Evidence map›Paper›PMID 22261988›Full record

Trial reportPsychotherapy and psychosomatics2012

Can a brief antepartum preventive group intervention help reduce postpartum depressive symptomatology?

Zoltan Kozinszky, Robert B Dudas, Iván Devosa, Sarolta Csatordai, Eva Tóth, Dávid Szabó, János Sikovanyecz, Katalin Barabás, Attila Pál

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Psychotherapy and psychosomatics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 5 pooled it
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 5 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Interpersonal Psychotherapy to Reduce Psychological Distress in Perinatal Women: A Systematic Review.International journal of environmental research and public health · 2020
    Pooled it
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  8. Review
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  18. Preventing postpartum depression: review and recommendations.Archives of women's mental health · 2015
    Review
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

Zoltan KozinszkyDepartment of Obstetrics and Gynecology, Women and Children's Division, Oslo University Hospital, Ullevaal, University of Oslo, Oslo, Norway. kozinszkyz @ yahoo.com
Robert B Dudas
Iván Devosa
Sarolta Csatordai
Eva Tóth
Dávid Szabó
János Sikovanyecz
Katalin Barabás
Attila Pál
University of Szeged · HUSemmelweis University · HUUniversity of Cambridge · GBUniversity of Oslo · NOUniversity of Pecs · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsychosocial and psychological interventions are generally effective in reducing depressive symptomatology in the postpartum period. Our aim was to evaluate the effectiveness of a brief preventive group intervention for postpartum depression (PPD) in a naturalistic setting, and study the effect of this on social and psychological risk factors.

methodsWe conducted a randomized controlled trial (n = 1,719) in south-eastern Hungary in 62 antepartum centers. Pregnant women (n = 710) underwent a 4-session preventive group intervention whereas a control group (n = 1,009) attended 4 sessions providing the same information given in usual care.

resultsOur intervention appeared to significantly reduce the risk of PPD, as defined by Leverton Questionnaire total scores (OR = 0.69). It resulted in an absolute risk reduction of about 18% in those with antepartum depression and 0.5% in those with no depression at recruitment. A multiple logistic regression analysis revealed a much reduced risk in those with a perceived lack of partner support (OR = 0.4) in the treatment group. Unplanned pregnancy, an irreversible risk factor affecting every fifth woman, also seemed to have a reduced effect on PPD after our group intervention (OR = 0.81).

conclusionsA brief preventive antepartum group intervention focusing on psychoeducation, stress management, improving coping mechanisms, and the development of social support can be effective in reducing postpartum depressive symptomatology.

Indexed as

Pregnancy ComplicationsPsychotherapy, GroupAdaptation, PsychologicalAdultDepression, PostpartumDepressive DisorderFemaleHumansHungaryLogistic ModelsNumbers Needed To TreatPatient Education as TopicPregnancyPregnancy, UnplannedPrenatal CareProgram Evaluation

Identifiers

PMID22261988
OpenAlexW2012516740

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.