Role of midwife‑supported psychotherapy on antenatal depression, anxiety and maternal health: A meta‑analysis and literature review

Han, Qing; Guo, Min; Ren, Fenfen; Duan, Dongyun; Xu, Xiufeng

doi:10.3892/etm.2020.9011

Cited by 2 publications

(2 citation statements)

References 89 publications

(184 reference statements)

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“…antenatal or postpartum period (Huang et al, 2020 ; Li et al, 2020a ; Roman et al, 2020 ; van Ravesteyn, Lambregtse-van den Berg, Hoogendijk, & Kamperman, 2017 ). Additionally, published meta-analyses which focused on broader mental health problems in the perinatal period, such as anxiety and distress in general, resulted in unclear and incomplete effect estimates of depression treatments (Han, Guo, Ren, Duan, & Xu, 2020 ; Li et al, 2020b ; Song, Kim, & Ahn, 2015 ). Some meta-analyses included non-randomized trials with the associated increase of uncertainty of effect estimates (Sockol, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

Psychological treatment of perinatal depression: a meta-analysis

et al. 2021

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Background Depression during pregnancy and after the birth of a child is highly prevalent and an important public health problem. Psychological interventions are the first-line treatment and, although a considerable number of randomized trials have been conducted, no recent comprehensive meta-analysis has evaluated treatment effects. Methods We used an existing database of randomized controlled trials of psychotherapies for adult depression and included studies aimed at perinatal depression. Random effects models were used in all analyses. We examined the effects of the interventions in the short and long term, and also examined secondary outcomes. Results Forty-three studies with 49 comparisons and 6270 participants between an intervention and control group were included. The overall effect size was g = 0.67 [95% confidence interval (CI) 0.45~0.89; numbers needed-to-be-treated = 4.39] with high heterogeneity (I2 = 80%; 95% CI 75~85). This effect size remained largely unchanged and significant in a series of sensitivity analyses, although some publication bias was found. The effects remained significant at 6–12 months follow-up. Significant effects were also found for social support, anxiety, functional limitations, parental stress and marital stress, although the number of studies for each outcome was low. All results should be considered with caution because of the high levels of heterogeneity in most analyses. Conclusions Psychological interventions are probably effective in the treatment of perinatal depression, with effects that last at least up to 6–12 months and probably also have effects on social support, anxiety, functional impairment, parental stress, and marital stress.

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Section: Introductionmentioning

confidence: 99%

Psychological treatment of perinatal depression: a meta-analysis

et al. 2021

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“…In conjunction with increased funding for home visiting programs for pregnant women under the Affordable Care Act, this workforce is well-positioned to address common pregnancy-specific worries and concerns. Recent meta-analyses find that midwife-delivered psychological interventions are efficacious for reducing perinatal anxiety and depression ( 48 , 49 ).…”

Section: Discussionmentioning

confidence: 99%

Psychological Interventions for Prenatal Anxiety in Latinas and Black Women: A Scoping Review and Recommendations

2022

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Anxiety symptoms are common among pregnant women worldwide. In the United States, prenatal anxiety symptoms tend to be elevated among Black and Latin American women as compared to non-Latina White women. Despite the high prevalence of anxiety and associations with adverse maternal and offspring outcomes, interventions have not been developed or tailored sufficiently to Black women or Latinas who need efficacious treatment. This article provides a scoping review of articles published since 2017 that test the effects of randomized and non-randomized psychological interventions designed to reduce prenatal anxiety in samples comprised primarily of ethnic/racial minority women. We also review published protocols of planned psychological interventions to reduce prenatal anxiety in order to highlight novel approaches. In addition to summarizing intervention efficacy and participant acceptability, we highlight gaps in the literature which, if addressed, could improve perinatal mental health equity. Finally, we discuss future directions in prenatal anxiety intervention science beginning preconception including intervention design and prevention models.

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Role of midwife‑supported psychotherapy on antenatal depression, anxiety and maternal health: A meta‑analysis and literature review

Cited by 2 publications

References 89 publications

Psychological treatment of perinatal depression: a meta-analysis

Psychological treatment of perinatal depression: a meta-analysis

Psychological Interventions for Prenatal Anxiety in Latinas and Black Women: A Scoping Review and Recommendations

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