The short- and long-term effectiveness of mother-infant psychotherapy on postpartum depression: A systematic review and meta-analysis
| Autor: | Xin Huang, Ruirui Huang, Chunli Yan, Beimei Lei, Dongqi Yang, Jun Lei, Yumei Tian |
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| Rok vydání: | 2019 |
| Předmět: |
Postpartum depression
Psychotherapist MEDLINE Mothers Cochrane Library law.invention Depression Postpartum 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Pregnancy medicine Humans Depression (differential diagnoses) business.industry Infant medicine.disease 030227 psychiatry Psychotherapy Psychiatry and Mental health Clinical Psychology Mood Meta-analysis Relative risk Female business 030217 neurology & neurosurgery |
| Zdroj: | Journal of affective disorders. 260 |
| ISSN: | 1573-2517 |
| Popis: | Background It has been suggested that mother–infant psychotherapy may offer an alternative approach to treating postpartum depression, but little is known about its effectiveness. This review presents a summarized effectiveness of mother–infant psychotherapy on postpartum depression. Methods Multiple electronic databases were searched including Pubmed, Cochrane Library, EMBase, MEDLINE, et al. Hand searching of references was also performed. Randomized controlled trials reporting on mother–infant psychotherapy targeting postpartum depression were included if they used a validated measure of prescribing appropriateness. Evidence quality was assessed using the Cochrane risk of bias tool. Results A total of 13 randomized controlled trials met inclusion criteria and were included in the final analysis. In the short-term effect analysis, mother–infant psychotherapy reduced standardized mean depressive scores (−0.25, 95% CI −0.40, −0.09) and risk ratio (0.71, 95% CI 0.55, 0.91). In the long-term effect analysis, mother–infant psychotherapy did not improve maternal mood, mother–infant interaction and infant attachment. Limitations Clinical heterogeneity was observed among included studies in mother–infant psychotherapy intervention, suggesting the existence of potential moderators such as intensity, frequency, trimester of pregnancy or type of mother–infant psychotherapy. Conclusion Mother–infant psychotherapy appears to be effective for the treatment of maternal depression in the short-term. Future studies with better design/execution and larger sample size are needed to confirm the effect of mother–infant psychotherapy on short-term and to explore its effect on long-term depression. |
| Databáze: | OpenAIRE |
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