mHealth and Perinatal Depression in Low-and Middle-Income Countries: A Scoping Review of the Literature

Malik

Perspect Psychiatric Care

et al. 2021

Purpose The vulnerability and prevalence of common psychiatric illnesses, that is, anxiety and depression are very high at the time of pregnancy in the socio‐cultural context of Southeast Asian low‐ middle‐income countries’ pregnant women. However, the issue remains poorly understood despite the fact that pregnancy can be stressful for women, their families and is strongly connected with marital quality and perceived social support. The present study examines the impact of anxiety proneness, marital satisfaction, and perceived social support on fear of childbirth and development of depression among pregnant women. Design and Methods Participants were purposively selected 136 pregnant women who were in the third trimester with ages ranging between 19 and 35 years and were selected through a purposive sampling technique from six hospitals in Pakistan. The STICSA, RAS, MSPSS, CAQ, and PADQ scales and questionnaires were used as study tools. Findings Anxiety proneness positively predicted childbirth fear and depression; marital satisfaction and perceived presence of social support were negative predictors among pregnant women. Practice Implications Obstetricians, nurses, midwives, and mental health professionals can imply these findings towards developing targeted antenatal programs that focus on the pregnant woman's mental health.

Section: Research Gapmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Psychosocial predictors of mental health among pregnant women

Malik

Perspect Psychiatric Care

et al. 2021

Studies in Health Technology and Informatics

“…Integrating potential end-users in the development process of digital technologies has resulted in engaging products that prevent inequities in digital health technology use [7]. However, research on how best to leverage digital technologies to reduce disparities in PPD literacy and access to care is scarce [8]. Thus, the purpose of this study is to contribute to existing knowledge by characterizing the information and socio-technical needs of low-SES peripartum women in high-risk pregnancies to formulate and engineer responsive digital technologies for the underserved communities that are plagued with health disparities.…”

Section: Introductionmentioning

confidence: 99%

Digital Technology Needs in Maternal Mental Health: A Qualitative Inquiry

Zingg

Carter

Rogith

et al. 2021

Digital technologies offer many opportunities to improve mental healthcare management for women seeking pre- and-postnatal care. They provide a discrete, practical medium that is well-suited for the sensitive nature of mental health. Women who are more prone to experiencing peripartum depression (PPD), such as those of low-socioeconomic background or in high-risk pregnancies, can benefit the most from such technologies. However, current digital interventions directed towards this population provide suboptimal support, and their responsiveness to end user needs is quite limited. Our objective is to understand the digital terrain of information needs for low-socioeconomic status women with high-risk pregnancies, specifically within the management of their mental health. This qualitative study consists of semi-structured focus groups and interviews with a sample of nineteen patients. A total of eleven core themes emerged from participant comments. Resulting themes highlighted the need for digital technologies that promote personalized care, a sense of community, and improved provider communication.

“…Recent systematic reviews and meta-analyses showed that Web-based and Mobile-based psychological interventions are effective to prevent depression in the general population ( Rigabert et al, 2020 ; Deady et al, 2017 ; Stratton et al, 2017 ; Sander et al, 2016 ), but the evidence is scarce concerning the prevention of perinatal depression. To date, eight systematic reviews aimed at overviewing Web-based and Mobile-based interventions during the perinatal period ( Dosani et al, 2020 ; Hussain-Shamsy et al, 2020 ; Roman et al, 2020 ; Zhou et al, 2020 ; Ashford et al, 2016 ; Lau et al, 2017 ; Van Den Heuvel et al, 2018 ; Loughnan et al, 2019 ; Lee et al, 2016 ) have been published. However, their focus was not on prevention studies (studies on treatment interventions are also included); all types of interventions were included (such as healthy lifestyles and smoking cessation) and were restricted to the postpartum period.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of web-based and mobile-based psychological interventions to prevent perinatal depression: Study protocol for a systematic review and meta-analysis of randomized controlled trials

Motrico

Conejo-Cerón

Martín‐Gómez

et al. 2021

Internet Interventions

Introduction Perinatal depression is one of the most common complications during pregnancy and one year following childbirth. A negative impact on the mental and physical health of women, their children, partners, or significant others has been associated with this disease. Web-based and Mobile-based psychological interventions can reduce the burden of the disease through prevention of new cases of depression. It is crucial to know the effectiveness of these interventions to implement them around the globe. This systematic review and meta-analysis aims to assess the effectiveness of Web-based and Mobile-based psychological interventions to prevent depression during the perinatal period. Method and analysis A systematic review and meta-analysis will adhere to the PRISMA guidelines. Studies will be identified through MEDLINE, PsycINFO, Web of Science, Scopus, CINAHL, CENTRAL, Opengrey, Australian New Zealand Clinical Trial Registry, National Institute for Mental Health Research at the Australian National University, clinicaltrial.gov , beacon.anu.edu.au , and evidencebasedpsychotherapies.org from inception until 31 March 2021. We will also search the reference lists provided in relevant studies and reviews. The selection criteria will be as follows: 1) pregnant women or women who have given birth in the last 12 months and who were non-depressive at baseline; 2) Web-based and Mobile-Based psychological interventions; 3) comparators will be usual care, attention control, waiting list or no intervention; 4) outcomes will be the incidence of new cases of perinatal depression and/or the reduction of depressive symptoms as measured by validated instruments; and 5) the design of the studies will be randomized controlled trials. No restrictions regarding the year or language of publication will be considered. Pooled standardized mean differences and 95% confidence intervals will be calculated. The risk of bias of the studies will be assessed through the Cochrane Collaboration risk of bias 2.0 tool. Heterogeneity and publication bias will be estimated. Sensitivity and sub-group analyses will also be conducted. Random effects meta-regression will be performed. Ethics and dissemination As a systematic review, ethical approval is not required. The results from this study will be presented at international conferences and disseminated through peer-reviewed publications. Patients and the public will be involved in the dissemination plans. PROSPERO registration number 230,089 (submitted).