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ACP Journal Club |20 August 2013

Review: Psychosocial and psychological interventions reduce postpartum depression

Gabriel D. Shapiro, MPH; William D. Fraser, MD, MSc, FRCSC

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Dennis CL, Dowswell T. Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database Syst Rev. 2013(2):CD001134. 23450532

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Do psychosocial and psychological interventions prevent postpartum depression (PPD)?
Included studies compared nonpharmaceutical interventions (psychoeducational strategies, cognitive–behavioral therapy, interpersonal psychotherapy, nondirective counseling, psychological debriefing, supportive interactions, or tangible assistance) with usual care in pregnant women and new mothers < 6 weeks after delivery. Interventions could be delivered prenatally and/or within the first postpartum month by telephone, visits, or individual or group sessions and could be delivered by professionals or lay persons. Trials in which > 20% of participants had depression were excluded. Primary outcome was PPD (depressive symptomatology).
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Shapiro GD, Fraser WD. Review: Psychosocial and psychological interventions reduce postpartum depression. Ann Intern Med. ;159:JC8. doi: 10.7326/0003-4819-159-4-201308200-02008

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Published: Ann Intern Med. 2013;159(4):JC8.

DOI: 10.7326/0003-4819-159-4-201308200-02008

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