A systematic review of home-based interventions to prevent and treat postpartum depression |
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| Authors: | Julie A. Leis Tamar Mendelson S. Darius Tandon Deborah F. Perry |
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| Affiliation: | (1) Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, P.O. Box 502, Baltimore, MD 21205, USA;(2) Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA;(3) Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA;(4) Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA |
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| Abstract: | This systematic review evaluated randomized controlled trials assessing home-based psychological interventions to prevent and treat postpartum depression (PPD). Six studies meeting inclusion criteria were identified, five assessing treatments for PPD and one assessing a preventive intervention for PPD. Interventions used cognitive behavioral, psychodynamic, and non-directive counseling approaches. Of the six studies reviewed, four reported statistically significant treatment effects on PPD following the intervention. Each of the three types of psychological interventions were shown to reduce levels of maternal depression. Recommendations for future development and evaluation of home-based psychological interventions for PPD are discussed. These include identification of mediators and moderators of intervention efficacy, exploring strategies for prevention of PPD, and targeting high-risk groups. |
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| Keywords: | Postpartum depression Review Home-based Home visiting Interventions |
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