Publicación: Effectiveness of interventions to prevent perinatal depression: An umbrella review of systematic reviews and meta-analysis.
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2023-03-15
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info:eu-repo/semantics/openAccess
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Elsevier
Resumen
Background: To date, dozens of systematic reviews (SRs) and meta-analyses (MAs) summarize the effectiveness of
preventive interventions for perinatal depression. However, the results are inconclusive, making an urgent need
to step up to higher levels of evidence synthesis.
Aims: To summarize and compare the evidence from the SR&MA examining the effectiveness of all types of
interventions for preventing perinatal depression.
Method: PubMed, PsycINFO, Cochrane Database of Systematic Reviews and OpenGrey were searched from
inception to December 2022. We selected SR&MA of randomized controlled trials (RCTs) that compared all types
of preventive interventions for perinatal depression with control groups whose outcome was the reduction of
depressive symptoms and/or incidence of new cases of perinatal depression (PROSPERO: CRD42020173125).
Results: A total of 19 SRs and MAs evaluated 152 unique RCTs that included 83,408 women from 26 countries
and five continents. The median effect size for any intervention was SMD = 0.29 (95% CI: 0.20 to 0.38). Exercise/physical activity-based, psychological, and any type of intervention showed median effect sizes of 0.43,
0.28 and 0.36, respectively. The degree of overlap among RCTs was slight. According to AMSTAR-2, 79% of them
were rated as low or critically low-quality. The strength of evidence, according to GRADE, was poorly reported
and, in most cases, was low.
Conclusions: Exercise/physical activity-based and psychological interventions have a small-to-medium effect on
reducing perinatal depressive symptoms. There is insufficient evidence to conclude that dietary supplements and
pharmacological interventions are effective in preventing perinatal depression. There is a need for high-quality
SR&MA of RCTs, mainly focusing on universal preventive interventions
Descripción
The registered version of this article, first published in General Hospital Psychiatry, is available online at the publisher's website: Elsevier, https://doi.org/10.1016/j.genhosppsych.2023.03.007
La versión registrada de este artículo, publicado por primera vez en General Hospital Psychiatry, está disponible en línea en el sitio web del editor: Elsevier, https://doi.org/10.1016/j.genhosppsych.2023.03.007
La versión registrada de este artículo, publicado por primera vez en General Hospital Psychiatry, está disponible en línea en el sitio web del editor: Elsevier, https://doi.org/10.1016/j.genhosppsych.2023.03.007
Categorías UNESCO
Palabras clave
perinatal depression, prevention, randomized control trial, systematic review, meta-analysis
Citación
Motrico, E., Bina, R., Kassianos, A. P., Le, H. N., Mateus, V., Oztekin, D., Rodriguez-Muñoz, M. F., Moreno-Peral, P., & Conejo-Cerón, S. (2023). Effectiveness of interventions to prevent perinatal depression: An umbrella review of systematic reviews and meta-analysis. General Hospital Psychiatry, 82, 47–61. https://doi.org/10.1016/j.genhosppsych.2023.03.007
Centro
Facultades y escuelas::Facultad de Psicología
Departamento
Psicología de la Personalidad, Evaluación y Tratamiento Psicológico