Review: some specific preventive psychosocial and psychological interventions reduce risk of postpartum depression
Q Do preventive psychosocial and psychological interventions reduce the risk of postpartum depression (PPD)?
METHODS
Data sources:
Cochrane Pregnancy and Childbirth Group trials register (January 2004), Cochrane Depression, Anxiety, and Neurosis trials register (October 2003), Cochrane Central Register of Controlled trials (October 2003), Medline (1966–2004), CINAHL (1982–2004), EMBASE/Excerpta Medica (1980–2004), secondary references, and experts.
Study selection and assessment:
randomised controlled trials (RCTs) of preventive psychosocial or psychological interventions with a primary or secondary aim of reducing the risk of PPD in pregnant women and new mothers (<6 wks postpartum). Methodological quality of individual studies was assessed.
Outcome:
main outcome was PPD.
MAIN RESULTS
15 trials (n = 7697) met the selection criteria. Most trials (n = 10) defined PPD as scores >12 on the Edinburgh Postnatal Depression Scale (EPDS). Meta-analysis showed that, in general, psychosocial and psychological …
