SynthesisBMC pregnancy and childbirth2025
The efficacy of collaborative psychological interventions in reducing anxiety levels in pregnant women: a systematic review and meta-analysis.
Synthesis in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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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.
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Who cites it
6 citing papers in PubMed.
- Prenatal Exposure to Anxiolytics: A Critical Review on Brain Development and Neurobehavioral Manifestations in Offspring.Neurotoxicity research · 2026Review
- Expectations predict early pregnancy-related symptom burden.Scientific reports · 2026Article
- Antenatal stress, marital satisfaction and antenatal depression of Chinese couples: an actor-partner interdependence model extended to mediation.BMC psychology · 2026Article
- Prevention of Postpartum Depression via a Digital ACT-Based Intervention: Evaluation of a Prototype Using Multiple Case Studies.Behavioral sciences (Basel, Switzerland) · 2025Article
- Implementation of a mental health promotion intervention in a high-risk pregnancy unit: the "Ombrelles" program.BMC pregnancy and childbirth · 2025Article
- Prevention of postpartum depression via a digital acceptance and commitment therapy-based intervention: protocol for a pilot usability study.Frontiers in psychiatry · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundAnxiety during pregnancy can be harmful to both mother and baby, with anxiety rates remaining high despite psychological intervention efforts. This study aimed to evaluate the effectiveness of collaborative and single psychological interventions in reducing anxiety compared with standard antenatal care.
methodsA literature search was conducted in four databases (Scopus, Cochrane Library, PubMed, and ScienceDirect) for relevant studies published from 2016 to January 2024. The population in this review is pregnant women with anxiety who received psychological interventions either from a single health worker or involving collaboration. Psychological interventions were compared with standard antenatal care with maternal anxiety outcome scores to measure the efficacy of pre-post psychological intervention methods, with measurements taken only during pregnancy. The study designs included the use of the Randomized Controlled Trials method. This study restricted articles to languages other than English and used a review design and pharmacological interventions. Two independent reviewers performed data extraction and quality assessment using RoB 2. Statistical analysis was conducted using R-Studio. Data analysis was performed using meta-count packages with a random effect model.
resultsThere were 14 eligible articles identified from the initial 3,346 records, with 1 article excluded from the meta-analysis. Psychological interventions were effective in reducing anxiety compared with standard care (Standardised Mean Difference (SMD) - 0.64, 95% CI - 0.98--0.31). Analysis by type of intervention group showed differences between the two groups in mindfulness interventions (SMD - 0.55, 95% CI - 0.8--0.31), motivational interviewing (SMD - 0.70, 95% CI - 1.08--0.33), and supportive counseling (SMD - 0.73, 95% CI - 1.19-0.28). There were no differences between the Cognitive Behavioral Therapy (SMD - 0.80, 95% CI (- 1.80-0.19)) and Thinking Healthy Program intervention groups (SMD - 0.35, 95% CI - 0.81-0.11). Analysis of interventions conducted by a multidisciplinary team (collaborative) showed higher efficacy (SMD - 0.88, 95% CI - 1.60--0.15) compared with a single professional (noncollaborative) (SMD - 0.47, 95% CI - 0.72--0.22).
conclusionsCollaborative interventions show better efficacy than a single intervention, with psychological therapy being more effective in reducing anxiety rather than standard antenatal care. Future research should improve the cooperative approach and examine its long-term effects on maternal and newborn outcomes.
trial registrationThis systematic review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) under the registration code CRD42024497417.
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