Internet-delivered psychological interventions for clinical anxiety and depression in perinatal women: a systematic review and meta-analysis

Siobhan Loughnan; Amy E Joubert; Ashlee Grierson; Gavin Andrews; Jill M Newby

doi:10.1007/s00737-019-00961-9

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Internet-delivered psychological interventions for clinical anxiety and depression in perinatal women: a systematic review and meta-analysis

Journal article

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Internet-delivered psychological interventions for clinical anxiety and depression in perinatal women: a systematic review and meta-analysis

Siobhan Loughnan, Amy E Joubert, Ashlee Grierson, Gavin Andrews and Jill M Newby

Archives of Women's Mental Health, Vol.22(6), pp.737-750

2019

DOI: https://doi.org/10.1007/s00737-019-00961-9

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Abstract

anxiety

depression

Internet

postpartum

pregnancy

Perinatal anxiety and depression are common and associated with negative outcomes if left untreated. Internet-delivered treatments can improve treatment accessibility and have demonstrated effectiveness in treating anxiety and depression in the general adult population. However, little is known about how effective and acceptable these interventions are for perinatal women. This paper describes a systematic review and preliminary meta-analysis of internet-delivered psychological interventions for the treatment of clinical anxiety and depression in perinatal women. A systematic search was carried out of seven electronic databases. Seven studies evaluating six distinct internet-delivered psychological interventions were identified. Of the seven studies included, two were open trials and five were randomized controlled trials with a total of 595 participants. Preliminary findings indicate large improvements in depression (Hedges g = 1.67; 95% CI 1.38-1.96) and anxiety (Hedges g = 1.08; 95% CI 0.80-1.36) from pre- to post-treatment. However, between-group differences between interventions and control conditions were only moderate for depression (Hedges g = 0.60; 95% CI 0.43-0.78) and anxiety (Hedges g = 0.54; 95% CI 0.24-0.85). While our preliminary findings are promising, this review identifies an area of research still in its early stages with significant gaps in the literature that need to be addressed. Further research is needed to establish the efficacy and acceptability of these interventions in this population, especially for antenatal depression and anxiety disorders.

Details

Title: Internet-delivered psychological interventions for clinical anxiety and depression in perinatal women: a systematic review and meta-analysis
Authors: Siobhan Loughnan (Corresponding Author) - University of New South Wales
Amy E Joubert (Author) - University of New South Wales
Ashlee Grierson (Author) - University of New South Wales
Gavin Andrews (Author) - University of New South Wales
Jill M Newby (Author) - University of New South Wales
Publication details: Archives of Women's Mental Health, Vol.22(6), pp.737-750
Publisher: Springer Wien
Date published: 2019
DOI: 10.1007/s00737-019-00961-9
ISSN: 1434-1816
Organisation Unit: School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99450663402621
Output Type: Journal article

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Web Of Science research areas: Psychiatry

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