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Effect of Parenting Interventions on Perinatal Depression and Implications for Infant Developmental Outcomes: A Systematic Review and Meta-Analysis
Clinical Child and Family Psychology Review ( IF 7.410 ) Pub Date : 2021-09-27 , DOI: 10.1007/s10567-021-00371-3
Japheth Adina 1 , Alina Morawska 1 , Amy E Mitchell 1, 2, 3 , Melinda McBryde 1
Affiliation  

Considering the significant impact of perinatal depression on both maternal wellbeing and infant development, it is important to examine the effectiveness of interventions designed to prevent or reduce these risks. This systematic review and meta-analysis synthesised evidence on parenting intervention in relation to how such programs affect symptoms of perinatal depression and infant outcomes within 12 months of postpartum. We followed the Cochrane Collaboration guidelines on conducting systematic reviews and meta-analyses. A total of five electronic databases were searched for controlled trials that met pre-determined eligibility criteria. Outcomes of interest were maternal depressive symptoms and infants’ language, motor and socioemotional development. Seventeen studies involving 1665 participants were included in the systematic review. Estimates from a random effects model of 15 studies in the final meta-analysis revealed statistically significant reductions in maternal depressive symptoms at post-intervention for mothers allocated to receive parenting interventions (SMD = − 0.34, 95%CI − 0.44, − 0.24; z = 5.97, p < 0.001; I2 = 0%). Data on infant development outcomes from the included studies were scarce, and therefore, infant outcomes were not analysed in this review. For individual study outcomes, the majority of studies reported a general trend for reductions in maternal depressive symptoms from pre- to post-intervention. Although parenting interventions are frequently considered preventive strategies that are designed to offer support to parents and impart skills that promote their physical and psychological wellbeing, our findings suggest that these interventions have a positive effect on perinatal depressive symptoms. Implications and recommendations for future research are addressed. The systematic review protocol was registered with PROSPERO 2020 CRD42020184491.



中文翻译:

育儿干预对围产期抑郁症的影响及其对婴儿发育结果的影响:系统评价和荟萃分析

考虑到围产期抑郁症对孕产妇健康和婴儿发育的重大影响,检查旨在预防或降低这些风险的干预措施的有效性非常重要。这项系统评价和荟萃分析综合了有关育儿干预的证据,这些干预与此类计划如何影响围产期抑郁症的症状和产后 12 个月内的婴儿结局有关。我们遵循 Cochrane Collaboration 指南进行系统评价和荟萃分析。总共搜索了五个电子数据库以查找符合预定资格标准的对照试验。感兴趣的结果是母亲的抑郁症状和婴儿的语言、运动和社会情绪发展。涉及 1665 名参与者的 17 项研究被纳入系统评价。z  = 5.97,p  < 0.001;2 = 0%)。纳入研究的婴儿发育结果数据很少,因此,本次审查未分析婴儿结果。对于个别研究结果,大多数研究报告了从干预前到干预后母亲抑郁症状减少的总体趋势。尽管育儿干预经常被认为是旨在为父母提供支持并传授促进他们身心健康的技能的预防策略,但我们的研究结果表明,这些干预对围产期抑郁症状有积极影响。解决了对未来研究的影响和建议。系统评价方案已在 PROSPERO 2020 CRD42020184491 注册。

更新日期:2021-09-28
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