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Review: some specific preventive psychosocial and psychological interventions reduce risk of postpartum depression

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Q Do preventive psychosocial and psychological interventions reduce the risk of postpartum depression (PPD)?


Embedded ImageData 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.

Embedded ImageStudy 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.

Embedded ImageOutcome:

main outcome was PPD.


15 trials (n = 7697) met the selection criteria. Most trials (n = 10) defined PPD as scores >12 on the Edinburgh …

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  • For correspondence: Professor C-L Dennis, Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.

  • Source of funding: no external funding.