![]() ![]() ![]() A recent review highlighted how mothers put what they thought was best for their baby first when making decisions about treatment, including taking or not taking medication. In general, and across various cultures, mothers with PPD have been found to prefer talking therapies or supportive interventions over pharmacological treatments, in part due to fear of negative effects on the child by transmission to breastmilk. Associations between PPD and adverse outcomes on the child are most evident when depression is severe or recurrent, or when associated risk factors may explain a substantial part of the negative outcome on children. Women with previous mental health problems are more at risk, as well as women with previous or current stressful life experiences, especially being exposed to interpersonal violence, partner relationship problems, migration, and lack of support. The prevalence of postpartum depression (PPD) has been estimated at 5–9% in high income countries, around 13% when self-report measures are used. Depression is one of the most common postpartum mental disorders during this period. For others, symptoms can persist and develop into a condition where support or treatment is needed. For some, worry and mood disturbances are natural and transient reactions to the challenges of a new life situation. Pregnancy and the first year after childbirth involve significant changes in a woman’s life and can be associated with emotional distress of varying types and degrees. The findings can be helpful to develop and tailor patient-centered care for women who are experiencing postnatal depression. The women were satisfied with the support and treatment received and expressed that their emotional well-being had been improved as well as the relationship to their infant. They also expressed that they wanted to be able to choose the type and format of treatment. ![]() Establishing a good relationship to their health professional was important for the women, regardless of treatment model. Two main themes were identified: Circumstances and expectations, and Experiences of treatment, with six descriptive themes. Treatments were individual or group-based. The women had received cognitive behavioral therapy (5 studies) or supportive home visits (3 studies). Confidence in the synthesized evidence was assessed with GRADE CERQual. Eight studies (total N = 255) contributed to the findings, which were synthesized using thematic synthesis. Studies with qualitative methodology examining women’s experiences of professional treatment for PPD were included and checked for methodological quality. MethodsĪ systematic review of the literature was conducted by searching five databases (CINAHL, Cochrane Library, EMBASE, Medline, PsycINFO), in August 2022. However, less is known about the experiences of women who have received such treatments. Studies have identified that psychological interventions reduce depressive symptoms. Depression is one of the most common postpartum mental disorders. To provide a comprehensive, systematic evaluation of the literature on experiences of psychological interventions for postpartum depression (PPD) in women. ![]()
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