The short- and long-term effectiveness of mother–infant psychotherapy on postpartum depression: A systematic review and meta-analysis

Huang, Ruirui; Yang, Dongqi; Lei, Beimei; Yan, Chunli; Tian, Yuan; Huang, Xin; Liu, Jun

doi:10.1016/j.jad.2019.09.056

Cited by 27 publications

(20 citation statements)

References 28 publications

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“…Thus, although group prenatal care may have some psychosocial benefits for women who engage with group members, it is important for group prenatal care providers to address a range of PPD risk factors in addition to low social support (e.g., obesity, sleep disturbance, unhealthy diet, gestational diabetes, anxiety, violence/abuse, low marital/partner satisfaction, life stress, immigration/acculturation-related stressors, cesarean section delivery, multiple birth delivery, preterm birth, low birthweight, birth complications; Hutchens & Kearney, 2020;Xiao-hu & Zhi-hua, 2020). Additionally, it is vital that group prenatal care providers be prepared to refer high-risk patients to services that have demonstrated effectiveness at preventing or treating PPD symptoms, such as psycho-pharmacological and psycho-therapeutic approaches (Cuijpers et al, 2008;Huang et al, 2020;Zhou et al, 2020). Ultimately, group prenatal care may play an important role in preventing PPD symptoms when implemented as one aspect of a holistic approach to care.…”

Section: Discussionmentioning

confidence: 99%

Effects of March of Dimes Supportive Pregnancy Care on Social Support and Postpartum Depression

Kettrey

Steinka-Fry

2021

Health Educ Behav

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Purpose Group prenatal care, which integrates medical care with patient education and empowerment in a group setting, has the potential to build social support among pregnant women and reduce the risk of postpartum depression (PPD). Past research on group care’s effects on social support or PPD has produced inconsistent findings. Studies have tended to (1) examine direct effects on social support or PPD and (2) treat group care participation as a dichotomous variable. This study tests the hypothesis that group care has an indirect effect on PPD through its effect on social support. It uses both a dichotomous measure of group care participation and an ordinal measure of social contact with group members. Method This study used survey data from 199 women at two Tennessee health care sites who participated in traditional care (TC) or Supportive Pregnancy Care (SPC), a new group program developed by March of Dimes. Path analysis was employed, estimating standardized path coefficients with propensity score weighted multilevel modeling. Results The study found no evidence of an indirect relationship between SPC and PPD symptoms when modeling the dichotomous measure. Modeling the ordinal measure revealed more favorable PPD outcomes among women reporting high group member contact (compared with TC) and adverse outcomes among women reporting low group member contact. Conclusion SPC may be useful for preventing PPD symptoms among women socially engaged with other group care patients. Given the adverse effect among women who do not engage with other group members, group facilitators should encourage women to interact outside of scheduled sessions.

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Section: Discussionmentioning

confidence: 99%

Effects of March of Dimes Supportive Pregnancy Care on Social Support and Postpartum Depression

Kettrey

Steinka-Fry

2021

Health Educ Behav

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“…In this regard, evidence-based policies and guidelines need to be developed by professional organisations, and specialised training should be introduced for midwives, obstetricians, and family workers to identify mothers with EBF difficulties, stress exposure, social disengagement, and depressive symptoms and offer proper support to them. Mother-infant psychotherapy [79], cognitive-behavioural therapy [80], and a 'Nurse-Family Partnership program' or 'Home visitation program' [81][82][83] were found to be effective in improving maternal mental health as along with family functioning and related social supports. In low-and middle-income countries, well-established referral pathways and support organisations need to be set up before introducing a screening program [84].…”

Section: Plos Onementioning

confidence: 99%

Early exclusive breastfeeding cessation and postpartum depression: Assessing the mediating and moderating role of maternal stress and social support

et al. 2021

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Background Early termination of exclusive breastfeeding (EBF) and postpartum depression (PPD) are both recognized as global health problems. Recent literature reviews demonstrate a notable link between PPD and breastfeeding outcomes, however, the underlying mechanisms linking the two remain unclear. Objectives The aim of the study is to: 1) explore the comparative risk for PPD among new mothers who terminated EBF before the 6-month mark, compared to those who did not; and 2) test whether maternal stress and social support operate to mediate and/or moderate the relationship between EBF and PPD. Methods Between October 2015 and January 2016, a cross-sectional study was carried out among 426 new mothers of Bangladesh who were six months postpartum. Results Based on the multivariate logistic regression model, non-exclusively breastfeeding mothers were 7.58-fold more likely to experience PPD (95% CI [3.94, 14.59]) than exclusively breastfeeding mothers. Additionally, maternal stress and social support not only partially mediate the relationship between EBF and PPD but also substantially moderate this relationship. Specifically, the odds of PPD are significantly higher among mothers who had early EBF interruption in conjunction with increased stress levels and limited social support. Conclusions Current evidence suggests that concurrent screening for EBF difficulties and maternal stress are important red flags that might hint at complications even before mother’s screen positive for PPD. Support and care from family members can provide assistance in overcoming this issue.

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“…However, robust research shows that postpartum depression and anxiety are the frequent causes of issues with bonding between parents and infants, and not the genetic attachment. There are a variety of psychological and medical treatment for postpartum depression and anxiety, as well as well‐supported empirical treatments for postpartum depression and anxiety, which will then support parents bonding with their baby (Huang et al, 2020; Nakano et al, 2019; Sockol, Epperson, & Barber, 2011). While issues of bonding with infants is a common concern for parents using donor gametes, research has not supported these concerns (Golombok, Blake, Casey, Roman, & Jadva, 2013).…”

Section: Emotional Aspects Of Third‐party Reproductionmentioning

confidence: 99%

Psychological Components of Infertility

Swanson¹,

Braverman²

2021

Family Court Review

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Infertility is a medical diagnosis impacting 48.5 million couples globally. Infertility impacts physical and emotional health as well as social and romantic relationships. People with infertility report feelings of distress, grief, anxiety and depression. Couples notice changes in their relationships; some report becoming emotionally closer while others report relationship difficulties. People may feel more isolated due to lack of social support. People that use third party reproduction, such as donor egg, sperm, embryo or gestational carriers, have additional emotional impacts during pregnancy and parenting. Continuing changes to laws complicate international fertility care, particularly given the ongoing COVID‐19 pandemic.

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The short- and long-term effectiveness of mother–infant psychotherapy on postpartum depression: A systematic review and meta-analysis

Cited by 27 publications

References 28 publications

Effects of March of Dimes Supportive Pregnancy Care on Social Support and Postpartum Depression

Effects of March of Dimes Supportive Pregnancy Care on Social Support and Postpartum Depression

Early exclusive breastfeeding cessation and postpartum depression: Assessing the mediating and moderating role of maternal stress and social support

Psychological Components of Infertility

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