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The effect of perinatal depression treatment for mothers on parenting and child development: A systematic review
Author(s) -
Letourneau Nicole L.,
Dennis CindyLee,
Cosic Nela,
Linder Jordana
Publication year - 2017
Publication title -
depression and anxiety
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.634
H-Index - 129
eISSN - 1520-6394
pISSN - 1091-4269
DOI - 10.1002/da.22687
Subject(s) - interpersonal psychotherapy , psychological intervention , cinahl , randomized controlled trial , postpartum depression , massage , psychology , clinical psychology , meta analysis , antenatal depression , medline , child development , medicine , child psychotherapy , psychiatry , cognition , pregnancy , depressive symptoms , alternative medicine , surgery , pathology , biology , political science , law , genetics
Antenatal and postpartum depression are very common and have significant consequences for mothers and their children. This review examines which antenatal depression (AD) and postpartum depression (PPD) treatment interventions are most efficacious in improving parenting and/or child development. CINAHL, Scopus, Cochrane Systematic Reviews, Cochrane Controlled Trials, Medline (OVID), Embase (OVID), PsychINFO, PsycARTICLES, AMED, and reference lists were searched. Randomized controlled trials (RCTs) and quasi‐experimental studies assessing the effect of AD, PPD, or both treatment interventions on parenting and/or child development were included. Meta‐analysis was conducted using random effects when possible. Thirty‐six trials (within 40 articles) met criteria for review. Interventions include interpersonal psychotherapy (IPT), cognitive behavioural therapy (CBT), peer support, maternal‐child interaction guidance, and other interventions, such as massage. For AD, IPT, CBT, and massage produced large effects on parenting (e.g. adjustment and attention toward infant) and child development (e.g. behaviour). For PPD, maternal‐child interaction guidance and psychotherapeutic group support produced large effects on parenting (e.g. sense of competence) and child development (e.g. cortisol). However, meta‐analysis revealed nonsignificant effects of IPT on maternal‐child attachment and CBT on parenting stress. Promising findings exist for IPT, CBT, maternal‐child interaction guidance, massage, and psychotherapeutic group support for specific parenting and/or child development outcomes. Additional RCTs using measures already employed in the literature are required to conduct necessary meta‐analysis and fully elucidate treatment effects.