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Effectiveness of cognitive behavioural therapy for perinatal depression: A systematic review and meta‐analysis

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  • Zimeng Li
  • Ying Liu
  • Jiayao Wang
  • Jia Liu
  • Chunmei Zhang
  • Yanhui Liu

Abstract

Aims and objectives To systematically review the efficacy of cognitive behavioural therapy for improving mood in perinatal depression. Background The impact of cognitive behavioural therapy on perinatal depression has been evaluated in various studies, but there is uncertainty about their impact. Design Systematic review and meta‐analysis. Methods Nine electronic literature databases were searched to retrieve eligible randomised controlled trials: CNKI, VIP digital database, Chinese Wanfang database, the Cochrane library, PubMed, Web of science, EMBASE, PsycINFO, CINAHL from the inception of the databases up to 15 November 2019. The eligible studies were screened and extracted, and then, the methodological quality was evaluated independently by two researchers. The meta‐analyst software (Rev Man 5.3) was used to conduct the meta‐analysis. Checklist of Preferred Reporting Items for Systematic Reviews and Meta‐analyses has been followed. Results Thirteen RCTs with 966 participants were included. The results showed that the CBT group was superior to the usual care group in reducing depression symptoms of pregnant women after treatment immediately, and the difference was statistically significant. Similarly, at postpartum ( 4 months). Conclusions Cognitive behavioural therapy can effectively relieve the symptoms of depression at short‐term effect. However, its long‐term effect need to be verified by further clinical studies. Relevance to clinical practice This meta‐analysis suggested that cognitive behavioural therapy should be considered as a complementary programme for patients with perinatal depression. Medical workers could apply cognitive behavioural therapy into daily routine cares for perinatal depression.

Suggested Citation

  • Zimeng Li & Ying Liu & Jiayao Wang & Jia Liu & Chunmei Zhang & Yanhui Liu, 2020. "Effectiveness of cognitive behavioural therapy for perinatal depression: A systematic review and meta‐analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(17-18), pages 3170-3182, September.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:17-18:p:3170-3182
    DOI: 10.1111/jocn.15378
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    References listed on IDEAS

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    1. Wouter van Ballegooijen & Pim Cuijpers & Annemieke van Straten & Eirini Karyotaki & Gerhard Andersson & Jan H Smit & Heleen Riper, 2014. "Adherence to Internet-Based and Face-to-Face Cognitive Behavioural Therapy for Depression: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-11, July.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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