A systematic review of home-based interventions to prevent and treat postpartum depression

  • Julie A. Leis
  • Tamar Mendelson
  • S. Darius Tandon
  • Deborah F. Perry
Review Article

Abstract

This systematic review evaluated randomized controlled trials assessing home-based psychological interventions to prevent and treat postpartum depression (PPD). Six studies meeting inclusion criteria were identified, five assessing treatments for PPD and one assessing a preventive intervention for PPD. Interventions used cognitive behavioral, psychodynamic, and non-directive counseling approaches. Of the six studies reviewed, four reported statistically significant treatment effects on PPD following the intervention. Each of the three types of psychological interventions were shown to reduce levels of maternal depression. Recommendations for future development and evaluation of home-based psychological interventions for PPD are discussed. These include identification of mediators and moderators of intervention efficacy, exploring strategies for prevention of PPD, and targeting high-risk groups.

Keywords

Postpartum depression Review Home-based Home visiting Interventions 

Notes

Acknowledgements

Support for this research was provided by the Family League of Baltimore City, Inc., and the Maryland Governor’s Office for Children.

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Julie A. Leis
    • 1
  • Tamar Mendelson
    • 2
  • S. Darius Tandon
    • 3
  • Deborah F. Perry
    • 4
  1. 1.Department of Mental HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  2. 2.Department of Mental HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  3. 3.Department of PediatricsJohns Hopkins University School of MedicineBaltimoreUSA
  4. 4.Department of Population, Family, and Reproductive HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA

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