PREPP: postpartum depression prevention through the mother–infant dyad

Werner, Elizabeth; Gustafsson, Hanna; Lee, Seonjoo; Feng, Tianshu; Jiang, Nan; Desai, Preeya; Monk, Catherine

doi:10.1007/s00737-015-0549-5

Cited by 63 publications

(76 citation statements)

References 69 publications

(98 reference statements)

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“…52 Two other trials reported statistically significant or near-significant reductions in symptom severity scores at 1 (but not all) of several time points on at least 1 depression screening instrument (but not all). 53,54 Educational interventions and other supportive interventions, such as telephone-based peer support and nondirective group sessions, dem-onstrated inconsistent findings, with 1 of 6 and 3 of 7 trials, respectively, reporting statistically significant reductions in depression status or depression symptom scores. Yoga classes, debriefing exercises, and expressive writing failed to demonstrate statistically significant reductions in depression symptoms or status.…”

Section: Effectiveness Of Preventive Interventionsmentioning

confidence: 99%

Interventions to Prevent Perinatal Depression

Force

Curry

Krist

et al. 2019

JAMA

331

123

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IMPORTANCEPerinatal depression, which is the occurrence of a depressive disorder during pregnancy or following childbirth, affects as many as 1 in 7 women and is one of the most common complications of pregnancy and the postpartum period. It is well established that perinatal depression can result in adverse short-and long-term effects on both the woman and child. OBJECTIVE To issue a new US Preventive Services Task Force (USPSTF) recommendation on interventions to prevent perinatal depression. EVIDENCE REVIEW The USPSTF reviewed the evidence on the benefits and harms of preventive interventions for perinatal depression in pregnant or postpartum women or their children. The USPSTF reviewed contextual information on the accuracy of tools used to identify women at increased risk of perinatal depression and the most effective timing for preventive interventions. Interventions reviewed included counseling, health system interventions, physical activity, education, supportive interventions, and other behavioral interventions, such as infant sleep training and expressive writing. Pharmacological approaches included the use of nortriptyline, sertraline, and omega-3 fatty acids.FINDINGS The USPSTF found convincing evidence that counseling interventions, such as cognitive behavioral therapy and interpersonal therapy, are effective in preventing perinatal depression. Women with a history of depression, current depressive symptoms, or certain socioeconomic risk factors (eg, low income or young or single parenthood) would benefit from counseling interventions and could be considered at increased risk. The USPSTF found adequate evidence to bound the potential harms of counseling interventions as no greater than small, based on the nature of the intervention and the low likelihood of serious harms. The USPSTF found inadequate evidence to assess the benefits and harms of other noncounseling interventions. The USPSTF concludes with moderate certainty that providing or referring pregnant or postpartum women at increased risk to counseling interventions has a moderate net benefit in preventing perinatal depression. CONCLUSIONS AND RECOMMENDATIONThe USPSTF recommends that clinicians provide or refer pregnant and postpartum persons who are at increased risk of perinatal depression to counseling interventions. (B recommendation

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Section: Effectiveness Of Preventive Interventionsmentioning

confidence: 99%

Interventions to Prevent Perinatal Depression

Force

Curry

Krist

et al. 2019

JAMA

331

123

View full text Add to dashboard Cite

show abstract

“…Different forms of psychotherapy are used both as preventive tools for mothers at risk for developing PPD and as interventions when PPD is manifest. Usually, the mother-child dyad is in focus (Werner et al, 2015). Additionally, pharmacological treatment with Selective Serotonin Reuptake Inhibitors (SSRI) can be administered both during pregnancy and to breastfeeding mothers.…”

Section: Discussionmentioning

confidence: 99%

A Biopsychosocial and Long Term Perspective on Child Behavioral Problems : Impact of Risk and Resilience

Agnafors

2016

Linköping University Medical Dissertations

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“…There is preliminary evidence that parenting support and anticipatory parenting guidance can prevent postpartum depression. (23) Obstetricians can play a key role in recognizing women with need for additional parenting support and refer to appropriate resources such as home visiting programs or maternity support services, available in most states.…”

Section: Mood Disorders In Pregnant and Postpartum Women Have Tremendmentioning

confidence: 99%

The Obstetrician–Gynecologist's Role in Detecting, Preventing, and Treating Depression

Bhat

Reed

Unützer

2017

Obstetrics &Amp; Gynecology

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Women are at a higher risk for depression than are men, and this risk is especially pronounced at specific reproductive periods of vulnerability: adolescence, pregnancy, postpartum,, and the menopausal transition. Obstetrician–gynecologists are often the health care providers that women consult during these vulnerable periods, usually presenting with conditions or complaints other than depression or anxiety. Presenting symptoms are frequently known comorbidities with depression, or are risk factors for depression. Thus, by screening for depression and other mood disorders in these critical periods, in addition to screening at routine intervals such as annual examinations, obstetricians and gynecologists can play an important role in early detection, prevention, and treatment of mood disorders and their comorbid conditions. We provide a framework for depression management within busy obstetric gynecology settings using new integrated care models for mental health.

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PREPP: postpartum depression prevention through the mother–infant dyad

Cited by 63 publications

References 69 publications

Interventions to Prevent Perinatal Depression

Interventions to Prevent Perinatal Depression

A Biopsychosocial and Long Term Perspective on Child Behavioral Problems : Impact of Risk and Resilience

The Obstetrician–Gynecologist's Role in Detecting, Preventing, and Treating Depression

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