Prevention and treatment of post-partum depression: a controlled randomized study on women at risk

Chabrol, Henri; Teissèdre, F.; Saint-Jean, Michèle; Teisseyre, Nathalie; Rogé, Bernadette; Mullet, Étienne

doi:10.1017/s0033291702006062

Cited by 146 publications

(136 citation statements)

References 19 publications

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“…It was not clear why the study by Chabrol et al (2002) was an outlier in the main analyses. This study was the only one conducted in France, where, although unlikely, care-as-usual may differ from care-as-usual in other countries.…”

Section: Discussionmentioning

confidence: 96%

Psychological treatment of postpartum depression: a meta‐analysis

2007

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Postpartum depression is a widespread and disruptive depressive disorder seriously affecting the lives of new mothers and their families. We conducted a meta-analysis of controlled and comparative studies of psychological treatments of postpartum depression. Seventeen studies were included. The mean standardized effect size of all psychological treatments compared to control conditions was 0.61 (95% CI: 0.37$0.85). Several subgroup analyses were conducted. Studies with waiting list control groups had a larger mean effect size (0.96; 95% CI: 0.63$1.29) than studies with a care-asusual control group (0.41; 95% CI: 0.25$0.58). No definite conclusions can be drawn about the longer term effects. Too few studies were available to draw conclusions about the relative effects of psychological treatments compared to pharmacological and other treatments.

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Section: Discussionmentioning

confidence: 96%

Psychological treatment of postpartum depression: a meta‐analysis

2007

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“…In a French study, the effect of CBT targeting both the prevention and treatment of PPD was evaluated (23); only the preventive component will be described here. Pregnant women were screened during an obstetric clinic and at-risk women (that is, those with an Edinburgh Postnatal Depression Scale [EPDS] score > 8) were alternately allocated to either a control group (consisting of usual care; n = 128) or an intervention group (consisting of 1 individualized CBT session; n = 113).…”

Section: Psychological Interventionsmentioning

confidence: 99%

Preventing Postpartum Depression Part II: A Critical Review of Nonbiological Interventions

Dennis

2004

Can J Psychiatry

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A pproximately 13% of women from diverse cultures will experience postpartum depression (PPD) within the first 12 weeks after childbirth (1). This hidden morbidity has well-documented health consequences for the mother, child, and family. While women who have suffered from PPD are twice as likely to experience future episodes of depression over a 5-year period (2), infants and children are particularly vulnerable. PPD can cause impaired maternal-infant interactions (3) and negative perceptions of infant behaviour (4), which have been linked to attachment insecurity (5,6), Results: Twenty-nine studies that met criteria were examined. These included studies evaluating interpersonal psychotherapy, cognitive-behavioural therapy, psychological debriefing, antenatal classes, intrapartum support, supportive interactions, continuity of care, antenatal identification and notification, early postpartum follow-up, flexible postpartum care, educational strategies, and relaxation with guided imagery. Conclusions:While this review demonstrates that no specific approach can be strongly recommended for clinical practice, many explicit research implications have been highlighted. To further address PPD as a public health problem, it is critical to include ethnically and socioeconomically diverse women in research efforts examining the differences among depression symptoms, intervention response rates, and health service use.( Can J Psychiatry 2004;49:526-538) Information on funding and support and author affiliations appears at the end of the article. Clinical Implications· Translating risk-factor research into predictive screening protocols and preventive interventions has met with limited success; complex interactions of biopsychosocial risk factors with individual variations need to be contemplated. · No specific approach can be strongly recommended for clinical practice. · It is critical to include ethnically and socioeconomically diverse women in research efforts examining the differences among depression symptoms, intervention response rates, and health service use. Limitation· Descriptive studies were excluded.

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“…The intervention group showed significantly higher recovery rates and a significant reduction in the occurrence of "probable" depression. 61 While the sample size was small and the intervention did not prevent PPD in all members of the intervention group, it did demonstrate that early intervention using a specific psychotherapeutic strategy among at-risk women could result in a significant reduction in depressive symptomology.…”

Section: Psychotherapeutic Approachesmentioning

confidence: 93%

Postpartum depression: we know the risks, can it be prevented?

Zinga

Phillips

Born

2005

Rev. Bras. Psiquiatr.

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Postpartum depression: we know the risks, can it be prevented? Depressão pós-parto: sabemos os riscos, mas podemos preveni-la?A b s t r a c t In the past 20 years, there has been increasing recognition that for some women, pregnancy may be burdened with mood problems, in particular depression, that may impact both mother and child. With identification of risk factors for postpartum depression and a growing knowledge about a biologic vulnerability for mood change following delivery, research has accumulated on attempts to prevent postpartum depression using various psychosocial, psychopharmacologic, and hormonal strategies. The majority of psychosocial and hormonal strategies have shown little effect on postpartum depression. Notwithstanding, results from preliminary trials of interpersonal therapy, cognitive-behavioural therapy, and antidepressants indicate that these strategies may be of benefit. Information on prevention of postpartum depression using dietary supplements is sparse and the available evidence is inconclusive. Although a few studies show promising results, more rigorous trials are required. The abounding negative evidence in the literature indicates that postpartum depression cannot be easily prevented, yet.Keywords: Depression, postpartum/drug therapy; Puerperal disorders/psychology; Depression/psychology; Antidepressive agents/ therapeutic use; Adaptation, psychological; Mother-child relations; Women's health ResumoNos últimos vinte anos, houve um maior reconhecimento de que a gravidez em algumas mulheres pode ser complicada por problemas emocionais, particularmente depressão, causando um impacto significativo sobre a mãe e a criança. Com a identificação de fatores de risco para a depressão pós-parto e um aumento do conhecimento sobre a vulnerabilidade biológica para os transtornos de humor no período puerperal, um número crescente de estudos tem explorado meios de prevenir a depressão pós-parto, utilizando estratégias psicossociais, psicofarmacológicas e hormonais. A maior parte das intervenções psicossociais e hormonais tem mostrado pouco efeito para a prevenção da depressão pós-parto. Apesar disso, resultados de estudos preliminares sobre a terapia interpessoal, terapia cognitivo-comportamental e sobre o uso de antidepressivos indicam que estas intervenções podem resultar em algum benefício. Dados sobre o uso de suplementos dietéticos são limitados e com resultados pouco conclusivos. A excessiva quantidade de resultados negativos na literatura atual demonstra que a depressão pós-parto ainda não pode ser facilmente prevenida.

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Prevention and treatment of post-partum depression: a controlled randomized study on women at risk

Abstract: The study suggests that this programme for prevention and treatment of post-partum depression is reasonably well-accepted and efficacious.

Cited by 146 publications

References 19 publications

Psychological treatment of postpartum depression: a meta‐analysis

Psychological treatment of postpartum depression: a meta‐analysis

Preventing Postpartum Depression Part II: A Critical Review of Nonbiological Interventions

Postpartum depression: we know the risks, can it be prevented?

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