Effekt av tiltak mot fødselsdepresjon på foreldre og barns utvikling: Systematisk oversikt

The effect of perinatal depression treatment for mothers on parenting and child development: A systematic review

Letourneau, N. L. Dennis, C. L. Cosic, N. Linder, J.
Antenatal and postpartum depression are very common and have significant consequences for mothers and their children. This review examines which antenatal depression (AD) and postpartum depression (PPD) treatment interventions are most efficacious in improving parenting and/or child development. CINAHL, Scopus, Cochrane Systematic Reviews, Cochrane Controlled Trials, Medline (OVID), Embase (OVID), PsychINFO, PsycARTICLES, AMED, and reference lists were searched. Randomized controlled trials (RCTs) and quasi-experimental studies assessing the effect of AD, PPD, or both treatment interventions on parenting and/or child development were included. Meta-analysis was conducted using random effects when possible. Thirty-six trials (within 40 articles) met criteria for review. Interventions include interpersonal psychotherapy (IPT), cognitive behavioural therapy (CBT), peer support, maternal-child interaction guidance, and other interventions, such as massage. For AD, IPT, CBT, and massage produced large effects on parenting (e.g. adjustment and attention toward infant) and child development (e.g. behaviour). For PPD, maternal-child interaction guidance and psychotherapeutic group support produced large effects on parenting (e.g. sense of competence) and child development (e.g. cortisol). However, meta-analysis revealed nonsignificant effects of IPT on maternal-child attachment and CBT on parenting stress. Promising findings exist for IPT, CBT, maternal-child interaction guidance, massage, and psychotherapeutic group support for specific parenting and/or child development outcomes. Additional RCTs using measures already employed in the literature are required to conduct necessary meta-analysis and fully elucidate treatment effects. Copyright © 2017 Wiley Periodicals, Inc.

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Type of intervention

Treatment and Child Welfare Interventions


Parenting Skills



Postpartum Depression

Development and Life Coping Skills



Biological Risk Factors, Diseases and Symptoms



Psychological Treatments

Parent Guidance / Therapy

Cognitive Behavioral Therapy, Behavioral Therapy and Cognitive Therapy

Psychodynamic/Interpersonal Therapy

Psychosocial Treatments

Interventions for Pregnant Women and Postpartum Women

Alternative Treatment


Age group

Infants and Toddlers (0-2 years)

Preschool Aged Children (3-5 years)

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