Appraisal of systematic reviews on interventions for postpartum depression: systematic review

Chow, Ryan; Huang, Eileen; Li, Allen; Li, Sophie; Fu, Sarah; Son, Jin S.; Foster, Lauren

doi:10.1186/s12884-020-03496-5

Cited by 39 publications

(25 citation statements)

References 98 publications

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“…Future research should examine the feasibility of leveraging inpatient psychiatry consultants to deliver treatment for caregivers requiring medication at the bedside. An alternative to in-person therapy may be the expanded use of telemedicine, a promising approach for both screening [ 45 ] and treatment of PPD [ 46 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

National Cross-Sectional Study of Mental Health Screening Practices for Primary Caregivers of NICU Infants

Bloyd

Murthy

Song³

et al. 2022

Children

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Universal screening for postpartum mood and anxiety disorders (PMADs) has been recommended for all new parents at outpatient postpartum and well-child visits. However, parents of newborns admitted to the NICU are rarely able to access these services during their infant’s prolonged hospitalization. The objective of this study was to determine the prevalence of mental health screening and treatment programs for parents or other primary caregivers in NICUs across the country. In this cross-sectional study, US NICU medical directors were invited to complete an online survey about current practices in mental health education, screening, and treatment for primary caregivers of preterm and ill infants in the NICU. Comparative analyses using Fisher’s exact test were performed to evaluate differences in practices among various NICU practice settings. Survey responses were obtained from 75 out of 700 potential sites (10.7%). Of participating NICUs, less than half routinely provided caregivers with psychoeducation about mental health self-care (n = 35, 47%) or routinely screened caregivers for PPD or other mental health disorders (n = 33, 44%). Nearly one-quarter of the NICUs did not provide any PMAD screening (n = 17, 23%). Despite consensus that postpartum psychosocial care is essential, routine mental health care of primary caregivers in the NICU remains inadequate.

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Section: Discussionmentioning

confidence: 99%

National Cross-Sectional Study of Mental Health Screening Practices for Primary Caregivers of NICU Infants

Bloyd

Murthy

Song³

et al. 2022

Children

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“…However, in our preliminary study, we found that the current community screening rate for PND is less than 5% and the intervention rate is only 1% [ 22 ]. Interventions based on m-Health technology have the advantages of wide coverage, low cost, and mandatory interaction compared to face-to-face interventions and has become a new means of preventing and managing PND [ 19 , 31 , 32 ]. However, a large number of studies have found that low maternal adherence remains a major bottleneck in PND prevention programs [ 18 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…Relevant studies conducted in a community-based maternal population have shown that although face-to-face cognitive-behavioral therapy (CBT) was effective in improving maternal depression, face-to-face interventions were poorly implemented at the primary health care level. Such interventions are impeded by limited maternal energy and time, depression stigma, high workload of community health care workers, and lack of professional knowledge and skills related to psychology and mental health [ 19 , 20 , 21 ]. We have explored online interventions based on mobile health (m-Health) technology, such as the establishment of a mobile app (CBT for postpartum depression; Registration: 2018SR531840).…”

Section: Introductionmentioning

confidence: 99%

Study Protocol of an App-Based Prevention Program for Perinatal Depression

Tan

Hua

et al. 2022

IJERPH

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The prevalence of perinatal depression (PND) in China is continuously rising, and the suicide rate among pregnant women is remarkably high. Preventing the occurrence of PND based on the management of primary health care is of great significance. Improving adherence to intervention programs is a key concern for PND prevention. Thus, a new intervention strategy based on mobile health could bring a new perspective to prevent the occurrence of PND and reduce the sample dropout rate. A single-blind, cluster randomized controlled trial will be performed to evaluate the effectiveness of a personalized, dynamic, and stratified intervention strategy based on an app. Four health centers will be randomly selected and randomly assigned to an intervention group (two centers) and a control group (two centers). Participants ( n = 426) will be enrolled from the four selected health centers, with 213 in each group. The intervention group will receive the interventions personalized by the feature-matching algorithm of the user profile and be reassigned to the low-risk group (Edinburgh Postnatal Depression Scale [EPDS] < 9) or moderate/high-risk group (9 ≤ EPDS < 13 and EPDS ≥ 13, but not meeting the criteria for PND) for intervention based on each EPDS score until 6 months after delivery. The control group will receive the same intervention components of the app but without the dynamic, personalized, and stratified function. Depression status, negative emotion symptoms, parental competence, and sample dropout rate will be measured at different weeks of pregnancy (12–16 [baseline], 24, 37) and at 42 days, 3 months, and 6 months after delivery. Follow-up evaluation (t 6 : 12 months after delivery) will also be conducted. If the intervention is effective, it will provide a personalized, time-friendly, and dynamic intervention for preventing PND. This phenomenon can effectively reduce the sample dropout rate and provide an empirical basis for promoting maternal mental health.

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“…Systematic review and meta-analysis found from [7][8][9][10] that there have been various interventions for PPD, i.e., pharmacological interventions and nonpharmacological intervention. Although pharmacological method is an effective treatment for depression, mothers are often reluctant to take antidepressant medication due to concerns about breast milk transmission or potential side-effects on their babies [8,11].…”

Section: Introductionmentioning

confidence: 99%

Online and Offline Intervention for the Prevention of Postpartum Depression among Rural-to-Urban Floating Women: Study Protocol for a Randomized Control Trial

Qiu

Fang

et al. 2022

IJERPH

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Background: As a higher-risk group of postpartum depression (PPD), rural to urban floating women urgently require effective and accessible mental health care after childbirth to prevent PPD. Even though there were various interventions, only a small number of women have sought professional help to reduce their depressive symptoms after childbirth, suggesting the need for an innovative intervention delivery to overcome women’s help-seeking barriers. Online and offline (OTO) interventions, which combine face-to-face and internet-based interventions, provide apparent benefits. As a result, the protocol for a randomized controlled study (RCT) was designed to examine the effectiveness and acceptability of OTO intervention on psychosocial outcomes for Chinese rural-to-urban floating women including the reduction of PPD symptoms and PPD stigma, and the improvement of social support and quality of life. Methods: A double blind, multicenter, RCT will be used and a total of 226 participants will be recruited. The OTO intervention called the “Hi, Mom” program will integrate two face-to-face consulting sessions with online sessions comprising an information module, a communication module, an ask-the-expert module, and a peer story module over a period of three months. The control group will receive routine postpartum care. Outcome measures including PPD symptoms, PPD stigma, social support, quality of life, mother–child bonding, and satisfaction with health care received will be conducted at baseline, postintervention, and three-month follow-up. Results and Discussion: If the intervention is effective, it will provide a convenient and effective intervention program on postpartum mental well-being for rural-to-urban floating women. As the first study to test the effects of an OTO intervention for the prevention of PPD in China, the outcomes gained from this study will provide evidence-based knowledge for clinical practice on PPD prevention based on online and offline health technologies. Moreover, it could be used to plan a culturally appropriate OTO intervention for migrant mothers from different countries.

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Appraisal of systematic reviews on interventions for postpartum depression: systematic review

Cited by 39 publications

References 98 publications

National Cross-Sectional Study of Mental Health Screening Practices for Primary Caregivers of NICU Infants

National Cross-Sectional Study of Mental Health Screening Practices for Primary Caregivers of NICU Infants

Study Protocol of an App-Based Prevention Program for Perinatal Depression

Online and Offline Intervention for the Prevention of Postpartum Depression among Rural-to-Urban Floating Women: Study Protocol for a Randomized Control Trial

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