TITLE

Preventing postpartum depression: review and recommendations

AUTHOR(S)
Werner, Elizabeth; Miller, Maia; Osborne, Lauren; Kuzava, Sierra; Monk, Catherine
PUB. DATE
February 2015
SOURCE
Archives of Women's Mental Health;Feb2015, Vol. 18 Issue 1, p41
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Nearly 20 % of mothers will experience an episode of major or minor depression within the first 3 months postpartum, making it the most common complication of childbearing. Postpartum depression (PPD) is significantly undertreated, and because prospective mothers are especially motivated for self-care, a focus on the prevention of PPD holds promise of clinical efficacy. This study is a qualitative review of existing approaches to prevent PPD. A PubMed search identified studies of methods of PPD prevention. The search was limited to peer-reviewed, published, English-language, randomized controlled trials (RCTs) of biological, psychological, and psychosocial interventions. Eighty articles were initially identified, and 45 were found to meet inclusion criteria. Eight RCTs of biological interventions were identified and 37 RCTs of psychological or psychosocial interventions. Results were mixed, with 20 studies showing clear positive effects of an intervention and 25 showing no effect. Studies differed widely in screening, population, measurement, and intervention. Among biological studies, anti-depressants and nutrients provided the most evidence of successful intervention. Among psychological and psychosocial studies, 13/17 successful trials targeted an at-risk population, and 4/7 trials using interpersonal therapy demonstrated success of the intervention versus control, with a further two small studies showing trends toward statistical significance. Existing approaches to the prevention of PPD vary widely, and given the current literature, it is not possible to identify one approach that is superior to others. Interpersonal therapy trials and trials that targeted an at-risk population appear to hold the most promise for further study.
ACCESSION #
100630309

 

Related Articles

  • Placentophagy: therapeutic miracle or myth? Coyle, Cynthia; Hulse, Kathryn; Wisner, Katherine; Driscoll, Kara; Clark, Crystal // Archives of Women's Mental Health;Oct2015, Vol. 18 Issue 5, p673 

    Postpartum women are consuming their placentas encapsulated, cooked, and raw for the prevention of postpartum depression (PPD), pain relief, and other health benefits. Placentophagy is supported by health advocates who assert that the placenta retains hormones and nutrients that are beneficial...

  • Chinese Herbal Medicine for Postpartum Depression: A Systematic Review of Randomized Controlled Trials. Li, Yongle; Chen, Zijie; Yu, Ning; Yao, Keyu; Che, Yiwen; Xi, Yupeng; Zhai, Shuangqing // Evidence-based Complementary & Alternative Medicine (eCAM);9/28/2016, Vol. 2016, p1 

    Background. Postpartum depression (PPD) does great harm to women following childbirth. The aim of this study was to conduct a systematic review of the literature to assess the efficacy and safety of CHM for the treatment of PPD. Methods. Published or ongoing registered trials were searched for...

  • Current Treatment of Toxoplasma Retinochoroiditis: An Evidence-Based Review. Harrell, Meredith; Carvounis, Petros E. // Journal of Ophthalmology;2014, p1 

    Objective. To perform an evidence-based review of treatments for Toxoplasma retinochoroiditis (TRC). Methods. A systematic literature search was performed using the PubMed database and the key phrase "ocular toxoplasmosis treatment" and the filter for "controlled clinical trial" and "randomized...

  • Systematic Review: Acupuncture vs Standard Pharmacological Therapy for Migraine Prevention. Zhang, Niushen; Houle, Tim; Hindiyeh, Nada; Aurora, Sheena K. // Headache: The Journal of Head & Face Pain;Feb2020, Vol. 60 Issue 2, p309 

    Background: Standard pharmacological treatment of migraine has many shortcomings. Acupuncture is becoming a more widely used therapy for the prevention and treatment of migraine, but its effectiveness is still in question when compared to the pharmacological treatments even though very few of...

  • A influência da suplementação de sulfato de condroitina na dor e nos aspectos funcionais associados à osteoartrose. Antunes Ulysséa, Monique; Piazza, Lisiane // ConScientiae Saude;2015, Vol. 14 Issue 1, p153 

    Introduction: Osteoarthritis is the leading cause of limitation of functionality and disability in the elderly. The supplementation with chondroitin sulfate is among the pharmacological treatments. Objective: To conduct a systematic review of the influence of chondroitin sulfate on pain and...

  • Care of the human spirit and the role of dignity therapy: a systematic review of dignity therapy research. Fitchett, George; Emanuel, Linda; Handzo, George; Boyken, Lara; Wilkie, Diana J. // BMC Palliative Care;2015, Vol. 14 Issue 1, p1 

    Background: Dignity Therapy (DT), an intervention for people facing serious illness, focuses on dignity conservation tasks such as settling relationships, sharing words of love, and preparing a legacy document for loved ones. Research on DT began more than a decade ago and has been conducted in...

  • Advancing Cervical Cancer Prevention in India: Implementation Science Priorities. Krishnan, Suneeta; Madsen, Emily; Porterfield, Deborah; Varghese, Beena // Oncologist;Dec2013, Vol. 18 Issue 12, preceding p1286 

    Cervical cancer is the leading cause of cancer mortality in India, accounting for 17% of all cancer deaths among women aged 30 to 69 years. At current incidence rates, the annual burden of new cases in India is projected to increase to 225,000 by 2025, but there are few large-scale, organized...

  • Are dietary interventions effective at increasing fruit and vegetable consumption among overweight children? A systematic review. Bourke, Michael; Whittaker, Paula J.; Verma, Arpana // Journal of Epidemiology & Community Health;May2014, Vol. 68 Issue 5, p485 

    Introduction Childhood obesity is now a global epidemic and the incidence continues to increase. Dietary interventions and nutritional education are possible options to manage childhood obesity. However, restrictive diets can result in negative outcomes, and therefore it may be more apt to...

  • Controlling childhood obesity: A systematic review on strategies and challenges. Kelishadi, Roya; Azizi-Soleiman, Fatemeh // Journal of Research in Medical Sciences;Oct2014, Vol. 19 Issue 10, p993 

    Background: Childhood obesity is a global health problem with short- and long-term health consequences. This systematic review presents a summary of the experiences on different family-, school-, and clinic-based interventions. Materials and Methods: Electronic search was conducted in MEDLINE,...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics