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National Collaborating Centre for Mental Health (UK). Antenatal and Postnatal Mental Health: Clinical Management and Service Guidance: Updated edition. Leicester (UK): British Psychological Society; 2014 Dec. (NICE Clinical Guidelines, No. 192.)
April 2018: Footnotes and cautions have been added and amended by NICE to link to the MHRA's latest advice and resources on sodium valproate. Sodium valproate must not be used in pregnancy, and only used in girls and women when there is no alternative and a pregnancy prevention plan is in place. This is because of the risk of malformations and developmental abnormalities in the baby.
Antenatal and Postnatal Mental Health: Clinical Management and Service Guidance: Updated edition.
Show details1.1. CASE IDENTIFICATION
1.1.1. Depression: EPDS – Sensitivity and Specificity
EPDS-Pregnancy – Mixed depression – 9/10 cut-off
EPDS-Pregnancy-Mixed depression – 12/13 cut-off
EPDS-Pregnancy-Mixed depression – 14/15 cut-off
EPDS-Pregnancy – Major depression – 9/10 cut-off
EPDS-Pregnancy – Major depression – 12/13 cut-off
EPDS-Pregnancy – Major depression – 14/15 cut-off
EPDS-Postnatal – Mixed depression – 9/10 cut-off
EPDS-Postnatal-Mixed depression – 12/13 cut-off
1.1.2. Depression: PHQ – Sensitivity and Specificity
1.1.3. Depression – Whooley Questions: Sensitivity and Specificity
1.1.4. Depression: Kessler-10 – Sensitivity and Specificity
1.1.5. Anxiety: EPDS – Sensitivity and Specificity
1.1.6. Anxiety: Kessler-10 – Sensitivity and Specificity
1.2. PSYCHOSOCIAL INTERVENTIONS: PREVENTION (RISK FACTORS IDENTIFIED)
1.2.1. Depression: Post-miscarriage self-help versus TAU
Depression mean symptoms Post-treatment – ITT analysis (at-risk populations)
1.2.2. Depression: Social support versus TAU
Depression diagnosis Post-treatment – ITT analysis (at-risk populations)
Depression diagnosis Post-treatment – Available case analysis (at-risk populations)
1.2.3. Depression: Psychologically (CBT/IPT) – informed psychoeducation versus TAU or Enhanced TAU
Depression diagnosis Post-treatment – ITT analysis (at-risk populations)
Depression diagnosis Post-treatment – Available case analysis (at-risk populations)
Depression symptomatology Post-treatment – ITT analysis (at-risk populations)
Depression symptomatology Post-treatment – Available case analysis (at-risk populations)
Depression mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.4. Depression: Psychoeducational booklet versus TAU or Enhanced TAU
Depression symptomatology Post-treatment) – ITT analysis (at-risk populations)
Depression symptomatology Post-treatment – Available case analysis (at-risk populations)
1.2.5. Depression: Non-mental health-focused education and support versus TAU or Enhanced TAU
Depression symptomatology Post-treatment – ITT analysis (at-risk populations)
Depression symptomatology Post-treatment – Available case analysis (at-risk populations)
Depression mean scores Post-treatment – ITT analysis (at-risk populations)
Depression mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.6. Depression: Home visits versus TAU
Depression symptomatology Post-treatment – ITT analysis (at-risk populations)
Depression symptomatology Post-treatment – Available case analysis (at-risk populations)
Depression mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.7. Depression: Post-delivery discussion versus Enhanced TAU
Depression symptomatology Post-treatment – ITT analysis (at-risk populations)
Depression symptomatology Post-treatment – Available case analysis (at-risk populations)
Depression mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.8. Depression: Mother-infant relationship interventions versus TAU
Depression diagnosis Post-treatment – ITT analysis (at-risk populations)
Depression diagnosis Post-treatment – Available case analysis (at-risk populations)
Depression symptomatology Post-treatment – ITT analysis (at-risk populations)
Depression symptomatology Post-treatment – Available case analysis (at-risk populations)
Depression mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.9. Depression: Case management and individualised treatment versus TAU
Depression symptomatology Post-treatment – ITT analysis (at-risk populations)
Depression symptomatology Post-treatment -Available case analysis (at-risk populations)
1.2.10. Anxiety: Post-miscarriage self-help versus TAU
Anxiety mean scores Post-treatment – ITT analysis (at-risk populations)
1.2.11. Anxiety: Non-mental health-focused education and support versus TAU or Enhanced TAU
Anxiety symptomatology Post-treatment – ITT analysis (at-risk populations)
Anxiety symptomatology Post-treatment – Available case analysis (at-risk populations)
Anxiety mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.12. Anxiety: Home visits versus TAU
Anxiety symptomatology Post-treatment – ITT analysis (at-risk populations)
Anxiety symptomatology Post-treatment – Available case analysis (at-risk populations)
Anxiety mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.13. PTSD: Post-miscarriage self-help versus TAU
PTSD symptomatology Post-treatment – ITT analysis (at-risk populations)
PTSD mean scores Post-treatment – ITT analysis (at-risk populations)
1.2.14. General mental health: Post-miscarriage self-help versus TAU
General mental health mean scores Post-treatment – ITT analysis (at-risk populations)
1.2.15. General mental health: Home visits versus TAU
General mental health mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.16. General mental health: Post-delivery discussion versus Enhanced TAU
General mental health mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.17. General mental health: Mother-infant relationship interventions versus TAU
General mental health mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.18. Mother-infant attachment: Non-mental health-focused education and support versus TAU or Enhanced TAU
Mother-infant attachment problems Post-treatment – ITT analysis (at-risk populations)
Mother-infant attachment problems Post-treatment – Available case analysis (at-risk populations)
Maternal sensitivity mean scores Post-treatment – Available case analysis (at-risk populations)
Maternal confidence mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.19. Mother-infant attachment: Home visits versus TAU
Maternal sensitivity mean scores Post-treatment – Available case analysis (at-risk populations)
Infant involvement mean scores Post-treatment – Available case analysis (at-risk populations)
Discontinued breastfeeding <6 months – ITT analysis (at-risk populations)
1.2.20. Mother-infant attachment: Mother-infant relationship interventions versus TAU
Mother-infant attachment problems Post-treatment – ITT analysis (at-risk populations)
Mother-infant attachment problems Post-treatment – Available case analysis (at-risk populations)
Maternal sensitivity mean scores Post-treatment – Available case analysis (at-risk populations)
Maternal intrusiveness mean scores Post-treatment – Available case analysis (at-risk populations)
Infant involvement mean scores Post-treatment – Available case analysis (at-risk populations)
Infant responsivity mean scores Post-treatment – Available case analysis (at-risk populations)
Discontinued breastfeeding <6 months – ITT analysis (at-risk populations)
Discontinued breastfeeding <6 months – Available case analysis (at-risk populations)
Discontinued breastfeeding <9 months – ITT analysis (at-risk populations)
Discontinued breastfeeding <9 months – Available case analysis (at-risk populations)
Discontinued breastfeeding <12 months – ITT analysis (at-risk populations)
Discontinued breastfeeding <12 months – Available case analysis (at-risk populations)
1.2.21. Mother-infant attachment: Case management and individualised treatment versus TAU
Maternal sensitivity Post-treatment – ITT analysis (at-risk populations)
Maternal sensitivity Post-treatment – Available case analysis (at-risk populations)
1.2.22. Quality of life: Psychologically (CBT/IPT) – informed psychoeducation versus TAU or Enhanced TAU
Poor social support Post-treatment – ITT analysis (at-risk populations)
Poor social support Post-treatment – Available case (at-risk populations)
1.2.23. Quality of life: Non-mental health-focused education and support versus TAU or Enhanced TAU
Parental stress mean scores Post-treatment – Available case analysis (at-risk populations)
Social support mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.24. Quality of life: Home visits versus TAU
Social support mean scores Post-treatment – Available case analysis (at-risk populations)
Self-esteem mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.25. Quality of life: Mother-infant relationship interventions versus TAU
Parental stress mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.26. Quality of life: Case management and individualised treatment versus TAU
Parental stress mean scores Post-treatment – ITT analysis (at-risk populations)
Parental stress mean scores Post-treatment – Available case analysis (at-risk populations)
Self-esteem mean scores Post-treatment – ITT analysis (at-risk populations)
Self-esteem mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.27. Service utilisation: Psychologically (CBT/IPT) – informed psychoeducation versus TAU or Enhanced TAU
Contact with primary and/or secondary care Post-Treatment – ITT analysis (at-risk populations)
1.2.28. Service utilisation: Home visits versus TAU
Infant admissions to hospital Mid-treatment (at 6 months) – ITT analysis (at-risk populations)
Infant length of stay in hospital Mid-treatment (at 6 months) – ITT analysis (at-risk populations)
1.2.29. Experience of care: Non-mental health-focused education and support versus TAU or Enhanced TAU
Maternal dissatisfaction with care Post-treatment – ITT analysis (at-risk populations)
Maternal dissatisfaction with care Post-treatment – Available case analysis (at-risk populations)
1.2.30. Attrition: Post-miscarriage self-help versus TAU
1.2.31. Attrition: Social support versus TAU
1.2.32. Attrition: Psychologically (CBT/IPT) – informed psychoeducation versus TAU or Enhanced TAU
1.2.33. Attrition: Psychoeducational booklet versus TAU or Enhanced TAU
1.2.34. Attrition: Non-mental health-focused education and support versus TAU or Enhanced TAU
1.2.35. Attrition: Home visits versus TAU
1.2.36. Attrition: Post-delivery discussion versus Enhanced TAU
1.2.37. Attrition: Mother-infant relationship interventions versus TAU
1.2.38. Infant physical health: Home visits versus TAU
Congenital malformations (measured at 6 months) – Available case analysis (at-risk populations)
Normal weight Post-treatment – Available case analysis (at-risk populations)
Underweight Post-treatment – Available case analysis (at-risk populations)
Overweight Post-treatment – Available case analysis (at-risk populations)
Incidence of severe diarrhoea Post-treatment – Available case analysis (at-risk populations)
1.2.39. Infant regulatory problems: Mother-infant relationship interventions versus TAU
Infant colic mean scores Post-treatment – Available case analysis (at-risk populations)
Infant sleep problems mean score Post-treatment – Available case analysis (at-risk populations)
Infant excessive crying mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.40. Infant physical development: Home visits versus TAU
Infant motor development (delayed or impaired) Post-treatment – ITT analysis (at-risk populations)
Infant motor development mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.41. Infant cognitive development: Home visits versus TAU
Infant cognitive development (impairment) Post-treatment – ITT analysis (at-risk populations)
Infant verbal development (impairment) Post-treatment – ITT analysis (at-risk populations)
Infant verbal development mean scores Post-treatment – Available case analysis (at-risk populations)
Infant nonverbal development (impairment) Post-treatment – ITT analysis (at-risk populations)
1.2.42. Infant emotional development: Home visits versus TAU
Infant adaptive behaviour (impairment) Post-treatment – ITT analysis (at-risk populations)
Infant adaptive behaviour mean scores Post-treatment – Available case analysis (at-risk populations)
Infant emotional development (impairment) Post-treatment – ITT analysis (at-risk populations)
Infant externalising (impairment) Post-treatment – ITT analysis (at-risk populations)
Infant externalising (impairment) Post-treatment – Available case analysis (at-risk populations)
Infant externalising mean scores Post-treatment – Available case analysis (at-risk populations)
Infant internalising (impairment) Post-treatment – ITT analysis (at-risk populations)
Infant internalising (impairment) Post-treatment – Available case analysis (at-risk populations)
Infant internalising mean scores Post-treatment – Available case analysis (at-risk populations)
Infant dysregulation (impairment) Post-treatment – ITT analysis (at-risk populations)
Infant dysregulation (impairment) Post-treatment – Available case analysis (at-risk populations)
Infant dysregulation mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.43. Infant emotional development: Mother-infant relationship interventions versus TAU
Infant social withdrawal mean scores Post-treatment – Available case analysis (at-risk populations)
1.2.44. Prevention of neglect or abuse of the infant: Home visits versus TAU
Child protection issues Post-treatment – ITT analysis (at-risk populations)
Child removed from home Post-treatment – ITT analysis (at-risk populations)
Infant mortality Post-treatment – ITT analysis (at-risk populations)
Infant abuse or neglect Post-treatment – Available case analysis (at-risk populations)
1.3. PROTOCOLS FOR WOMEN FOLLOWING STILLBIRTH
1.3.1. Mental health outcomes for women who saw versus did not see their stillborn infant
1.3.2. Mental health outcomes for women who held versus did not hold their stillborn infant
1.3.3. Mental health outcomes for women who spent as much time with stillborn infant as they wished versus those who did not
1.3.4. Mental health outcomes for women who kept a photo of their stillborn infant versus those who did not
1.3.5. Mental health outcomes for women who kept a token of remembrance of their stillborn infant versus those who did not
1.3.6. Mental health outcomes for women who took drug to stop milk production following stillbirth versus those who did not
1.4. PSYCHOSOCIAL INTERVENTIONS: PREVENTION (NO RISK FACTORS IDENTIFIED)
1.4.1. Depression: Structured psychological interventions (CBT or IPT) versus TAU
Depression symptomatology Post-treatment – ITT analysis (no-risk populations)
Depression symptomatology Post-treatment – Available case analysis (no-risk populations)
Depression mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.2. Depression: Listening visits versus TAU
Depression symptomatology Post-treatment – ITT analysis (no-risk populations)
Depression symptomatology Post-treatment – Available case analysis (no-risk populations)
Depression mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.3. Depression: Psychologically (CBT/IPT) – informed psychoeducation versus TAU or Enhanced TAU
Depression symptomatology Post-treatment – ITT analysis (no-risk populations)
Depression symptomatology Post-treatment – Available case analysis (no-risk populations)
1.4.4. Depression: Home visits versus TAU
Depression mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.5. Depression: Post-delivery discussion versus TAU
Depression symptomatology Post-treatment – Available case analysis (no-risk populations)
1.4.6. Depression: Mother-infant relationship interventions versus Enhanced TAU
Depression mean scores Post-treatment – ITT analysis (no-risk populations)
Depression mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.7. Depression: Mindfulness training versus TAU
Depression mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.8. Anxiety: Structured psychological interventions (CBT or IPT) versus TAU
Anxiety mean scores Post-treatment – Available case analysis (no-risk populations)
Trait anxiety mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.9. Anxiety: Listening visits versus TAU
Anxiety mean scores Post-treatment – Available case analysis (no-risk populations)
Trait anxiety mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.10. Anxiety: Post-delivery discussion versus TAU
Anxiety symptomatology Post-treatment – Available case analysis (no-risk populations)
1.4.11. Anxiety: Music therapy versus TAU
Anxiety mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.12. Anxiety: Mindfulness training versus TAU
Anxiety mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.13. General mental health: Structured psychological interventions (CBT or IPT) versus TAU
General mental health mean scores Post-treatment – Available case analysis (no-risk populations)
Risk of self-harm mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.14. General mental health: Listening visits versus TAU
General mental health mean scores Post-treatment – Available case analysis (no-risk populations)
Risk of self-harm mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.15. General mental health: Home visits versus TAU
General mental health mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.16. General mental health: Mindfulness training versus TAU
Psychological distress mean scores Post-treatment – Available case analysis (no-risk populations)
Life satisfaction mean scores Post-treatment – Available case analysis (no-risk populations)
Happiness mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.17. Mother-infant attachment: Home visits versus TAU
Discontinued breastfeeding by 6 weeks – Available case analysis (no-risk populations)
Discontinued breastfeeding by 26 weeks – Available case analysis (no-risk populations)
1.4.18. Mother-infant attachment: Mother-infant relationship interventions versus Enhanced TAU
Maternal sensitivity mean scores Post-treatment – ITT analysis (no-risk populations)
Maternal sensitivity mean scores Post-treatment – Available case analysis (no-risk populations)
Child attachment security mean scores Post-treatment – ITT analysis (no-risk populations)
Child attachment security mean scores Post-treatment – Available case analysis (no-risk populations)
Maternal confidence/competence mean scores Post-treatment – ITT analysis (no-risk populations)
1.4.19. Mother-infant attachment: Mindfulness training versus TAU
1.4.20. Quality of life: Structured psychological interventions (CBT or IPT) versus TAU
Parental stress mean scores Post-treatment – Available case analysis (no-risk populations)
Impaired functioning mean scores Post-treatment – Available case analysis (no-risk populations)
Wellbeing mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.21. Quality of life: Listening visits versus TAU
Parental stress mean scores Post-treatment – Available case analysis (no-risk populations)
Impaired functioning mean scores Post-treatment – Available case analysis (no-risk populations)
Wellbeing mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.22. Quality of life: Home visits versus TAU
Social support mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.23. Quality of life: Mother-infant relationship interventions versus Enhanced TAU
Parental stress mean scores Post-treatment – ITT analysis (no-risk populations)
Parental stress mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.24. Quality of life: Music therapy versus TAU
Parental stress mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.25. Quality of life: Mindfulness training versus TAU
Parental stress mean scores Post-treatment – Available case analysis (no-risk populations)
1.4.26. Attrition: Structured psychological interventions (CBT or IPT) versus TAU
1.4.27. Attrition: Listening visits versus TAU
1.4.28. Attrition: Psychologically (CBT/IPT) – informed psychoeducation versus Enhanced TAU
1.4.29. Attrition: Home visits versus TAU
1.4.30. Attrition: Mindfulness training versus TAU
1.5. PSYCHOSOCIAL INTERVENTIONS: TREATMENT
1.5.1. Depression: Structured psychological interventions (CBT or IPT) versus TAU/Enhanced TAU
Depression Post-treatment (diagnosis at endpoint or first measurement) – ITT analysis
Depression Post-treatment (diagnosis at endpoint or first measurement) – Available case analysis
Depression Post-treatment (mean depression symptoms at endpoint or first measurement) – ITT analysis
Depression Short Follow-up (diagnosis at 9-16 week follow-up) – ITT analysis
Depression Short Follow-up (symptomatology – above threshold at 9-16 week follow-up) – ITT analysis
Depression Short Follow-up (mean depression symptoms at 9-16 week follow-up) – ITT analysis
Depression Intermediate Follow-up (diagnosis at 17-24 week follow-up) – ITT analysis
Depression Intermediate Follow-up (diagnosis at 17-24 week follow-up) – Available case analysis
Depression Long Follow-up (diagnosis at >24 week follow-up) – ITT analysis
Depression Long Follow-up (diagnosis at >24 week follow-up) – Available case analysis
Depression Long Follow-up (symptomatology – above threshold >24 week follow-up) – ITT analysis
Depression Long Follow-up (mean depression symptoms at >24 week follow-up) – Available case analysis
Depression Very long Follow-up (diagnosis at >104 week follow-up) – ITT analysis
Depression Very long Follow-up (diagnosis at >104 week follow-up) – Available case analysis
1.5.2. Depression: CBT versus listening visits
1.5.3. Depression: CBT versus Relational Constructivist Therapy
1.5.4. Depression: IPT versus support group
1.5.5. Depression: Facilitated self-help versus TAU
1.5.6. Depression: Post-miscarriage self-help versus TAU
Depression Post-treatment (mean depression symptoms at endpoint or first measurement) – ITT analysis
Depression Long Follow-up (mean depression symptoms at >24 week follow-up) – ITT analysis
1.5.7. Depression: Post-miscarriage facilitated self-help versus TAU
Depression Post-treatment (mean depression symptoms at endpoint or first measurement) – ITT analysis
Depression Long Follow-up (mean depression symptoms at >24 week follow-up) – ITT analysis
1.5.8. Depression: Directive counselling versus TAU
Depression Long Follow-up (mean depression symptoms at >24 week follow-up) – Available case analysis
1.5.9. Depression: Listening visits versus TAU
Depression Post-treatment (diagnosis at endpoint or first measurement) – ITT analysis
Depression Post-treatment (diagnosis at endpoint or first measurement) – Available case analysis
Depression Intermediate Follow-up (diagnosis at 17-24 week follow-up) – ITT analysis
Depression Intermediate Follow-up (diagnosis at 17-24 week follow-up) – Available case analysis
Depression Long Follow-up (diagnosis at >24 week follow-up) – ITT analysis
Depression Long Follow-up (diagnosis at >24 week follow-up) – Available case analysis
Depression Long Follow-up (symptomatology – above threshold >24 week follow-up) – ITT analysis
Depression Long Follow-up (mean depression symptoms at >24 week follow-up) – Available case analysis
Depression Very long Follow-up (diagnosis at >104 week follow-up) – ITT analysis
Depression Very long Follow-up (diagnosis at >104 week follow-up) – Available case analysis
1.5.10. Depression: Post-miscarriage counselling versus TAU
Depression Post-treatment (mean depression symptoms at endpoint or first measurement) – ITT analysis
Depression Long Follow-up (mean depression symptoms at >24 week follow-up) – ITT analysis
1.5.11. Depression: Post-traumatic birth counselling versus TAU
1.5.12. Depression: Social support versus TAU
Depression Post-treatment (diagnosis at endpoint or first measurement) – ITT analysis
Depression Post-treatment (diagnosis at endpoint or first measurement) – Available case analysis
Depression Short Follow-up (symptomatology – above threshold at 9-16 week follow-up) – ITT analysis
1.5.13. Depression: Psychologically (CBT/IPT) - informed psychoeducation versus TAU/Enhanced TAU
Depression Post-treatment (diagnosis at endpoint or first measurement) – ITT analysis
Depression Post-treatment (diagnosis at endpoint or first measurement) – Available case analysis
Depression Post-treatment (mean depression symptoms at endpoint or first measurement) – ITT analysis
Depression Short Follow-up (mean depression symptoms at 9-16 week follow-up) – ITT analysis
Depression Intermediate Follow-up (diagnosis at 17-24 week follow-up) – ITT analysis
Depression Intermediate Follow-up (diagnosis at 17-24 week follow-up) – Available case analysis
Depression Intermediate Follow-up (mean depression symptoms at 17-24 week follow-up) – ITT analysis
Depression Long Follow-up (diagnosis at >24 week follow-up) – ITT analysis
Depression Long Follow-up (diagnosis at >24 week follow-up) – Available case analysis
Depression Long Follow-up (mean depression symptoms at >24 week followup) – ITT analysis
Depression Long Follow-up (mean depression symptoms at >24 week follow-up) – Available case analysis
1.5.14. Depression: IPT-informed psychoeducation versus non-mental health-focused education and support
1.5.15. Depression: Non-mental health-focused education and support versus TAU
1.5.16. Depression: Home visits versus TAU/Enhanced TAU
Depression Post-treatment (diagnosis at endpoint or first measurement) – ITT analysis
Depression Post-treatment (diagnosis at endpoint or first measurement) – Available case analysis
1.5.17. Depression: Mother-infant relationship interventions versus TAU/Enhanced TAU
Depression Post-treatment (diagnosis at endpoint or first measurement) – ITT analysis
Depression Post-treatment (diagnosis at endpoint or first measurement) – Available case analysis
Depression Intermediate Follow-up (diagnosis at 17-24 week follow-up) – ITT analysis
Depression Intermediate Follow-up (diagnosis at 17-24 week follow-up) – Available case analysis
Depression Long Follow-up (diagnosis at >24 week follow-up) – ITT analysis
Depression Long Follow-up (diagnosis at >24 week follow-up) – Available case analysis
Depression Long Follow-up (mean depression symptoms at >24 week follow-up) – Available case analysis
Depression Very long Follow-up (diagnosis at >104 week follow-up) – ITT analysis
Depression Very long Follow-up (diagnosis at >104 week follow-up) – Available case analysis
1.5.18. Depression: Mother-infant relationship intervention with video feedback versus mother-infant relationship intervention with verbal feedback
1.5.19. Depression: Co-parenting intervention versus Enhanced TAU
Depression Post-treatment (diagnosis at endpoint or first measurement) – ITT analysis
Depression Post-treatment (diagnosis at endpoint or first measurement) – Available case analysis
1.5.20. Depression: Infant sleep training (controlled crying) versus TAU/Enhanced TAU
Depression Long Follow-up (mean depression symptoms at >24 week followup) – Available case analysis
1.5.21. Depression: Music therapy during birth versus TAU
1.5.22. Depression: Psychosomatic intervention versus TAU
1.5.23. Depression: Mindfulness training versus Enhanced TAU
1.5.24. Anxiety: Structured psychological interventions versus TAU/Enhanced TAU
Anxiety Post-treatment (mean anxiety symptoms at endpoint or first measurement) – ITT analysis
1.5.25. Anxiety: CBT versus Relational Constructivist Therapy
Anxiety Post-treatment (mean score at endpoint or first measurement) – Available case analysis
1.5.26. Anxiety: IPT versus support group
Anxiety Post-treatment (mean score at endpoint or first measurement) - Available case
1.5.27. Anxiety: Facilitated self-help versus TAU
1.5.28. Anxiety: Post-miscarriage self-help versus TAU
1.5.29. Anxiety: Listening visits versus TAU
1.5.30. Anxiety: Directive counselling versus TAU
1.5.31. Anxiety: Post-miscarriage counselling versus Enhanced TAU
1.5.32. Anxiety: Post-traumatic birth counselling versus TAU
1.5.33. Anxiety: Social support versus TAU
Anxiety Short follow-up (mean anxiety symptoms at 9-16 week follow-up) – Available case analysis
1.5.34. Anxiety: Psychologically (CBT/IPT) - informed psychoeducation versus TAU/Enhanced TAU
Anxiety Post-treatment (diagnosis at endpoint or first measurement) – ITT analysis
Anxiety Post-treatment (diagnosis at endpoint or first measurement) – Available case analysis
Anxiety Long Follow-up (diagnosis at >24 week follow-up) – ITT analysis
1.5.35. Anxiety: Mother-infant relationship interventions versus TAU/Enhanced TAU
1.5.36. Anxiety: Music therapy during birth versus TAU
1.5.37. Anxiety: Psychosomatic intervention versus TAU
1.5.38. Anxiety: Mindfulness training versus Enhanced TAU
Anxiety Post-treatment (mean anxiety symptoms at endpoint or first measurement) – ITT analysis
1.5.39. Adjustment disorder: Psychologically (CBT/IPT) - informed psychoeducation versus TAU/Enhanced TAU
Adjustment disorders Post-treatment (diagnosis at endpoint or first measurement) – ITT analysis
1.5.40. PTSD: Post-miscarriage self-help versus TAU
PTSD Post-treatment (symptomatology at endpoint or first measurement) – ITT analysis
PTSD Post-treatment (symptomatology at endpoint or first measurement) – Available case analysis
PTSD Post-treatment (mean score at endpoint or first measurement) – ITT analysis
1.5.41. PTSD: Post-traumatic birth counselling versus TAU
PTSD Post-treatment (diagnosis at endpoint or first measurement) – ITT analysis
PTSD Post-treatment (diagnosis at endpoint or first measurement) – Available case analysis
PTSD Post-treatment (mean score at endpoint or first measurement) – ITT analysis
PTSD Post-treatment (mean score at endpoint or first measurement) – Available case analysis
1.5.42. PTSD: Psychologically (CBT/IPT) - informed psychoeducation versus TAU/Enhanced TAU
PTSD Post-treatment (diagnosis at endpoint or first measurement) – ITT analysis
PTSD Post-treatment (diagnosis at endpoint or first measurement) – Available case analysis
PTSD Post-treatment (mean score at endpoint or first measurement) – Available case analysis
1.5.43. PTSD: Mother-infant relationship interventions versus TAU/Enhanced TAU
PTSD Post-treatment (symptomatology at endpoint or first measurement) – ITT analysis
PTSD Post-treatment (symptomatology at endpoint or first measurement) – Available case analysis
PTSD Post-treatment (mean score at endpoint or first measurement) – Available case analysis
PTSD Intermediate follow-up (symptomatology at 17-24 week follow-up) – ITT analysis
PTSD Intermediate follow-up (symptomatology at 17-24 week follow-up) – Available case analysis
PTSD Intermediate follow-up (mean score at 17-24 week follow-up) – Available case analysis
1.5.44. OCD: Psychologically (CBT/IPT) - informed psychoeducation versus TAU/Enhanced TAU
OCD Post-treatment (mean score at endpoint or first measurement) – Available case analysis
Obsessions Post-treatment (mean score at endpoint or first measurement) – Available case analysis
Compulsions Post-treatment (mean score at endpoint or first measurement) – Available case analysis
OCD Intermediate follow-up (mean score at 17-24 week follow-up) – Available case analysis
Obsessions Intermediate follow-up (mean score at 17-24 week follow-up) – Available case analysis
Compulsions Intermediate follow-up (mean score at 17-24 week follow-up) – Available case analysis
OCD Long follow-up (mean score at >24 week follow-up) – Available case analysis
Obsessions Long follow-up (mean score at >24 week follow-up) – Available case analysis
Compulsions Long follow-up (mean score at >24 week follow-up) – Available case analysis
1.5.45. Fear of childbirth: Pre-delivery discussion/psychoeducation versus TAU
Elective caesarean Post-treatment (mode of delivery at endpoint) – ITT analysis
Choosing vaginal delivery Post-treatment (delivery preference at endpoint) – ITT analysis
Vaginal delivery Post-treatment (mode of delivery at endpoint) – ITT analysis
1.5.46. Eating disorder: Mother-infant relationship interventions (and guided self-help) versus listening visits (and guided self-help)
Eating disorder Post-treatment (diagnosis at endpoint or first measurement) – ITT analysis
1.5.47. General mental health: Structured psychological interventions (CBT or IPT) versus TAU/Enhanced TAU
1.5.48. General mental health: IPT versus support group
Anger Post-treatment (mean score at endpoint or first measurement) – Available case analysis
1.5.49. General mental health: Post-miscarriage self-help versus TAU
1.5.50. General mental health: Listening visits versus TAU
1.5.51. General mental health: Post-miscarriage counselling versus TAU
Self-blame Post-treatment (mean score at endpoint or first measurement) – Available case analysis
Self-blame Intermediate follow-up (mean score at 17-24 week follow-up) – Available case analysis
1.5.52. General mental health: Post-traumatic birth counselling versus TAU
Self-blame Post-treatment (feelings of self-blame at endpoint or first measurement) – ITT analysis
1.5.53. General mental health: Psychologically (CBT/IPT) - informed psychoeducation versus TAU/Enhanced TAU
Any psychopathology Post-treatment (diagnosis at endpoint or first measurement) – ITT analysis
1.5.54. General mental health: Home visits versus TAU/Enhanced TAU
Alcohol or drug use Post-treatment (symptomatology at endpoint or first measurement) – ITT analysis
1.5.55. General mental health: Mother-infant relationship interventions versus TAU/Enhanced TAU
1.5.56. General mental health: Co-parenting intervention versus Enhanced TAU
1.5.57. Mother-infant attachment: Structured psychological interventions (CBT or IPT) versus TAU/Enhanced TAU
1.5.58. Mother-infant attachment: Facilitated self-help versus TAU
1.5.59. Mother-infant attachment: Listening visits versus TAU
1.5.60. Mother-infant attachment: Social support versus TAU
1.5.61. Mother-infant attachment: Psychologically (CBT/IPT) - informed psychoeducation versus Enhanced TAU
1.5.62. Mother-infant attachment: Home visits versus TAU/Enhanced TAU
1.5.63. Mother-infant attachment: Mother-infant relationship interventions versus TAU/Enhanced TAU
Maternal sensitivity Long follow-up (mean score at >24 week follow-up) – Available case analysis
Maternal structuring Long follow-up (mean score at >24 week follow-up) – Available case analysis
Maternal nonhostility Long follow-up (mean score at >24 week follow-up) – Available case analysis
Child responsiveness Long follow-up (mean score at >24 week follow-up) – Available case analysis
Child involvement Long follow-up (mean score at >24 week follow-up) – Available case analysis
1.5.64. Mother-infant attachment: Mother-infant relationship intervention with video feedback versus mother-infant relationship intervention with verbal feedback
1.5.65. Mother-infant attachment: Mother-infant relationship intervention (and guided self-help) versus listening visits (and guided self-help)
1.5.66. Quality of life: Structured psychological interventions (CBT or IPT) versus TAU/Enhanced TAU
Social support Post-treatment (mean score at endpoint or first measurement) – ITT analysis
Life functioning Post-treatment (mean score at endpoint or first measurement) – ITT analysis
Wellbeing Post-treatment (mean score at endpoint or first measurement) – Available case analysis
Social support Short follow-up (mean score at 9-16 week follow-up) – ITT analysis
Social support Short follow-up (mean score at 9-16 week follow-up) – Available case analysis
Life functioning Short follow-up (mean score at 9-16 week follow-up) – ITT analysis
1.5.67. Quality of life: IPT versus support group
1.5.68. Quality of life: Facilitated self-help versus TAU
Parental stress Post-treatment (symptomatology at endpoint or first measurement) – ITT analysis
1.5.69. Quality of life: Listening visits versus TAU
Wellbeing Post-treatment (mean score at endpoint or first measurement) – Available case analysis
1.5.70. Quality of life: Directive counselling versus TAU
1.5.71. Quality of life: Post-miscarriage counselling versus TAU
Functional impairment Post-treatment (mean score at endpoint or first measurement) – ITT analysis
1.5.72. Quality of life: Post-traumatic birth counselling versus TAU
Parental stress Post-treatment (symptomatology at endpoint or first measurement) – ITT analysis
1.5.73. Quality of life: Social support versus TAU
Loneliness Post-treatment (mean score at endpoint or first measurement) – Available case analysis
Loneliness Short follow-up (mean score at 9-16 week follow-up) – Available case analysis
1.5.74. Quality of life: Psychologically (CBT/IPT) - informed psychoeducation versus TAU/Enhanced TAU
Social support Post-treatment (mean score at endpoint or first measurement) – ITT analysis
Parental stress Post-treatment (mean score at endpoint or first measurement) – ITT analysis
Happiness Post-treatment (mean score at endpoint or first measurement) – ITT analysis
Social support Short follow-up (mean score at 9-16 week follow-up) – ITT analysis
Parental stress Intermediate follow-up (mean score at 17-24 week follow-up) – ITT analysis
Happiness Intermediate follow-up (mean score at 17-24 week follow-up) – ITT analysis
Parental stress Long follow-up (mean score at >24 week follow-up) – Available case analysis
Maternal cortisol levels Long follow-up (mean score at >24 week follow-up) – Available case analysis
1.5.75. Quality of life: Home visits versus TAU/Enhanced TAU
Parental stress Post-treatment (symptomatology at endpoint or first measurement) – ITT analysis
1.5.76. Quality of life: Mother-infant relationship interventions versus TAU/Enhanced TAU
Parental stress Post-treatment (symptomatology at endpoint or first measurement) – ITT analysis
1.5.77. Quality of life: Psychosomatic intervention versus TAU
1.5.78. Quality of life: Mindfulness training versus TAU/Enhanced TAU
Parental stress Post-treatment (mean score at endpoint or first measurement) – ITT analysis
1.5.79. Service utilisation: Structured psychological interventions (CBT or IPT) versus TAU/Enhanced TAU
Psychotherapy Post-Treatment (service utilisation at endpoint or first measurement) – ITT analysis
Counselling Post-Treatment (service utilisation at endpoint or first measurement) – ITT analysis
1.5.80. Service utilisation: Facilitated self-help versus TAU
Use of childbirth hospital Post-Treatment (service utilisation at endpoint) – ITT analysis
Use of mental health hospital Post-Treatment (service utilisation at endpoint) – ITT analysis
Use of mental health outpatient Post-Treatment (service utilisation at endpoint) – ITT analysis
Use of health community service Post-Treatment (service utilisation at endpoint) – ITT analysis
Antidepressant medication Post-Treatment (medication use at endpoint) – Available case analysis
1.5.81. Service utilisation: Listening visits versus TAU
Use of GP Post-Treatment (service utilisation [in last month] at endpoint) – ITT analysis
Use of GP Post-Treatment (service utilisation [in last month] at endpoint) – Available case analysis
1.5.82. Service utilisation: Social support versus TAU
Health service use Post-Treatment (service utilisation at endpoint) – Available case analysis
Antidepressant medication Short follow-up (medication use at 9-16 week follow-up) – ITT analysis
1.5.83. Experience of care: Mother-infant relationship interventions versus TAU/Enhanced TAU
1.5.84. Attrition: Structured psychological interventions (CBT or IPT) versus TAU/Enhanced TAU
1.5.85. Attrition: CBT versus Relational Constructivist Therapy
1.5.86. Attrition: IPT versus support group
1.5.87. Attrition: Facilitated self-help versus TAU
1.5.88. Attrition: Listening visits versus TAU
1.5.89. Attrition: Directive counselling versus TAU
1.5.90. Attrition: Post-miscarriage counselling versus TAU/Enhanced TAU
1.5.91. Attrition: Post-traumatic birth counselling versus TAU
1.5.92. Attrition: Social support versus TAU
1.5.93. Attrition: Psychologically (CBT/IPT) - informed psychoeducation versus TAU/Enhanced TAU
1.5.94. Attrition: Non-mental health-focused education and support versus TAU
1.5.95. Attrition: Home visits versus TAU
1.5.96. Attrition: Mother-infant relationship interventions versus TAU/Enhanced TAU
1.5.97. Attrition: Mother-infant relationship intervention with video feedback versus mother-infant relationship intervention with verbal feedback
1.5.98. Attrition: Mother-infant relationship intervention (and guided self-help) versus listening visits (and guided self-help)
1.5.99. Attrition: Co-parenting intervention versus Enhanced TAU
1.5.100. Attrition: Music therapy during birth versus TAU
1.5.101. Attrition: Psychosomatic intervention versus TAU
1.5.102. Attrition: Mindfulness training versus Enhanced TAU
1.5.103. Infant service use: Facilitated self-help versus TAU
Infant hospital Post-Treatment (service utilisation at endpoint) – ITT analysis
Infant hospital Post-Treatment (service utilisation at endpoint) – Available case analysis
Infant hospital Post-Treatment (service utilisation at endpoint) – Available case analysis
1.5.104. Infant service use: Listening visits versus TAU
Infant hospital Post-Treatment (service utilisation at endpoint) – ITT analysis
Infant hospital Post-Treatment (service utilisation at endpoint) – Available case analysis
Visit to A&E Post-Treatment (service utilisation measured at endpoint) – ITT analysis
Visit to A&E Post-Treatment (service utilisation measured at endpoint) – Available case analysis
Visit to GP Post-Treatment (service utilisation [in past month] at endpoint) – ITT analysis
Any medication Post-Treatment (medication use [in past week] at endpoint) – ITT analysis
Any medication Post-Treatment (past medication use measured at endpoint) – by intervention
Antibiotics Post-Treatment (medication use [in past week] at endpoint) – ITT analysis
Antibiotics Post-Treatment (medication use [in past week] at endpoint) – Available case analysis
Asthma medication Post-Treatment (medication use [in past week] at endpoint) – ITT analysis
Skin ointment Post-Treatment (medication use [in past week] at endpoint) – ITT analysis
Skin ointment Post-Treatment (medication use [in past week] at endpoint) – Available case analysis
1.5.105. Infant service use: Home visits versus TAU
Infant hospital Post-Treatment (service utilisation at endpoint) – ITT analysis
Infant hospital Post-Treatment (service utilisation at endpoint) – Available case analysis
Visit to A&E Post-Treatment (service utilisation measured at endpoint) – ITT analysis
Visit to A&E Post-Treatment (service utilisation measured at endpoint) – Available case analysis
Any medication Post-Treatment (past medication use measured at endpoint) – Available case analysis
1.5.106. Infant service use: Mother-infant relationship interventions versus TAU/Enhanced TAU
Infant hospital Post-Treatment (service utilisation at endpoint) – ITT analysis
Infant hospital Post-Treatment (service utilisation at endpoint) – Available case analysis
Any medication Post-Treatment (medication use [in past week] at endpoint) – ITT analysis
Any medication Post-Treatment (past medication use measured at endpoint) – Available case analysis
Surgery Post-Treatment (service utilisation at endpoint) – ITT analysis
Surgery Post-Treatment (service utilisation at endpoint) – Available case analysis
Oxygen therapy Post-Treatment (service utilisation at endpoint) – ITT analysis
Oxygen therapy Post-Treatment (service utilisation at endpoint) – Available case analysis
1.5.107. Infant physical health: Structured psychological interventions (CBT or IPT) versus TAU/Enhanced TAU
Underweight Post-treatment (underweight at endpoint or first measurement) – ITT analysis
Underweight Post-treatment (underweight at endpoint or first measurement) – Available case analysis
Stunted height Post-treatment (short-for-age at endpoint or first measurement) – ITT analysis
1.5.108. Infant physical health: IPT versus support group
Birth weight Post-treatment (mean score at endpoint or first measurement) – Available case analysis
1.5.109. Infant physical health: Listening visits versus TAU
1.5.110. Infant physical health: Social support versus TAU
1.5.111. Infant physical health: Psychologically (CBT/IPT) - informed psychoeducation versus TAU/Enhanced TAU
Infant stress Post-treatment (mean score at endpoint or first measurement) – Available case analysis
Infant cortisol levels Long follow-up (mean score at >24 week follow-up) – Available case analysis
1.5.112. Infant physical health: Mother-infant relationship intervention (and guided self-help) versus listening visits (and guided self-help)
1.5.113. Infant physical development: CBT versus listening visits
1.5.114. Infant physical development: Listening visits versus TAU
1.5.115. Infant physical development: Home visits versus TAU
1.5.116. Infant physical development: Mother-infant relationship interventions versus TAU/Enhanced TAU
1.5.117. Infant physical development: Infant sleep training (controlled crying) versus TAU
1.5.118. Infant cognitive development: CBT versus listening visits
1.5.119. Infant cognitive development: Listening visits versus TAU
1.5.120. Infant cognitive development: Social support versus TAU
1.5.121. Infant cognitive development: Home visits versus TAU
1.5.122. Infant cognitive development: Mother-infant relationship interventions versus TAU/Enhanced TAU
1.5.123. Infant emotional development: Social support versus TAU
1.5.124. Infant emotional development: Home visits versus TAU
1.5.125. Infant emotional development: Mother-infant relationship interventions versus TAU/Enhanced TAU
1.5.126. Infant emotional development: Infant sleep training (controlled crying) versus TAU
1.5.127. Prevention of neglect or abuse of the infant: Listening visits versus TAU
1.5.128. Prevention of neglect or abuse of the infant: Home visits versus TAU
1.5.129. Optimal infant care: Structured psychological interventions (CBT or IPT) versus TAU/Enhanced TAU
Immunisation Post-treatment (complete immunisation at endpoint or first measurement) – ITT analysis
1.6. PHARMACOLOGICAL INTERVENTIONS: PREVENTION (NO RISK FACTORS)
1.6.1. Depression: Omega-3 versus placebo
1.6.2. Depression: Selenium versus placebo
1.6.3. Depression: Calcium versus placebo
1.6.4. Compliance: Selenium versus placebo
1.6.5. Quality of life: Calcium versus placebo
Quality of life - Post-treatment - positive life events at first measurement (no risk populations)
Quality of life - Post-treatment - negative life events at first measurement (no risk populations)
1.6.6. Infant outcomes: Omega-3 versus placebo
1.6.7. Leaving the study early: Omega-3 versus placebo
Leaving the study early - Post-treatment - end of the intervention (no risk populations)
1.6.8. Adverse events/ Service utilisation: Omega-3 versus placebo
1.7. PHARMACOLOGICAL INTERVENTIONS (RISK FACTORS)
1.7.1. Depression: Thyroxine versus placebo
1.7.2. Depression: Norethisterone versus placebo
Depression mean scores - Post treatment - at endpoint or first measurement (risk populations)
Depression mean scores - Post treatment - at short-term follow-up (risk populations)
Depression symptomology – Post treatment – at endpoint or first measurement (risk populations)
1.7.3. Compliance: Thyroxine versus placebo
1.7.4. Mother-Infant interaction: Norethisterone versus placebo
1.7.5. Leaving the study early: Norethisterone versus placebo
Leaving the study early - Post-treatment - end of the intervention (risk populations)
Leaving the study early - Post-treatment short-term (17-19 weeks) follow-up (risk populations)
1.7.6. Adverse events: Norethisterone versus placebo
Vaginal bleeding – Post treatment – number of days at short-term follow-up (risk populations)
Troublesome bleeding - Post treatment - number at endpoint or first measurement (risk populations)
1.8. PHARMACOLOGICAL INTERVENTIONS: PREVENTION (PROPHYLAXIS)
1.8.1. Depression: SSRI (Sertraline) versus placebo
Recurrence of depression - Post-treatment - number at endpoint or first measurement (prophylaxis)
1.8.2. Depression: TCA (Nortriptyline) versus placebo
Recurrence of depression - Post-treatment - number at endpoint or first measurement (prophylaxis)
1.8.3. Adverse events: SSRI (Sertraline) versus placebo
Dizziness - Post-treatment - number at endpoint or first measurement (prophylaxis)
Drowsiness - Post-treatment - number at endpoint or first measurement (prophylaxis)
1.8.4. Adverse events: TCA (Nortriptyline) versus placebo
Constipation – Post treatment – number at endpoint or first measurement (prophylaxis)
1.8.5. Leaving the study early: SSRI (Sertraline) versus placebo
1.8.6. Leaving the study early: TCA (Nortriptyline) versus placebo
1.9. PHARMACOLOGICAL INTERVENTIONS: TREATMENT
1.9.1. Non-Response: Omega-3 versus Placebo
Non-response – Post-treatment – number at endpoint or first measurement – ITT analysis (treatment)
Non-remission - Post-treatment - number at endpoint or first measurement - ITT analysis (treatment)
1.9.2. Non-response to treatment: SSRIs (sertraline/paroxetine) versus placebo
Non-response - Post-treatment - number at endpoint or first measurement - ITT analysis (treatment)
Non-remission - Post-treatment - number at endpoint or first measurement - ITT analysis (treatment)
Non-remission - Post-treatment - number at endpoint or first measurement - ITT analysis (treatment)
1.9.3. Non-response to treatment: SSRIs in combination with psychological interventions compared with placebo in combination with psychological interventions
Non-response - Post-treatment - number at endpoint or first measurement - ITT analysis (treatment)
Non-remission – Post-treatment – number at endpoint or first measurement – ITT analysis (treatment)
1.9.4. Non-response to treatment: SSRIs verses TCA
Non-response - Post-treatment - number at endpoint or first measurement - ITT analysis (treatment)
Non-remission – Post-treatment – number at endpoint or first measurement – ITT analysis (treatment)
1.9.5. Depression: SSRIs versus Placebo
1.9.6. Depression: SSRIs versus TCA
1.9.7. Depression: SSRIs in combination with psychological interventions compared with placebo in combination with psychological interventions
1.9.8. Depression: Antidepressants versus general supportive care
1.9.9. Depression: Omega-3 versus Placebo
1.9.10. Depression: Hormones (transdermal oestrogen) versus placebo
1.9.11. General mental health: SSRIs versus TCA
1.9.12. General mental health: SSRIs combined with psychosocial interventions versus placebo combined with psychosocial interventions
Distress - Post-treatment - mean scores at endpoint or first measurement - ITT analysis (treatment)
1.9.13. General mental health: SSRIs compared with placebo
1.9.14. Service utilisation: SSRIs combined with psychosocial interventions compared with Placebo combined with psychosocial interventions
Loranzepam use - Post-treatment - number at endpoint or first measurement - ITT analysis (treatment)
1.9.15. Service Utilisation: SSRIs compared with Placebo
1.9.16. Leaving the Study early: SSRIs combined with psychological interventions compared with Placebo combined with psychological interventions
1.9.17. Leaving the Study early: SSRIs compared with Placebo
1.9.18. Leaving the Study early: SSRIs compared with TCAs
1.9.19. Leaving the Study early: Hormones versus placebo
1.9.20. Leaving the Study early: Omega-3 versus Placebo
1.9.21. Adverse events: SSRI combined with psychosocial interventions compared with Placebo compared with psychosocial interventions
1.9.22. Adverse events: omega-3 versus placebo
1.9.23. Adverse events: SSRIs versus placebo
Diarrhoea - Post-treatment - number at endpoint or first measurement – Available case analysis
Dizziness - Post-treatment - number at endpoint or first measurement – Available case analysis
Headache – Post-treatment – number at endpoint or first measurement – Available case analysis
Nausea - Post-treatment - number at endpoint or first measurement – Available case analysis
Somnolence - Post-treatment - number at endpoint or first measurement – Available case analysis
Dry mouth - Post-treatment - number at endpoint or first measurement – Available case analysis
1.9.24. Compliance: SSRIs versus Placebo
1.10. HARMS FOR ASSOCIATED WITH SPECIFIC DRUGS
1.10.1. Antidepressants: Teratogenic harms
SSRIs - Teratogenic harms - Congenital malformations-cohort design
SSRIs - Teratogenic harms - Congenital malformations-case control design
TCAs – Teratogenic harms – Congenital malformations-cohort design
Paroxetine – Teratogenic harms – Congenital malformations-cohort design
Citalopram - Teratogenic harms - Congenital malformations-cohort design
Fluoxetine - Teratogenic harms - Congenital malformations-cohort design
Sertraline – Teratogenic harms – Congenital malformations-cohort design
Fluvoxamine - Teratogenic harms - Congenital malformations-cohort design
Escitalopram - Teratogenic harms - Congenital malformations-cohort design
Venlafaxine – Teratogenic harms – Congenital malformations-cohort design
Any antidepressant - Teratogenic harms - Major congenital malformations- case-cohort design
SSRIs - Teratogenic harms - Major congenital malformations-cohort design
Paroxetine – Teratogenic harms – Major congenital malformations-cohort design
Citalopram - Teratogenic harms - Major congenital malformations-cohort design
Fluoxetine - Teratogenic harms - Major congenital malformations-cohort design
Sertraline – Teratogenic harms – Major congenital malformations-cohort design
Fluvoxamine - Teratogenic harms - Major congenital malformations-cohort design
Escitalopram - Teratogenic harms - Major congenital malformations-cohort design
Venlafaxine - Teratogenic harms - Major congenital malformations-cohort design
SSRIs – Teratogenic harms – Cardiac malformations-cohort design
TCAs - Teratogenic harms - Cardiac malformations-cohort design
Paroxetine - Teratogenic harms - Cardiac malformations-cohort design
Paroxetine – Teratogenic harms – Cardiac malformations-case-cohort design
Citalopram - Teratogenic harms - Cardiac malformations-cohort design
Fluoxetine - Teratogenic harms - Cardiac malformations-cohort design
Sertraline - Teratogenic harms - Cardiac malformations-cohort design
Fluvoxamine – Teratogenic harms – Cardiac malformations-cohort design
Escitalopram - Teratogenic harms - Cardiac malformations-cohort design
Venlafaxine - Teratogenic harms - Cardiac malformations-cohort design
SSRIs – Teratogenic harms – ASD and/or VSD-cohort design
Paroxetine – Teratogenic harms – ASD and/or VSD-cohort design
Citalopram - Teratogenic harms - ASD and/or VSD-cohort design
Fluoxetine - Teratogenic harms - ASD and/or VSD-cohort design
Sertraline – Teratogenic harms – ASD and/or VSD-cohort design
Fluvoxamine – Teratogenic harms – ASD and/or VSD-cohort design
Escitalopram - Teratogenic harms - ASD and/or VSD-cohort design
SSRIs - Teratogenic harms - ASD-cohort design
Paroxetine – Teratogenic harms – ASD-cohort design
Citalopram – Teratogenic harms – ASD-cohort design
Fluoxetine - Teratogenic harms - ASD-cohort design
Sertraline - Teratogenic harms - ASD-cohort design
Fluvoxamine - Teratogenic harms - ASD-cohort design
Escitalopram - Teratogenic harms - ASD-cohort design
SSRIs – Teratogenic harms – VSD-cohort design
Paroxetine - Teratogenic harms - VSD-cohort design
Citalopram - Teratogenic harms - VSD-cohort design
Fluvoxamine - Teratogenic harms - VSD-cohort design
Sertraline - Teratogenic harms - VSD-cohort design
1.10.2. Antidepressants: Neonatal and obstetric complications
SSRIs – Neonatal and obstetric complications – Miscarriage-cohort design
SSRIs – Neonatal and obstetric complications – Pre-term delivery-cohort design
Any antidepressant - Neonatal and obstetric complications - PNAS-cohort design
SSRIs - PPHT - Neonatal and obstetric complications - Cohort design
Any antidepressant – Respiratory distress – Neonatal and obstetric complications – Cohort design
Any antidepressant - Tremors - Neonatal and obstetric complications - Cohort design
1.10.3. Antipsychotics: Teratogenic harms
Any antipsychotic - Teratogenic harms-Congenital malformations - Cohort design
Any antipsychotic – Teratogenic harms-Major congenital malformations – Cohort design
1.10.4. Antipsychotics: Neonatal and Obstetric Complications
Any antipsychotic - Neonatal and obstetric complications-Gestational diabetes - Cohort design
Any antipsychotic - Neonatal and obstetric complications-Small for gestational age - Cohort design
Any antipsychotic – Neonatal and obstetric complications-Large for gestational age – Cohort design
Any antipsychotic – Neonatal and obstetric complications-LBW (<2500g) – Cohort design
Any antipsychotic – Neonatal and obstetric complications-birth-weight – Cohort design
Any antipsychotic - Neonatal and obstetric complications-birth-weight - Case-control design
Any antipsychotic – Neonatal and obstetric complications-preterm delivery – Cohort design
Any antipsychotic – Neonatal and obstetric complications-Miscarriage Cohort design
Any antipsychotic – Neonatal and obstetric complications-still birth – Cohort design
Any antipsychotic - Neonatal and obstetric complications-Caesarean delivery - Cohort design
Any antipsychotic - Neonatal and obstetric complications-Gestational age at delivery - Cohort design
1.10.5. Antipsychotics: Neurodevelopmental outcomes
1.10.6. Anticonvulsants: Teratogenic harms
Carbamazepine - Teratogenic harms - Major congenital malformations- cohort design
Lamotrigine - Teratogenic harms - Major congenital malformations-cohort design
Valproate – Teratogenic harms – Major congenital malformations-cohort design
Valproate - Teratogenic harms - Major congenital malformations - case control design
Carbamazepine – Teratogenic harms – Congenital malformations-cohort design
Valproate - Teratogenic harms - Congenital malformations-cohort design
Anticonvulsants – Teratogenic harms – neural tube defects-cohort design
Carbamazepine - Teratogenic harms - cleft lip/palate - cohort design
Lamotrigine – Teratogenic harms – cleft lip/palate – cohort design
Valproate – Teratogenic harms – cleft lip/palate – cohort design
1.10.7. Anticonvulsants: Neonatal and Obstetric harms
Carbamazepine - Neonatal and obstetric complications - admission to neonatal care - cohort design
Lamotrigine - Neonatal and obstetric complications - admission to neonatal care - cohort design
Valproate – Neonatal and obstetric complications – admission to neonatal care – cohort design
Carbamazepine – Neonatal and obstetric complications – stillbirth/perinatal death – cohort design
Lamotrigine - Neonatal and obstetric complications - stillbirth/perinatal death - cohort design
Valproate - Neonatal and obstetric complications - stillbirth/perinatal death - cohort design
Carbamazepine – Neonatal and obstetric complications – preterm birth – cohort design
Lamotrigine – Neonatal and obstetric complications – preterm birth – cohort design
Valproate - Neonatal and obstetric complications - preterm birth - cohort design
Carbamazepine - Neonatal and obstetric complications - birth weight - cohort design
Valproate – Neonatal and obstetric complications – birth weight – cohort design
1.10.8. Anticonvulsants: Neurodevelopmental outcomes
Carbamazepine - Neurodevelopmental outcomes - Full scale IQ - cohort design
Lamotrigine - Neurodevelopmental outcomes - Full scale IQ - cohort design
Valproate - Neurodevelopmental outcomes - Full scale IQ - cohort design
Carbamazepine – Neurodevelopmental outcomes – Verbal IQ – cohort design
Lamotrigine - Neurodevelopmental outcomes - Verbal IQ - cohort design
Valproate - Neurodevelopmental outcomes - Verbal IQ - cohort design
Carbamazepine - Neurodevelopmental outcomes - Performance IQ - cohort design
Lamotrigine - Neurodevelopmental outcomes - Performance IQ - cohort design
Valproate – Neurodevelopmental outcomes – Performance IQ – cohort design
Carbamazepine - Neurodevelopmental outcomes - Autism checklist score - cohort design
Lamotrigine - Neurodevelopmental outcomes - Autism checklist score - cohort design
Valproate – Neurodevelopmental outcomes – Autism checklist score – cohort design
Carbamazepine – Neurodevelopmental outcomes – Autism spectrum disorder – cohort design
Lamotrigine - Neurodevelopmental outcomes - Autism spectrum disorder - cohort design
Valproate - Neurodevelopmental outcomes - Autism spectrum disorder - cohort design
1.10.9. Lithium: Teratogenic harms
Lithium - Teratogenic harms - Congenital malformations - cohort design
Lithium - Teratogenic harms - Congenital malformations - case-control design
Lithium – Teratogenic harms – Heart defects – cohort design
Lithium – Teratogenic harms – Ebstein's anomaly – cohort design
1.10.10. Benzodiazepines: Teratogenic harms
Benzodiazepines - Teratogenic harms - congenital malformations - cohort design
Benzodiazepines - Teratogenic harms - congenital malformations - case- control design
Benzodiazepines - Teratogenic harms - major congenital malformations - cohort design
Benzodiazepines - Teratogenic harms - major congenital malformations - case-control design
Benzodiazepines – Teratogenic harms – cleft lip/palate – cohort design
Benzodiazepines - Teratogenic harms - cleft lip/palate - case-control design
Benzodiazepines - Teratogenic harms - cardiac abnormalities - cohort design
Benzodiazepines - Teratogenic harms - septal heart defects - cohort design
Benzodiazepines - Teratogenic harms - atrioventricular defects - cohort design
1.10.11. Benzodiazepines: Neonatal and Obstetric complications
Benzodiazepines – Neonatal and obstetric complications – gestational age at delivery – cohort design
Benzodiazepines – Neonatal and obstetric complications – birth weight – cohort design
Benzodiazepines - Neonatal and obstetric complications - caesarean delivery - cohort design
Benzodiazepines - Neonatal and obstetric complications - miscarriage - cohort design
Benzodiazepines - Neonatal and obstetric complications - instrumental delivery - cohort design
Benzodiazepines - Neonatal and obstetric complications - respiratory disorder - cohort design
1.10.12. Stimulants (methylphenidate): Teratogenic harms
Methylphenidate - Teratogenic harms - Major congenital malformations - cohort design
Methylphenidate - Teratogenic harms - Cardiac malformations - cohort design
1.11. PHYSICAL INTERVENTIONS: PREVENTION
1.11.1. Depression: Physical activity verses treatment as usual
1.11.2. Depression: Physical activity combined with psychoeducation verses psychoeducation alone
1.12. PHYSICAL INTERVENTIONS: TREATMENT
1.12.1. Response: Acupuncture versus massage
Non-response to treatment – Post-treatment – number at short term follow-up – (treatment)
1.12.2. Response: Depression specific acupuncture versus non-specific acupuncture
Non-response to treatment - Post-treatment - at endpoint or first measurement - (treatment)
1.12.3. Response: Bright light therapy versus placebo
Non-response - Post-treatment - at endpoint or first measurement - (treatment)
Non-remission - Post-treatment - at endpoint or first measurement - (treatment)
1.12.4. Depression: Physical activity versus treatment as usual
1.12.5. Depression: Physical activity versus mutual support
1.12.6. Depression: Acupuncture versus massage
1.12.7. Depression: Depression-specific acupuncture versus non-depression specific acupuncture
Depression symptoms – Mean depression scores Post-treatment – at short-term follow-up – (treatment)
1.12.8. Depression: Electroacupuncture versus non-invasive sham acupuncture
1.12.9. Depression: Massage combined with support versus support
1.12.10. Depression: Massage versus support
Depression symptoms - Mean depression scores Post-treatment - at long-term follow-up - (treatment)
1.12.11. Depression: Bright light therapy versus placebo
1.12.12. Anxiety: Physical activity versus treatment as usual
1.12.13. Anxiety: Electroacupuncture versus non-invasive sham acupuncture
1.12.14. General mental health outcomes: Physical activity versus treatment as usual
Sleep disturbance symptoms - Mean scores - Post-treatment – Available case analysis (treatment)
- CASE IDENTIFICATION
- PSYCHOSOCIAL INTERVENTIONS: PREVENTION (RISK FACTORS IDENTIFIED)
- PROTOCOLS FOR WOMEN FOLLOWING STILLBIRTH
- PSYCHOSOCIAL INTERVENTIONS: PREVENTION (NO RISK FACTORS IDENTIFIED)
- PSYCHOSOCIAL INTERVENTIONS: TREATMENT
- PHARMACOLOGICAL INTERVENTIONS: PREVENTION (NO RISK FACTORS)
- PHARMACOLOGICAL INTERVENTIONS (RISK FACTORS)
- PHARMACOLOGICAL INTERVENTIONS: PREVENTION (PROPHYLAXIS)
- PHARMACOLOGICAL INTERVENTIONS: TREATMENT
- HARMS FOR ASSOCIATED WITH SPECIFIC DRUGS
- PHYSICAL INTERVENTIONS: PREVENTION
- PHYSICAL INTERVENTIONS: TREATMENT
- CLINICAL EVIDENCE – FOREST PLOTS - Antenatal and Postnatal Mental HealthCLINICAL EVIDENCE – FOREST PLOTS - Antenatal and Postnatal Mental Health
- PMC Links for GEO Profiles (Select 100880320) (1)PMC
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