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First published: September 2019
Psychological interventions, including cognitive behavioural therapy (CBT), interpersonal therapy (IPT), counselling and psychodynamic therapy delivered by trained personnel in the community.
Interventions were provided individually or in group settings.
Sessions lasted between 30 minutes and 2 hours for a duration of 4 weeks to 8 months.
About 13% of mothers experience postnatal depression (PND) in the first year after childbirth. Untreated PND can negatively affect mother-child bonding, shorten breastfeeding duration, lead to marital difficulties and increase the risk of future depression.
Women with PND [Edinburgh PND scale score (EPDS) >12 or Beck Depression Inventory (BDI or BDI-II) score ≥ 10]
Interventions should be delivered by trained providers.
These interventions may be provided by trained GPs or other clinicians such as psychologists. Ideally GPs should be familiar with the areas of expertise of their local network to ensure an appropriate referral.
Psychological interventions from a wide range of theoretical stances (CBT, IPT, counselling, and psychodynamic therapy) improve the depressed mood of women with PND.
NHRMC Level 1 evidence.