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

Forfattere
Letourneau, N. L. Dennis, C. L. Cosic, N. Linder, J.
Årstall
2017
Tidsskrift
Volum
34
Sider
928-966
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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Tiltaksnivå

Behandling og hjelpetiltak

Tema

Foreldreferdigheter

Samspill

Tilknytning

Fødsels-/barselsdepresjon

Utvikling og livsmestring

Kognisjon (hukommelse, oppmerksomhet, eksekutive funksjoner)

Språk (reseptivt/ekspressivt)

Biologiske risikofaktorer, sykdommer og symptomer

Gravide (inkl. tenåringsmødre)

Tiltak

Psykologiske behandlingsmetoder

Foreldreveiledning/-terapi (feks COS, ICDP)

Kognitiv atferdsterapi, atferdsterapi og kognitiv terapi

Psykodynamisk/interpersonlig terapi

Psykososiale hjelpetiltak

Tiltak rettet mot gravide og barselkvinner

Alternativ behandling

Massasje

Aldersgruppe

Sped- og småbarn (0-2 år)

Barn i førskolealder (3-5 år)

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