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Computer- or web-based interventions for perinatal mental health: A systematic review
Miriam T Ashford1, Ellinor K Olander1, Susan Ayers1
1Centre for Maternal and Child Health Research, City University, London, UK.
Computer and web-based interventions show promise for improving perinatal mental health, particularly for depression and grief. Further research is needed due to study limitations and heterogeneity in this review of digital mental health treatments.
Area of Science:
- Perinatal Mental Health
- Digital Health Interventions
- Evidence Synthesis
Background:
- Access to perinatal mental health treatment is limited.
- Computer- and web-based interventions are effective for various mental health disorders.
- Effectiveness for perinatal women has not been systematically reviewed.
Purpose of the Study:
- To provide a first overview of digital interventions for perinatal mental health.
- To systematically review characteristics and efficacy of these interventions.
Main Methods:
- Systematic literature search across twelve electronic databases.
- Inclusion of published and unpublished studies.
- Data extraction on intervention characteristics, study findings, and methodological quality.
Main Results:
- Eleven studies, mostly randomized controlled trials, were eligible.
- Interventions targeted antenatal/postpartum depression, stress, and grief.
- Digital interventions may be effective for improving mental health, especially depression and grief.
Conclusions:
- This review is the first synthesis of digital interventions for perinatal mental health.
- Preliminary support suggests digital interventions are a promising treatment option.
- Significant evidence gaps necessitate further research due to heterogeneity and methodological limitations.
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