Management of perinatal depression with non-drug interventions

BMJ. 2019 Feb 25:364:l322. doi: 10.1136/bmj.l322.

Abstract

Perinatal depression is a common disorder that has been associated with serious risks to mother and child. Recently, screening for depression in pregnant and postpartum women has increased, as has the development of new psychotherapy and non-drug treatment modalities. Matching patients to treatments can be challenging, and although research into personalized treatment of major depression in the general population has increased, no published guidelines focus on personalized treatment approaches to perinatal depression. In particular, guidelines on non-drug treatments are lacking. This review summarizes the evidence on personalized non-drug treatment of perinatal depression, how to incorporate patients' preferences, novel treatments under investigation, and the potential role of biomarkers in matching patients to treatment. The review provides recommendations for future research in personalized care of perinatal depression.

Trial registration: ClinicalTrials.gov NCT02402738.

Publication types

  • Review

MeSH terms

  • Biomarkers / blood
  • Depression, Postpartum / epidemiology
  • Depression, Postpartum / psychology*
  • Depression, Postpartum / therapy
  • Female
  • Humans
  • Mass Screening / standards
  • Patient Preference
  • Perinatal Care / methods*
  • Postpartum Period / psychology
  • Practice Guidelines as Topic / standards
  • Precision Medicine / standards*
  • Pregnancy
  • Pregnancy Complications / psychology
  • Psychotherapy / methods
  • Psychotherapy, Group / methods
  • Sleep Hygiene / physiology
  • Transcranial Magnetic Stimulation / methods

Substances

  • Biomarkers

Associated data

  • ClinicalTrials.gov/NCT02402738