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Journals / Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi / 2024 / Cilt: 6 Sayı: 3

Effect of Cognitive Behavioral Therapy on Postpartum Depression: Systematic Review of Randomized Controlled Trials

Bilişsel Davranışçı Terapinin Postpartum Depresyon üzerine Etkisi: Randomize Kontrollü Çalışmaların Sistematik Derlemesi

Seyhan Alpay(ORDU ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0000-0002-5733-2570
Nülüfer Erbil(ORDU ÜNİVERSİTESİ)
Pages
265–278
Publication Date
2024-12-05
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: In the systematic review, although the methods of application of cognitive behavioral therapy differ, it was found to have a positive effect on reducing the risk of depression and symptoms in pregnancy and postpartum period.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: The changes caused by pregnancy and postpartum period in women's lives bring along various mental problems.
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Key Findings & Data:Method: Google Scholar, Web of Science, Science Direct, and PubMed search engines were searched for articles between 2013 and 2023 using English and Turkish keywords.
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Conclusion & Impact:Conclusion: In the systematic review, although the methods of application of cognitive behavioral therapy differ, it was found to have a positive effect on reducing the risk of depression and symptoms in pregnancy and postpartum period.
🔬Design:Review & Systematic Survey
📍Scope:2013 Verileri
⚙️Variables:bilişsel davranışçı terapi · doğum sonu dönem · postpartum depresyon

Abstract

Introduction: The changes caused by pregnancy and postpartum period in women's lives bring along various mental problems. Cognitive behavioral therapy is an effective approach used to support women's mental health during this period. Aim: This systematic review investigated the effectiveness of psychotherapy training based on cognitive behavioral therapy on anxiety and depression in the postpartum period. Method: Google Scholar, Web of Science, Science Direct, and PubMed search engines were searched for articles between 2013 and 2023 using English and Turkish keywords. The articles were evaluated by two independent researchers using Rayyan software. PubMed: 20, Science direct: 400, Web of Science: 50, Google scholar: 15 in total 485 articles were reached. 10 of the 41 articles whose subject is suitable for the research topic were included in the research. Results: Ten randomized controlled trials that met the research criteria were included in the literature review. The Edinburgh Postpartum Depression Scale was mostly used to determine the risk of depression, and women who scored 10 - 13 above the scale were included in the study. It has been determined that the studies mostly included women over the age of 18, who are at risk for depression or anxiety symptoms, who do not have a diagnosed psychiatric illness, and who are in the 12th month after birth. Conclusion: In the systematic review, although the methods of application of cognitive behavioral therapy differ, it was found to have a positive effect on reducing the risk of depression and symptoms in pregnancy and postpartum period.

Özet

Giriş: Gebelik ve doğum sonrası dönemin kadın hayatında oluşturduğu değişiklikler çeşitli ruhsal sorunları da beraberinde getirmektedir. Bilişsel davranışçı terapi, bu dönemde kadınların ruhsal sağlığını desteklemek için kullanılan etkili bir yaklaşımdır. Amaç: Bu sistematik derleme, bilişsel davranışçı terapiye dayanarak verilen psikoterapi eğitimlerinin postpartum dönemde anksiyete ve depresyon üzerindeki etkinliğini araştırmak amacıyla yapılmıştır. Yöntem: Google Scholar, Web of Science, Science Direct ve PubMed arama motorlarında İngilizce ve Türkçe anahtar kelimeler kullanılarak 2013-2023 yılları arası makaleler taranmıştır. Makaleler, birbirinden bağımsız iki araştırmacı tarafından Rayyan software kullanılarak değerlendirilmiştir. PubMed: 20, Science Direct: 400, Web of Science: 50, Google Scholar: 15 olmak üzere toplamda 485 makaleye ulaşılmıştır. Konusu araştırma konusuna uygun 41 makaleden 10’u araştırmaya dahil edilmiştir. Bulgular: Literatür taramasında araştırma kriterlerine uyan 10 randomize kontrollü çalışma incelemeye alınmıştır. Depresyon riskinin belirlenmesinde en çok Edinburg Postpartum Depresyon Ölçeği kullanılmış ve ölçekten 7 - 13 üstünde puan alan kadınlar araştırmaya dahil edilmiştir. Yapılan çalışmalara çoğunlukla; 18 yaş üzerinde olan, depresyon veya anksiyete belirtileri açısından risk altında olan, tanılanmış psikiyatrik hastalığı bulunmayan, doğum sonu 12. ayın içinde olan kadınların dahil edildiği belirlenmiştir. Sonuç: Sistematik derlemeye alınan çalışmalarda, bilişsel davranışçı terapi uygulanış yöntemleri farklılık gösterse de gebelik ve doğum sonrası dönemde depresyon riskinin ve semptomların azaltılmasında olumlu etkisi olduğu saptanmıştır.

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Cite This Article

Alpay, S., Erbil, N. (2024). Effect of Cognitive Behavioral Therapy on Postpartum Depression: Systematic Review of Randomized Controlled Trials. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, Cilt: 6 Sayı: 3, 265–278. https://doi.org/10.48071/sbuhemsirelik.1437308

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References (40)

  1. Agius, A., Xuereb, R. B., Carrick-Sen, D., Sultana, R., & Rankin, J. (2016). The co-existence of depression, anxiety and post-traumatic stress symptoms in the perinatal period: A systematic review. Midwifery, 36, 70-79. doi: 10.1016/j.midw.2016.02.013
  2. Amani, B., Merza, D., Savoy, C., Streiner, D., Bieling, P., Ferro, M. A., & Van Lieshout, R. J. (2021). Peer-delivered cognitive-behavioral therapy for postpartum depression: A randomized controlled trial. Journal of Clinical Psychiatry, 83(1). doi: 10.4088/JCP.21m13928
  3. American Psychiatric Association, D. (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5. American Psychiatric Association Washington, DC, 5(5).
  4. Aydin, N., Inandi, T., & Karabulut, N. (2005). Depression and associated factors among women within their first postnatal year in Erzurum province in eastern Turkey. Women & Health, 41(2), 1-12. doi: 10.1300/J013v41n02_01
  5. Ayvaz, S., Hocaoğlu, Ç., Tiryaki, A. ve Ak, İ. (2006). Trabzon il merkezinde doğum sonrası depresyon sıklığı ve gebelikteki ilişkili demografik risk etmenleri. Türk Psikiyatri Dergisi, 17(4), 243-251.
  6. Beck, A. T., & Haigh, E. A. (2014). Advances in cognitive theory and therapy: The generic cognitive model. Annual Review of Clinical Psychology, 10, 1-24. doi: 10.1146/annurev-clinpsy-032813-153734
  7. Bolak Boratav, H., Toker, Ö., & Küey, L. (2016). Postpartum depression and its psychosocial correlates: A longitudinal study among a group of women in Turkey. Women & Health, 56(5), 502-521. doi: 10.1080/03630242.2015.1101737
  8. Bowers, K., Ding, L., Yolton, K., Ji, H., Nidey, N., Meyer, J., …, & Folger, A. (2021). Pregnancy and infant development (PRIDE)-A preliminary observational study of maternal adversity and infant development. BioMed Central Pediatrics, 21, 1-8. doi: 10.1186/s12887-021-02801-1
  9. Cuijpers, P., Cristea, I. A., Karyotaki, E., Reijnders, M., & Huibers, M. J. (2016). How effective are cognitive behavior therapies for major depression and anxiety disorders? A meta-analytic update of the evidence. World Psychiatry, 15(3), 245-258. doi: 10.1002/wps.20346
  10. Cuijpers, P., Sijbrandij, M., Koole, S. L., Andersson, G., Beekman, A. T., & Reynolds, C. F. 3rd. (2013). The efficacy of psychotherapy and pharmacotherapy in treating depressive and anxiety disorders: A metaanalysis of direct comparisons. World Psychiatry, 12(2), 137-148. doi:10.1002/wps.20038
  11. Çınar, N., Topal, S., Çaka Yalnızoğlu, S., ve Altınkaynak, S. (2023). Annelerde postpartum depresyon, sosyal destek ve emzirme öz yeterliliği arasındaki ilişkinin incelenmesi. Sürekli Tıp Eğitimi Dergisi, 32(2), 113-122. doi:10.17942/sted.1098437
  12. Doğan, G., ve Kızıltan, G. (2019). Annelerin postpartum depresyon risk faktörlerinin değerlendirmesi. Başkent Üniversitesi Sağlık Bilimleri Fakültesi Dergisi-BÜSBİD, 4(2), 105-121.
  13. Duffecy, J., Grekin, R., Long, J. D., Mills, J. A., & O’Hara, M. (2022). Randomized controlled trial of sunnyside: Individual versus group-based online interventions to prevent postpartum depression. Journal of Affective Disorders, 311, 538-547. doi: 10.1016/j.jad.2022.05.123
  14. Erdoğan, A., ve Hocaoğlu, Ç. (2020). Doğum sonrası depresyonun tanı ve tedavisi: Bir gözden geçirme. Mustafa Kemal Üniversitesi Tıp Dergisi, 11(39), 31-37. doi: 10.17944/mkutfd.584854
  15. Fatori, D., Zuccolo, P., Xavier, M. O., Matijasevich, A., & Polanczyk, G. V. (2023). Smartphone-assisted online brief cognitive behavioral therapy to treat maternal depression: Findings of a randomized controlled trial. Brazilian Journal of Psychiatry, 45(1), 50-53. doi: 10.47626/1516-4446- 2022-2679
  16. Gavin, N. I., Gaynes, B. N., Lohr, K. N., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005). Perinatal depression: A systematic review of prevalence and incidence. Obstetrics & Gynecology, 106(5 Part 1), 1071- 1083. doi: 10.1097/01.AOG.0000183597.31630.db
  17. Gelaye, B., Rondon, M. B., Araya, R., & Williams, M. A. (2016). Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries. The Lancet Psychiatry, 3(10), 973-982. doi: 10.1016/S2215-0366(16)30284-X
  18. Hahn-Holbrook, J., Cornwell-Hinrichs, T., & Anaya, I. (2018). Economic and health predictors of national postpartum depression prevalence: A systematic review, meta-analysis, and meta-regression of 291 studies from 56 countries. Frontiers in Psychiatry, 8, 248. doi: 10.3389/fpsyt.2017.00248
  19. Huang, L., Zhao, Y., Qiang, C., & Fan, B. (2018). Is cognitive behavioral therapy a better choice for women with postnatal depression? A systematic review and meta-analysis. Public Library of Science One, 13(10), e0205243. doi: 10.1371/journal.pone.0205243
  20. Jannati, N., Mazhari, S., Ahmadian, L., & Mirzaee, M. (2020). Effectiveness of an app-based cognitive behavioral therapy program for postpartum depression in primary care: A randomized controlled trial. International Journal of Medical Informatics, 141, 104145. doi:10.1016/j.ijmedinf.2020.104145
  21. Joanna Briggs Institute. (2017). Checklist for randomized controlled trials. Retrieved Date: 28.12.2023 Retrieved From: https://jbi.global/sites/default/files/201905/JBI_RCTs_Appraisal_tool2017_0.pdf
  22. Leung, S., Lee, A., Wong, D., Wong, C., Leung, K., Chiang, V., …, & Chung, K. (2016). A brief group intervention using a cognitive-behavioural approach to reduce postnatal depressive symptoms: A randomised controlled trial. Hong Kong Medical Journal, 22, 4-8.
  23. Li, X., Laplante, D. P., Paquin, V., Lafortune, S., Elgbeili, G., & King, S. (2022). Effectiveness of cognitive behavioral therapy for perinatal maternal depression, anxiety and stress: A systematic review and meta-analysis of randomized controlled trials. Clinical Psychology, 92, 102-129. doi: 10.1016/j.cpr.2022.102129
  24. Li, Z., Liu, Y., Wang, J., Liu, J., Zhang, C., & Liu, Y. (2020). Effectiveness of cognitive behavioural therapy for perinatal depression: A systematic review and meta-analysis. Journal of Clinical Nursing, 29(17-18), 3170- 3182. doi: 10.1111/jocn.15378
  25. Loughnan, S. A., Butler, C., Sie, A. A., Grierson, A. B., Chen, A. Z., Hobbs, M. J., …, & Newby, J. M. (2019). A randomised controlled trial of ‘MUMentum Postnatal’: Internet-delivered cognitive behavioural therapy for anxiety and depression in postpartum women. Behaviour Research and Therapy, 116, 94-103. doi: 10.1016/j.brat.2019.03.001
  26. Milgrom, J., Danaher, B. G., Gemmill, A. W., Holt, C., Holt, C. J., Seeley, J. R., …, & Ericksen, J. (2016). Internet cognitive behavioral therapy for women with postnatal depression: A randomized controlled trial of MumMoodBooster. Journal of Medical Internet Research, 18(3), e54. doi: 10.2196/jmir.4993
  27. Ngai, F. W., Wong, P. C., Chung, K. F., Chau, P. H., & Hui, P. W. (2020). Effect of couple-based cognitive behavioural intervention on prevention of postnatal depression: Multisite randomised controlled trial. An International Journal of Obstetrics and Gynaecology, 127(4), 500-507. doi: 10.1111/1471-0528.15862
  28. Nishi, D., Imamura, K., Watanabe, K., Obikane, E., Sasaki, N., Yasuma, N., …, & Kawakami, N. (2022). The preventive effect of internet-based cognitive behavioral therapy for prevention of depression during pregnancy and in the postpartum period: A large scale randomized controlled trial. Psychiatry and Clinical Neurosciences, 76(11), 570-578. doi: 10.1111/pcn.13458
  29. O’Mahen, H. A., Woodford, J., McGinley, J., Warren, F. C., Richards, D. A., Lynch, T. R., …, & Taylor, R. S. (2013). Internet-based behavioral activation-treatment for postnatal depression (Netmums): A randomized controlled trial. Journal of Affective Disorders, 150(3), 814-822. doi: 10.1016/j.jad.2013.03.005
  30. Okanli, A., Tortumluoglu, G., & Kirpinar, İ. (2003). Gebe Kadınların ailelerinden algıladıkları sosyal destek ile problem çözme becerileri arasındaki ilişki/the relationship between pregnant women perceived social support from family and problem solving skill. Anadolu Psikiyatri Dergisi, 4(2), 98. doi: 10.21763/tjfmpc.1114259
  31. Özcan, Ö. ve Çelik, G. (2017). Bilişsel davranışçı terapi. Türkiye Klinikleri, 3(2), 115-120.
  32. Pugh, N. E., Hadjistavropoulos, H. D., & Dirkse, D. (2016). A randomised controlled trial of therapist-assisted, internet-delivered cognitive behavior therapy for women with maternal depression. Public Library of Science One, 11(3), e0149186. doi: 10.1371/journal.pone.0149186
  33. Sadat, Z., Abedzadeh-Kalahroudi, M., Kafaei Atrian, M., Karimian, Z., & Sooki, Z. (2014). The impact of postpartum depression on quality of life in women after child’s birth. Iranian Red Crescent Medical Journal, 16(2), e14995. doi: 10.5812/ircmj.14995
  34. Shorey, S., Chee, C. Y. I., Ng, E. D., Chan, Y. H., Tam, W. W. S., & Chong, Y. S. (2018). Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis. Journal of Psychiatric Research, 104, 235-248. doi: 10.1016/j.jpsychires.2018.08.001
  35. Sockol, L. E. (2015). A systematic review of the efficacy of cognitive behavioral therapy for treating and preventing perinatal depression. Journal of Affective Disorders, 177, 7-21. doi: 10.1016/j.jad.2015.01.052.
  36. Stephens, S., Ford, E., Paudyal, P., & Smith, H. (2016). Effectiveness of psychological interventions for postnatal depression in primary care: A meta-analysis. The Annals of Family Medicine, 14(5). 463-472, doi: 10.1370/afm.1967
  37. Tezel, A., & Gözüm, S. (2005). Postpartum dönemde kadınlarda görülebilen depresif belirtiler ve hemşirelik bakımı. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 12(2), 62-68.
  38. Van Lieshout, R. J., Layton, H., Savoy, C. D., Haber, E., Feller, A., Biscaro, A., …, & Ferro, M. A. (2022). Public health nurse-delivered group cognitive behavioural therapy for postpartum depression: A randomized controlled trial. The Canadian Journal of Psychiatry, 67(6), 432-440. doi: 10.1177/07067437221074426
  39. Waqas, A., Zafar, S. W., Akhtar, P., Naveed, S., & Rahman, A. (2023). Optimizing cognitive and behavioral approaches for perinatal depression: A systematic review and meta-regression analysis. Cambridge Prisms: Global Mental Health, 10, e22. doi: 10.1017/gmh.2023.8
  40. Yasuma, N., Narita, Z., Sasaki, N., Obikane, E., Sekiya, J., Inagawa, T., …, & Nishi, D. (2020). Antenatal psychological intervention for universal prevention of antenatal and postnatal depression: A systematic review and meta-analysis. Journal of Affective Disorders, 273, 231-239. doi: 10.1016/j.jad.2020.04.063