Publicación: Clinical practice guidelines with recommendations for peripartum depression: A European systematic review
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Fecha
2022-07-15
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info:eu-repo/semantics/openAccess
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Wiley
Resumen
Objective
This study aims to systematically review all Clinical Practice Guidelines (CPGs) with recommendations for peripartum depression in European countries.
Methods
A systematic review according to the PRISMA statement was conducted. CPGs focussing on peripartum depression or with at least one specific recommendation for peripartum depression from European countries were selected. Searching was conducted in electronic databases (MEDLINE and PsycINFO), and by contacting professional societies and international experts until November 24th, 2021. Characteristics of the included CPGs and their recommendations were extracted. A methodological quality assessment was conducted using the AGREE-II tool.
Results
A total of 239 records were identified after duplicate removal. Of these, 54 were examined for full-text inspection. The final selection yielded 14 CPGs from 11 European countries in 10 languages. Of them, 11 provided recommendations on pharmacological treatments, 10 on psychological treatment (e.g., cognitive-behavioural therapy), 10 on screening, 8 on diagnosis, 6 on other treatments (e.g., physical exercise), 5 on prevention, and 5 other recommendations (e.g., provide information). Regarding the overall methodological quality, only five (35.7%) guidelines were rated as of adequate quality, reaching a score ≥ 70% in the overall assessment of the AGREE-II instrument. Of the six AGREE-II domains, applicability scored the lowest and clarity of presentation scored the highest.
Conclusion
The absence of CPGs in most European countries, the discrepancy in recommendations and the low methodological quality of the guidelines may lead to disparities and inequalities in peripartum depression management in Europe. The COST Action Riseup-PPD highlights key considerations for future guideline developers.
Descripción
The registered version of this article, first published in Acta Psychiatrica Scandinavica, is available online at the publisher's website: Wiley, https://doi.org/10.1111/acps.13478
La versión registrada de este artículo, publicado por primera vez en Acta Psychiatrica Scandinavica, está disponible en línea en el sitio web del editor: Wiley, https://doi.org/10.1111/acps.13478
La versión registrada de este artículo, publicado por primera vez en Acta Psychiatrica Scandinavica, está disponible en línea en el sitio web del editor: Wiley, https://doi.org/10.1111/acps.13478
Categorías UNESCO
Palabras clave
clinical practice guidelines, depression, perinatal, peripartum, systematic review
Citación
Motrico E, Moreno-Peral P, Uriko K, et al. Clinical practice guidelines with recommendations for peripartum depression: A European systematic review. Acta Psychiatr Scand. 2022; 146(4): 325-339. doi:10.1111/acps.13478
Centro
Facultad de Psicología
Departamento
Psicología de la Personalidad, Evaluación y Tratamiento Psicológico