Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

Lau, Ying; Htun, Tha Pyai; Wong, Suei Nee; Tam, Wilson W.S.; Klainin‐Yobas, Piyanee

doi:10.2196/jmir.6712

Cited by 123 publications

(107 citation statements)

References 55 publications

(211 reference statements)

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“…For example, Matvienko-Sikar and Dockrey (2017) piloted a gratitude and mindfulness intervention with significant effects on stress, but not on life satisfaction. Internet interventions that target SWB during pregnancy are less common, but studies do suggest the merits of preventive interventions for decreasing depressive symptoms, stress, and anxiety in postpartum women (Lau et al, 2017). The changes in negative affect in this study may reflect the unique ability of the 'Mamma Mia' intervention to foster self-regulation of negative feelings rather than construct new positivity (Aspinwall & Tedeschi, 2010).…”

Section: Discussionmentioning

confidence: 78%

“…Perinatal women use the internet frequently to search for information pertaining to pregnancy and postnatal topics and a recent systematic review suggests that the use of eHealth technology has the potential to transform the perinatal healthcare system (Van den Heuvel et al, 2018). In terms of perinatal mental health, there are recent studies on internet interventions that demonstrate their usability (Danaher et al, 2012;Haga et al, 2013;Salonen et al, 2014) and effectiveness in reducing perinatal depressive symptoms (Ashford et al, 2016;Haga et al, 2018;Lau et al, 2017;Lee et al, 2016). At present, however, no systematic effort aimed at enhancing SWB among perinatal women exists.…”

Section: Introductionmentioning

confidence: 99%

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Mamma Mia – A randomized controlled trial of an internet intervention to enhance subjective well-being in perinatal women

Haga

Kinser

Wentzel‐Larsen

et al. 2020

The Journal of Positive Psychology

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Subjective well-being (SWB) may buffer against psychosocial stressors such as the birth of a child. To assess the effectiveness of an unguided internet intervention ('Mamma Mia') on SWB among perinatal women, we investigated (1) whether the intervention group reported higher levels of SWB, (2) whether the effect of Mamma Mia changed over time (i.e. whether the intervention was more effective at some time points), (3) and potential moderators. In total, 1342 pregnant women were randomized to the Mamma Mia or control group. Data were collected at gestational weeks 21-25 and 37, and 1.5, 3, and 6 months after birth. Cognitive well-being was measured using the Satisfaction with Life Scale. Affective well-being was measured using the Positive and Negative Affect Schedule. There were no significant differences in reported life satisfaction and positive affect between the groups. However, participants in the Mamma Mia group showed less negative affect during follow-up, suggesting that Mamma Mia can enhance the affective component of perinatal women's sense of SWB.

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Section: Discussionmentioning

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Mamma Mia – A randomized controlled trial of an internet intervention to enhance subjective well-being in perinatal women

Haga

Kinser

Wentzel‐Larsen

et al. 2020

The Journal of Positive Psychology

View full text Add to dashboard Cite

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“…RCTs of interventions using new mo‐dalities for delivery, namely online CBT or behavioural activation, for perinatal depression have also demonstrated robust effects in several countries 83‐85 .…”

Section: Interventionsmentioning

confidence: 99%

Perinatal mental health: a review of progress and challenges

2020

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Perinatal mental health has become a significant focus of interest in recent years, with investment in new specialist mental health services in some high‐income countries, and inpatient psychiatric mother and baby units in diverse settings. In this paper, we summarize and critically examine the epidemiology and impact of perinatal mental disorders, including emerging evidence of an increase of their prevalence in young pregnant women. Perinatal mental disorders are among the commonest morbidities of pregnancy, and make an important contribution to maternal mortality, as well as to adverse neonatal, infant and child outcomes. We then review the current evidence base on interventions, including individual level and public health ones, as well as service delivery models. Randomized controlled trials provide evidence on the effectiveness of psychological and psychosocial interventions at the individual level, though it is not yet clear which women with perinatal mental disorders also need additional support for parenting. The evidence base on psychotropic use in pregnancy is almost exclusively observational. There is little research on the full range of perinatal mental disorders, on how to improve access to treatment for women with psychosocial difficulties, and on the effectiveness of different service delivery models. We conclude with research and clinical implications, which, we argue, highlight the need for an extension of generic psychiatric services to include preconception care, and further investment into public health interventions, in addition to perinatal mental health services, potentially for women and men, to reduce maternal and child morbidity and mortality.

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“…The study found that therapist-supported internet based CBT significantly improved stress, anxiety, and depressive symptoms among postpartum women (Lau et al 2017).…”

Section: Estrogens:-mentioning

confidence: 88%