Psycho‐educational interventions focused on maternal or infant sleep for pregnant women to prevent the onset of antenatal and postnatal depression: A systematic review

Abstract

Aims This systematic review aimed to evaluate randomized controlled trials (RCTs) to examine the effect of maternal and infant sleep intervention during women's pregnancy for the purpose of preventing perinatal depression. Method A systematic search (from inception to January 28, 2019) for RCTs using five electronic databases—the Cochrane Controlled Register of Trials (CENTRAL), Embase, PubMed, PsycINFO, and Ichushi Web (Japan Medical Abstracts Society)—was conducted. Twelve investigators independently conducted initial screenings based on title and abstract, and then, two researchers performed full‐text reviews one by one. A meta‐analysis would be conducted if at least three studies were found. However, only two articles that met inclusion criteria, and narrative data synthesis was conducted for these two articles. The study protocol has been registered at PROSPERO (CRD42019119999). Result A total of 13 654 studies were initially searched. After removing duplicates, 10 547 studies were screened, and finally, two studies met the inclusion criteria. In both studies, the intervention was a one‐time face‐to‐face session during pregnancy to deliver the behavioral knowledge and skills for optimizing sleep hygiene for both infant and mother. Effectiveness of the intervention in improving maternal mood was not significant in one study. In the other, there was a significant difference in maternal mood between the intervention and control group. No mood comparison was made between baseline and postintervention. Conclusion This study found limited evidence to support the effectiveness of sleep intervention for all pregnant women, which means “universal intervention,” to protect maternal mental health. Further well‐designed RCTs are needed to confirm these findings.

Techno-Stress Creators, Burnout and Psychological Health among Remote Workers during the Pandemic: The Moderating Role of E-Work Self-Efficacy

“…Our results are in line with this latter body of studies that corroborate the socio-emotional selective theory [132,133] stating that getting older can lead workers to focus on positive emotions and memories rather than on negative information, which, in turn, can contribute to maintaining their well-being. Additionally, women reported higher levels of depressive mood and anxiety symptoms, which is in line with previous research on this topic showing women's greater susceptibility to stress and psychological health symptoms [134][135][136].…”

Prevalence and Associated Risk Factors of Antenatal Depression among Pregnant Women Attending Tertiary Care Hospitals in South India

“…There is evidence to suggest that interventions in women at risk of antenatal depression were effective in preventing postnatal depression and also improving pregnancy outcomes [26][27][28]. Subsequently, several systematic reviews and meta-analyses substantiated the above observation [29][30][31].…”

Effectiveness of preventive parental education delivered from pregnancy to 1 month postpartum for improving infant sleep and parental sleep and depression: a systematic review protocol

“…However, there were no systematic reviews on the effectiveness of PPE with the initial education regarding ISPs on infant and postpartum parental sleep and depression delivered from pregnancy to 1 month postpartum. The participants in 2 systematic reviews 5,17 did not meet our inclusion criteria. Reuter et al found inconsistencies in the effectiveness of PPE delivered before and/or after birth on ISPs 5 .…”

“…5 However, they included studies in which the education was first imparted to parents of infants aged 4-6 months who were already experiencing ISPs. Sasaki et al 17 examined the effects of PPE about ISPs on maternal depression, and concluded that the effects of PPE delivered during pregnancy were inconsistent. However, their review was limited to interventions targeting pregnant women.…”