Evidence map›Paper›PMID 37217213›Full record

ArticleBJGP open2023

Non-pharmacological interventions for the management of perinatal anxiety in primary care: a meta-review of systematic reviews.

Victoria Silverwood, Laurna Bullock, Joanne Jordan, Katrina Turner, Carolyn A Chew-Graham, Tom Kingstone, Shoba Dawson

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Positive psychology interventions during pregnancy: A systematic review.Applied psychology. Health and well-being · 2026
    Pooled it
  2. Review
  3. Article
  4. Review
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 at 3 institutions in 2 countries.

Victoria SilverwoodSchool of Medicine, Keele University, Keele, UK v.silverwood@keele.ac.uk.ORCID https://orcid.org/0000-0002-6754-7129
Laurna BullockSchool of Medicine, Keele University, Keele, UK.ORCID https://orcid.org/0000-0002-4193-1835
Joanne JordanSchool of Medicine, Keele University, Keele, UK.ORCID https://orcid.org/0000-0002-7191-2977
Katrina TurnerCentre of Academic Primary Health Care, Bristol Medical School, University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0002-6375-2918
Carolyn A Chew-GrahamSchool of Medicine, Keele University, Keele, UK.ORCID https://orcid.org/0000-0002-9722-9981
Tom KingstoneSchool of Medicine, Keele University, Keele, UK.ORCID https://orcid.org/0000-0001-9179-2303
Shoba DawsonCentre of Academic Primary Health Care, Bristol Medical School, University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0002-6700-6445
Keele University · GBAt Bristol · GBMidlands Partnership NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerinatal anxiety (PNA), anxiety that occurs during pregnancy and/or up to 12 months postpartum, is estimated to affect up to 21% of women, and may impact negatively on mothers, children, and their families. The National Institute for Health and Care Excellence (NICE) has called for further research around non-pharmacological interventions in primary care for PNA.

aimTo summarise the available international evidence on non-pharmacological interventions for women with PNA in a primary care population. DESIGN &

settingA meta-review of systematic reviews (SRs) with narrative synthesis was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance.

methodSystematic literature searches were conducted in 11 health-related databases up to June 2022. Titles, abstracts, and full-text articles were dual-screened against pre-defined eligibility criteria. A variety of study designs were included. Data were extracted about study participants, intervention design, and context. Quality appraisal was performed using the AMSTAR 2 tool (A MeaSurement Tool to Assess systematic Reviews). A patient and public involvement group informed and contributed towards this meta-review.

resultsTwenty-four SRs were included in the meta-review. Interventions were grouped into the following six categories for analysis purposes: psychological therapies; mind-body activities; emotional support from healthcare professionals (HCPs); peer support; educational activities; and alternative or complementary therapies.

conclusionIn addition to pharmacological and psychological therapies, this meta-review has demonstrated that there are many more options available for women to choose from that might be effective to manage their PNA. Evidence gaps are present in several intervention categories. Primary care clinicians and commissioners should endeavour to provide patients with a choice of these management options, promoting individual choice and patient-centred care.

Indexed as

general practitionersinterventionsmeta-reviewnarrative synthesisperinatal anxietypregnancyprimary health caresystematic review

Identifiers

PMID37217213
PMCPMC10646202
OpenAlexW4377293395

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.