Evidence map›Paper›PMID 31871258›Full record

ArticleBMJ open2019

Effectiveness and acceptability of cognitive-behavioural therapy based interventions for maternal peripartum depression: a systematic review, meta-analysis and thematic synthesis protocol.

Danelle Pettman, Heather O'Mahen, Agneta Skoog Svanberg, Louise von Essen, Cathrine Axfors, Oscar Blomberg, Joanne Woodford

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Danelle PettmanClinical Psychology in Healthcare, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden danelle.pettman@kbh.uu.se.ORCID 0000-0002-5956-4025
Heather O'MahenMood Disorders Centre, School of Psychology, University of Exeter, Exeter, UK.ORCID 0000-0003-3458-430X
Agneta Skoog SvanbergReproductive Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-4729-9962
Louise von EssenClinical Psychology in Healthcare, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-5816-7231
Cathrine AxforsReproductive Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-2706-1730
Oscar BlombergClinical Psychology in Healthcare, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Joanne WoodfordClinical Psychology in Healthcare, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-5062-6798

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPeripartum depression is a common mental health difficulty associated with a range of negative impacts for the mother, infant and wider family. This review will examine the effectiveness of cognitive-behavioural therapy (CBT) based interventions for peripartum depression. Secondary aims are to explore the effect of CBT-based interventions targeted at peripartum depression on novel secondary outcomes and moderators potentially associated with effectiveness. To date, there has been little examination of effect on important secondary outcomes (eg, anxiety, stress and parenting), nor clinical and methodological moderators. Further, this review aims to explore the acceptability of CBT-based interventions for women with peripartum depression and examine important adaptations for this population. METHODS AND ANALYSIS: Electronic databases (e.g., MEDLINE; ISI Web of Science; CINAHL; CENTRAL; Prospero; EMBASE; ASSIA; PsychINFO; SCOPUS; And Swemed+) will be systematically searched. Database searches will be supplemented by expert contact, reference and citation checking, and grey literature. Primary outcomes of interest will be validated measures of symptoms of depression. A proposed meta-analysis will examine: (1) the overall effectiveness of psychological interventions in improving symptoms of depression (both self-reported and diagnosed major depression) in the peripartum period; (2) the impact of interventions on secondary outcomes (eg, anxiety, stress and parenting); (3) clinical and methodological moderators associated with effectiveness. A thematic synthesis will be conducted on qualitative data exploring the acceptability of CBT-based intervention for postpartum depression including participants' experience and perspectives of the interventions, satisfaction, barriers and facilitators to intervention use, intervention relevance to mothers' situations and suggestions for improvements to tailor interventions to the peripartum client group. ETHICS AND DISSEMINATION: Formal ethical approval is not required by the National Ethical Review Board in Sweden as primary data will not be collected. The results will be disseminated through a peer-reviewed publication and inform the development of a new psychological intervention for peripartum depression. This study including protocol development will run from March 2019 to March 2020.

Indexed as

Cognitive Behavioral TherapyDepressionDepression, PostpartumPeripartum PeriodPregnancy ComplicationsFemaleHumansMeta-Analysis as TopicPatient Acceptance of Health CarePregnancySystematic Reviews as Topicdepression & mood disordersperinatologypsychiatry

Identifiers

PMID31871258
PMCPMC6937015

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.