The effectiveness of telemedicine interventions to address maternal depression: A systematic review and meta-analysis
Tóm tắt
Maternal depression (MD), is an overarching term for depression affecting pregnant women and mothers for up to 12 months postpartum. Because MD may have chronic and long-lasting effects, it is an important public health concern. The extent to which telemedicine may be an effective way to provide services to sufferers of MD is unknown, therefore, this review aimed to assess the available evidence.
We conducted a search of The Cochrane Library, PubMed/MEDLINE, PsycINFO, and EMBASE for relevant randomised controlled trials published between 2000 and 2018; we then conducted a systematic review and meta-analysis.
We identified 10 studies for inclusion. Therapeutic strategies involved cognitive behavioural therapy (CBT), behavioural activation and other psychoeducation. Eight trials reported significant improvement in depression scores post-intervention; four studies that conducted post-intervention follow-up found that these improvements continued. However, high attrition rates and lack of blinding were common problems.
This review found limited evidence supporting the delivery of CBT for the treatment of MD and anxiety using telemedicine. However, most of the evidence only studied improvements in postpartum depression, indicating that use of telemedicine to provide MD intervention is still small and an under-researched area.
Từ khóa
Tài liệu tham khảo
Dennis C. Detection, prevention and treatment of postpartum depression. In: Stewart D, Robertson E, Dennis C, Grace S, Wallington T, (eds) Ppstpartum depression: literature review of risk factors and intervantions, Toronto: University Health Network Women’s Health Program; 2003 [cited 10 August 2018]. p. 71–196. Available at: http://www.who.int/mental_health/prevention/suicide/lit_review_postpartum_depression.pdf
Murdoch Children’s Research Institute, 2014, Translating evidence from the Maternal Health Study to inform policy and practice. Victoria
Grigoriadis S, 2007, Can Fam Physician, 53, 1469
National Institute for Health Research. PROSPERO: International prospective register of systematic reviews, https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=93123 (2018, accessed 3 August 2018).
Kelman AR, Evare BS, Barrera AZ, et al. A proof-of-concept pilot randomized comparative trial of brief Internet-based compassionate mind training and cognitive-behavioral therapy for perinatal and intending to become pregnant women. Clin Pyschol Psycholther. Epub ahead of print 23 February 2018. DOI: 10.1002/cpp.2185.