Clinical practice guidelines with recommendations for peripartum depression: A European systematic review

Emma Motrico; Patricia Moreno‐Peral; Kristiina Uriko; Camellia Hancheva; Maja Brekalo; Erilda Ajaz; Gisèle Apter; Alessandra Bramante; Sonia Conejo‐Cerón; Andri Christoforou; Pelin Dikmen‐Yildiz; Olympia Evagorou; Ana Fonseca; Angela Lupattelli; Sandra Nakić Radoš; Nadia al Maach; María F. Rodriguez‐Muñoz; Maja Žutić; Mijke P. Lambregtse ‐ van den Berg

doi:10.1111/acps.13478

journal article Open Access Aug 24, 2022

Clinical practice guidelines with recommendations for peripartum depression: A European systematic review

Emma Motrico

Patricia Moreno‐Peral Kristiina Uriko

Camellia Hancheva

Maja Brekalo Erilda Ajaz Gisèle Apter Alessandra Bramante Sonia Conejo‐Cerón Andri Christoforou Pelin Dikmen‐Yildiz Olympia Evagorou Ana Fonseca

Angela Lupattelli

Sandra Nakić Radoš

Nadia al Maach María F. Rodriguez‐Muñoz Maja Žutić Mijke P. Lambregtse ‐ van den Berg

Acta Psychiatrica Scandinavica Vol. 146 No. 4 pp. 325-339 · Wiley

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Abstract

AbstractObjectiveThis study aims to systematically review all Clinical Practice Guidelines (CPGs) with recommendations for peripartum depression in European countries.MethodsA systematic review according to the PRISMA statement was conducted. CPGs focussing on peripartum depression or with at least one specific recommendation for peripartum depression from European countries were selected. Searching was conducted in electronic databases (MEDLINE and PsycINFO), and by contacting professional societies and international experts until November 24th, 2021. Characteristics of the included CPGs and their recommendations were extracted. A methodological quality assessment was conducted using the AGREE‐II tool.ResultsA total of 239 records were identified after duplicate removal. Of these, 54 were examined for full‐text inspection. The final selection yielded 14 CPGs from 11 European countries in 10 languages. Of them, 11 provided recommendations on pharmacological treatments, 10 on psychological treatment (e.g., cognitive‐behavioural therapy), 10 on screening, 8 on diagnosis, 6 on other treatments (e.g., physical exercise), 5 on prevention, and 5 other recommendations (e.g., provide information). Regarding the overall methodological quality, only five (35.7%) guidelines were rated as of adequate quality, reaching a score ≥ 70% in the overall assessment of the AGREE‐II instrument. Of the six AGREE‐II domains, applicability scored the lowest and clarity of presentation scored the highest.ConclusionThe absence of CPGs in most European countries, the discrepancy in recommendations and the low methodological quality of the guidelines may lead to disparities and inequalities in peripartum depression management in Europe. The COST Action Riseup‐PPD highlights key considerations for future guideline developers.

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References

39

[1]

10.1016/j.jpsychires.2018.08.001

[2]

10.3389/fpsyt.2017.00248

[3]

10.1016/j.jad.2017.05.003

[4]

Bauer A "Costs of perinatal mental health problems" Cent Ment Heal London Sch Econ (2014)

[5]

Psychiatric Disorders in Pregnant and Postpartum Women in the United States

Oriana Vesga-López, Carlos Blanco, Katherine Keyes et al.

Archives of General Psychiatry 10.1001/archpsyc.65.7.805

[6]

10.1016/j.jad.2021.05.010

[7]

Postpartum Depression Help‐Seeking Barriers and Maternal Treatment Preferences: A Qualitative Systematic Review

Cindy‐Lee Dennis, Leinic Chung‐Lee

Birth 10.1111/j.1523-536x.2006.00130.x

[8]

10.17226/13058

[9]

Systematic reviews of clinical practice guidelines: a methodological guide

Amy Johnston, Shannon E. Kelly, Shu-Ching Hsieh et al.

Journal of Clinical Epidemiology 10.1016/j.jclinepi.2018.11.030

[10]

Guidelines on treatment of perinatal depression with antidepressants: An international review

Nina M Molenaar, Astrid M Kamperman, Philip Boyce et al.

Australian & New Zealand Journal of Psychiatry 10.1177/0004867418762057

[11]

10.2174/157488412799218842

[12]

10.3390/ijerph19041973

[13]

NCCMH (2018)

[14]

10.1016/j.jad.2020.05.112

[15]

Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement

David Moher, Alessandro Liberati, Jennifer Tetzlaff et al.

Journal of Clinical Epidemiology 10.1016/j.jclinepi.2009.06.005

[16]

10.1016/j.jclinepi.2010.07.001

[17]

10.1046/j.1525-1497.1997.00076.x

[18]

10.1192/bjp.150.6.782

[19]

The PHQ-9

Kurt Kroenke, Robert L. Spitzer, Janet B. W. Williams

Journal of General Internal Medicine 10.1046/j.1525-1497.2001.016009606.x

[20]

10.1016/j.jpsychores.2014.03.011

[21]

Screening for perinatal depression

Jeannette Milgrom, Alan W. Gemmill

Best Practice & Research Clinical Obstetrics &... 10.1016/j.bpobgyn.2013.08.014

[22]

10.1016/j.jpsychores.2014.01.006

[23]

10.1002/mpr.1803

[24]

10.1001/jama.2019.0007

[25]

10.1001/jama.2018.20865

[26]

10.1002/14651858.cd006309.pub2

[27]

Ravesteyn LM "Interventions to treat mental disorders during pregnancy: a systematic review and multiple treatment meta‐analysis" PLoS One (2017) 10.1371/journal.pone.0173397

[28]

10.1016/j.jpsychires.2021.06.005

[29]

10.1007/s00737‐018‐0869‐3

[30]

10.1097/aog.0000000000002053

[31]

10.3389/fphys.2021.640024

[32]

10.1146/annurev-clinpsy-050212-185612

[33]

Prevalence of prenatal and postpartum depression in fathers: A comprehensive meta-analysis of observational surveys

Wen-Wang Rao, Xiao-Min Zhu, Qian-Qian Zong et al.

Journal of Affective Disorders 10.1016/j.jad.2019.10.030

[34]

10.1007/s00737-016-0598-4

[35]

10.1002/14651858.cd007007.pub2

[36]

Klein DA "Screening and counseling adolescents and young adults: a framework for comprehensive care" Am Fam Physician (2020)

[37]

10.1046/j.1525-1497.2002.10128.x

[38]

10.1371/journal.pone.0265308

[39]

Pereira VC "Strategies for the implementation of clinical practice guidelines in public health: an overview of systematic reviews" Heal Res Policy Syst (2022)

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Details

Published: Aug 24, 2022
Vol/Issue: 146(4)
Pages: 325-339
License: View

Authors

E

Emma Motrico

Department of Psychology Universidad Loyola Andalucia Seville Spain

P

Patricia Moreno‐Peral

Institute of Biomedical Research in Málaga Málaga Spain

K

Kristiina Uriko

Department of Psychology and Behavioural Sciences Tallinn University Estonia

C

Camellia Hancheva

Sofia University St Kliment Ochridski Bulgaria

M

Maja Brekalo

Catholic University of Croatia Zagreb Croatia

E

Erilda Ajaz

Department of Education Sciences and Psychology Beder College University Tirana Albania

G

Gisèle Apter

Perinatal and Child Psychiatry, Le Havre Hospital Normandie University Rouen France

A

Alessandra Bramante

Policentro Donna Ambulatory Milan Italy

S

Sonia Conejo‐Cerón

Institute of Biomedical Research in Málaga Málaga Spain

A

Andri Christoforou

Department of Social and Behavioral Sciences European University Cyprus Nicosia Cyprus

P

Pelin Dikmen‐Yildiz

Department of Psychology Kirklareli University Kirklareli Turkey

O

Olympia Evagorou

Department of Psychiatry, Medical School Democritus University of Thrace Alexandroupolis Greece

A

Ana Fonseca

Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC) University of Coimbra Coimbra Portugal

A

Angela Lupattelli

Department of Pharmacy University of Oslo Oslo Norway

S

Sandra Nakić Radoš

Catholic University of Croatia Zagreb Croatia

N

Nadia al Maach

Department of Psychiatry and Child and Adolescent Psychiatry Erasmus University Medical Center Rotterdam Rotterdam The Netherlands

M

María F. Rodriguez‐Muñoz

Department of Psychology Universidad Nacional de Educación a Distancia Madrid Spain

M

Maja Žutić

Catholic University of Croatia Zagreb Croatia

M

Mijke P. Lambregtse ‐ van den Berg

Department of Psychiatry and Child and Adolescent Psychiatry Erasmus University Medical Center Rotterdam Rotterdam The Netherlands

Funding

European Cooperation in Science and Technology

Cite This Article

Emma Motrico, Patricia Moreno‐Peral, Kristiina Uriko, et al. (2022). Clinical practice guidelines with recommendations for peripartum depression: A European systematic review. Acta Psychiatrica Scandinavica, 146(4), 325-339. https://doi.org/10.1111/acps.13478

Clinical practice guidelines with recommendations for peripartum depression: A European systematic review

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