reduce risk PND. Also to Psychological interventions: depressive 14. Interventions that are examine (1) effectiveness 7. Nurses, midwives and debriefing, CBT, interpersonal symptomatology individually based and types interventions, (2) others (physicians, mental psychotherapy. initiated postnatally may effectiveness of health specialists, 12. NR. be beneficial. professional versus lay therapists, lay (peer) There was beneficial effect on Interventions targeting interventions, (3) individuals. the prevention of depressive mothers may be more effectiveness individual vs symptomatology in the beneficial and feasible group interventions, (4) of all types of than those including a effects of intervention psychosocial and psychological general maternal onset and duration, (5) interventions. population. whether interventions more effective in women Intervention group significantly selected with specific risk less likely to develop PND (ave factors. RR 0.78, 95% CI 0.66 to 0.93; 20 trials, 14,727 women). Promising interventions: (1) intensive, home visits by PHNs or midwives (RR 0.56, 95% CI 0.43 to 0.73; two trials, 1262 women); (2) lay (peer)-based telephone support (RR 0.54, 95% CI 0.38 to 0.77; one trial, 612 women); (3) interpersonal psychotherapy (st m diff -0.27, 95%CI -0.52 to -0.01; five trials, 366 women). Professional- and lay-based interventions were both effective in reducing the risk to develop depressive symptomatology. Individually-based interventions reduced depressive symptomatology at final assessment (RR 0.75, 95% CI 0.61 to 0.92; 14 trials, 12,914
reduce risk PND. Also to examine (1) effectiveness types interventions, (2) effectiveness of professional versus lay interventions, (3) effectiveness individual vs group interventions, (4) effects of intervention onset and duration, (5) whether interventions more effective in women selected with specific risk factors. 7. Nurses, midwives and others (physicians, mental health specialists, therapists, lay (peer) individuals. Psychological interventions: debriefing, CBT, interpersonal psychotherapy. There was beneficial effect on the prevention of depressive symptomatology in the of all types of psychosocial and psychological interventions. Intervention group significantly less likely to develop PND (ave RR 0.78, 95% CI 0.66 to 0.93; 20 trials, 14,727 women). Promising interventions: (1) intensive, home visits by PHNs or midwives (RR 0.56, 95% CI 0.43 to 0.73; two trials, 1262 women); (2) lay (peer)-based telephone support (RR 0.54, 95% CI 0.38 to 0.77; one trial, 612 women); (3) interpersonal psychotherapy (st m diff -0.27, 95%CI -0.52 to -0.01; five trials, 366 women). Professional- and lay-based interventions were both effective in reducing the risk to develop depressive symptomatology. Individually-based interventions reduced depressive symptomatology at final assessment (RR 0.75, 95% CI 0.61 to 0.92; 14 trials, 12,914 depressive symptomatology 12. NR. 14. Interventions that are individually based and initiated postnatally may be beneficial. Interventions targeting mothers may be more beneficial and feasible than those including a general maternal population.
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