quality (score<50%), fair quality (score=50-69%), good quality (score=70-79%) and strong quality (score>80%) [21].…”

“…Given the relevance of PPD, there are already reviews addressing the topic of preventive interventions of PPD [19,21]. Sangsawang et al [21] performed a systematic review regarding preventive interventions for PPD in adolescent mothers (10-19 years). They analyzed 13 published, English-language randomized controlled trials (RCT) with psychosocial and psychological intervention programs.…”

Effectiveness of using the Centering Teen Pregnancy Program on Postpartum Depression among Adolescent Mothers: A Posttest Only Quasi-experimental Design using a Comparison Group

“…The Centering Teen Pregnancy Program (CTP program) used in this study was guided by the Nursing Practice Guideline for Teenage Pregnancy 23 and the findings from previous studies. 24 The original guideline was developed using an evidence-based approach. The components of the original guideline included a modification of attitude towards pregnancy and an allocation of family and peer support using the centering program.…”