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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.

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.

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Antenatal and Postnatal Mental Health: Clinical Management and Service Guidance: Updated edition.

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APPENDIX 19CLINICAL EVIDENCE – FOREST PLOTS

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)

1.2.5. 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)

Depression symptomatology Short Follow-up (9-16 weeks post-intervention) – ITT analysis (at-risk populations)

Depression symptomatology Short Follow-up (9-16 weeks post-intervention) – Available case analysis (at-risk populations)

Depression mean scores Short Follow-up (9-16 weeks post-intervention) – Available case analysis (at-risk populations)

Depression symptomatology Intermediate Follow-up (17-24 weeks post-intervention) – ITT analysis (at-risk populations)

Depression symptomatology Intermediate Follow-up (17-24 weeks post-intervention) – Available case analysis (at-risk populations)

Depression mean scores Intermediate Follow-up (17-24 weeks post-intervention) – Available case analysis (at-risk populations)

Depression symptomatology Long Follow-up (25-103 weeks post-intervention) – ITT analysis (at-risk populations)

Depression symptomatology Long Follow-up (25-103 weeks post-intervention) – Available case analysis (at-risk populations)

Depression mean scores Long Follow-up (25-103 weeks post-intervention) -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)

1.2.14. General mental health: Post-miscarriage self-help versus TAU

General mental health mean scores Post-treatment – ITT 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)

1.2.30. Attrition: Post-miscarriage self-help versus TAU

Dropout

1.2.31. Attrition: Social support versus TAU

Dropout

1.2.32. Attrition: Psychologically (CBT/IPT) – informed psychoeducation versus TAU or Enhanced TAU

Dropout

1.2.33. Attrition: Psychoeducational booklet versus TAU or Enhanced TAU

Dropout

1.2.34. Attrition: Non-mental health-focused education and support versus TAU or Enhanced TAU

Dropout

1.2.35. Attrition: Home visits versus TAU

Dropout

1.2.36. Attrition: Post-delivery discussion versus Enhanced TAU

Dropout

1.2.37. Attrition: Mother-infant relationship interventions versus TAU

Dropout

1.2.41. Infant cognitive development: Home visits versus TAU

Infant cognitive development (impairment) Post-treatment – ITT analysis (at-risk populations)

Infant cognitive development (impairment) Post-treatment – Available case analysis (at-risk populations)

Infant cognitive development mean scores Post-treatment – Available case analysis (at-risk populations)

Infant verbal development (impairment) Post-treatment – ITT analysis (at-risk populations)

Infant verbal development (impairment) Post-treatment – Available case 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)

Infant nonverbal development (impairment) Post-treatment – Available case analysis (at-risk populations)

Infant nonverbal development mean scores Post-treatment – Available case analysis (at-risk populations)

Infant spatial reasoning development (impairment) Post-treatment – ITT analysis (at-risk populations)

Infant spatial reasoning development (impairment) Post-treatment – Available case analysis (at-risk populations)

Infant spatial reasoning development mean scores Post-treatment – Available case analysis (at-risk populations)

Infant cognitive development (impairment) Long Follow-up (25-103 weeks post-intervention) – ITT analysis (at-risk populations)

Infant cognitive development (impairment) Long Follow-up (25-103 weeks post-intervention) – Available case analysis (at-risk populations)

Infant cognitive development mean scores Long Follow-up (25-103 weeks post-intervention) – Available case analysis (at-risk populations)

Infant verbal development (impairment) Long Follow-up (25-103 weeks post-intervention) – ITT analysis (at-risk populations)

Infant verbal development (impairment) Long Follow-up (25-103 weeks post-intervention) – Available case analysis (at-risk populations)

Infant verbal development mean scores Long Follow-up (25-103 weeks post-intervention) – Available case 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 (impairment) Post-treatment – Available case 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 emotional development (impairment) Post-treatment – Available case 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)

Infant adaptive behaviour (impairment) Long Follow-up (25-103 weeks post-intervention) – ITT analysis (at-risk populations)

Infant adaptive behaviour (impairment) Long Follow-up (25-103 weeks post-intervention) – Available case analysis (at-risk populations)

Infant adaptive behaviour mean scores Long Follow-up (25-103 weeks post-intervention) – Available case analysis (at-risk populations)

Infant externalising (impairment) Long Follow-up (25-103 weeks post-intervention) – ITT analysis (at-risk populations)

Infant externalising (impairment) Long Follow-up (25-103 weeks post-intervention) – Available case analysis (at-risk populations)

Infant externalising mean scores Long Follow-up (25-103 weeks post-intervention) – Available case analysis (at-risk populations)

Infant internalising (impairment) Long Follow-up (25-103 weeks post-intervention) – ITT analysis (at-risk populations)

Infant internalising (impairment) Long Follow-up (25-103 weeks post-intervention) – Available case analysis (at-risk populations)

Infant internalising mean scores Long Follow-up (25-103 weeks post-intervention) – Available case analysis (at-risk populations)

1.3. PROTOCOLS FOR WOMEN FOLLOWING STILLBIRTH

1.3.3. Mental health outcomes for women who spent as much time with stillborn infant as they wished versus those who did not

Depression (3-years post-stillbirth; CES-D>90th percentile)

1.3.4. Mental health outcomes for women who kept a photo of their stillborn infant versus those who did not

Depression (3-years post-stillbirth; CES-D>90th percentile)

1.3.5. Mental health outcomes for women who kept a token of remembrance of their stillborn infant versus those who did not

Depression (3-years post-stillbirth; CES-D>90th percentile)

1.3.6. Mental health outcomes for women who took drug to stop milk production following stillbirth versus those who did not

Depression (3-years post-stillbirth; CES-D>90th percentile)

1.4. PSYCHOSOCIAL INTERVENTIONS: PREVENTION (NO RISK FACTORS IDENTIFIED)

1.4.26. Attrition: Structured psychological interventions (CBT or IPT) versus TAU

Dropout

1.4.27. Attrition: Listening visits versus TAU

Dropout

1.4.28. Attrition: Psychologically (CBT/IPT) – informed psychoeducation versus Enhanced TAU

Dropout

1.4.29. Attrition: Home visits versus TAU

Dropout

1.4.30. Attrition: Mindfulness training versus TAU

Dropout

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 (symptomatology – above threshold at endpoint or first measurement) – ITT analysis

Depression Post-treatment (symptomatology – above threshold at endpoint or first measurement) – Available case analysis

Depression Post-treatment (mean depression symptoms at endpoint or first measurement) – ITT analysis

Depression Post-treatment (mean depression symptoms at endpoint or first measurement or change score) – Available case 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 (symptomatology – above threshold at 9-16 week follow-up) – Available case analysis

Depression Short Follow-up (mean depression symptoms at 9-16 week follow-up) – ITT analysis

Depression Short Follow-up (mean depression symptoms or change score at 9-16 week follow-up) – 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 Intermediate Follow-up (mean depression symptoms 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 (symptomatology – above threshold >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

Depression Very long Follow-up (mean depression symptoms at >104 week follow-up) – Available case analysis

Negative thoughts/mood Post-treatment (mean score at endpoint or first measurement) – 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 Post-treatment (symptomatology – above threshold at endpoint or first measurement) – ITT analysis

Depression Post-treatment (symptomatology – above threshold at endpoint or first measurement) – Available case analysis

Depression Post-treatment (mean depression symptoms at endpoint or first measurement or change score) – 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 Intermediate Follow-up (mean depression symptoms at 17-24 week follow-up) – by intervention

Depression Intermediate Follow-up (mean depression symptoms 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 (symptomatology – above threshold >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

Depression Very long Follow-up (mean depression symptoms at >104 week follow-up) – Available case 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 (symptomatology – above threshold at endpoint or first measurement) – ITT analysis

Depression Post-treatment (symptomatology – above threshold at endpoint or first measurement) – Available case analysis

Depression Post-treatment (mean depression symptoms at endpoint or first measurement) – ITT analysis

Depression Post-treatment (mean depression symptoms at endpoint or first measurement or change score) – Available case analysis

Depression Short Follow-up (mean depression symptoms at 9-16 week follow-up) – ITT analysis

Depression Short Follow-up (mean depression symptoms or change score at 9-16 week follow-up) – 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 Intermediate Follow-up (mean depression symptoms at 17-24 week follow-up) – ITT analysis

Depression Intermediate Follow-up (mean depression symptoms 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 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

Depression Post-treatment (symptomatology – above threshold at endpoint or first measurement) – ITT 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 Post-treatment (symptomatology – above threshold at endpoint or first measurement) – ITT analysis

Depression Post-treatment (symptomatology – above threshold at endpoint or first measurement) – Available case analysis

Depression Post-treatment (mean depression symptoms at endpoint or first measurement or change score) - Available case

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 (symptomatology - above threshold at 17-24 week follow-up) – ITT analysis

Depression Intermediate Follow-up (symptomatology - above threshold at 17-24 week follow-up) – Available case analysis

Depression Intermediate Follow-up (mean depression symptoms 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

Depression Very long Follow-up (mean depression symptoms 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

Depression Post-treatment (mean depression symptoms at endpoint or first measurement) – Available case 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

Eating disorder Post-treatment (diagnosis at endpoint or first measurement) – Available case analysis

1.5.56. General mental health: Co-parenting intervention versus Enhanced TAU

Psychological distress Post-treatment (mean score at endpoint or first measurement) – Available case analysis

1.5.57. Mother-infant attachment: Structured psychological interventions (CBT or IPT) versus TAU/Enhanced TAU

Mother-infant attachment problems Post-treatment (number with adverse events measured at endpoint or first measurement) – ITT analysis

Mother-infant attachment problems Post-treatment (number with adverse events measured at endpoint or first measurement) – Available case analysis

Mother-infant attachment Post-treatment (mean score at endpoint or first measurement) – Available case analysis

Mother-infant play frequency Post-treatment (mothers played with infant once or more every day measured at endpoint or first measurement) – ITT analysis

Mother-infant play frequency Post-treatment (mothers played with infant once or more every day measured at endpoint or first measurement) – Available case analysis

Maternal sensitivity Post-treatment (mean score at endpoint or first measurement) – Available case analysis

Mother-infant behaviour management problems Post-treatment (number with adverse events measured at endpoint or first measurement) – ITT analysis

Mother-infant behaviour management problems Post-treatment (number with adverse events measured at endpoint or first measurement) – Available case analysis

Discontinued (exclusive) breastfeeding <6 months Post-treatment (stopped breastfeeding before 6 months measured at endpoint or first measurement) – ITT analysis

Discontinued (exclusive) breastfeeding <6 months Post-treatment (stopped breastfeeding before 6 months measured at endpoint or first measurement) – Available case analysis

Mother-infant attachment Short follow-up (mean score at 9-16 week follow-up) – Available case analysis

Mother-infant attachment problems Long follow-up (number with adverse events measured at >24 week follow-up) – ITT analysis

Mother-infant attachment problems Long follow-up (number with adverse events measured at >24 week follow-up) – Available case analysis

1.5.63. Mother-infant attachment: Mother-infant relationship interventions versus TAU/Enhanced TAU

Mother-infant attachment problems Post-treatment (number with adverse events measured at endpoint or first measurement) – ITT analysis

Mother-infant attachment problems Post-treatment (number with adverse events measured at endpoint or first measurement) – Available case analysis

Mother-infant attachment/positive interactions Post-treatment (mean score at endpoint or first measurement) – Available case analysis

Maternal sensitivity Post-treatment (treatment response at endpoint or first measurement) – ITT analysis

Maternal sensitivity Post-treatment (treatment response at endpoint or first measurement) – Available case analysis

Maternal sensitivity Post-treatment (mean score at endpoint or first measurement) – Available case analysis

Maternal structuring Post-treatment (treatment response at endpoint or first measurement) – ITT analysis

Maternal structuring Post-treatment (treatment response at endpoint or first measurement) – Available case analysis

Maternal structuring Post-treatment (mean score at endpoint or first measurement) – Available case analysis

Maternal nonintrusiveness Post-treatment (treatment response at endpoint or first measurement) – ITT analysis

Maternal nonintrusiveness Post-treatment (treatment response at endpoint or first measurement) – Available case analysis

Maternal nonintrusive behaviour Post-treatment (mean score at endpoint or first measurement) – Available case analysis

Maternal intrusive behaviour Post-treatment (mean score at endpoint or first measurement) – Available case analysis

Maternal nonhostility Post-treatment (mean score at endpoint or first measurement) – Available case analysis

Child responsiveness Post-treatment (treatment response at endpoint or first measurement) – ITT analysis

Child responsiveness Post-treatment (treatment response at endpoint or first measurement) – Available case analysis

Child responsiveness Post-treatment (mean score at endpoint or first measurement) – Available case analysis

Child involvement Post-treatment (treatment response at endpoint or first measurement) – ITT analysis

Child involvement Post-treatment (treatment response at endpoint or first measurement) – Available case analysis

Child involvement/positive engagement Post-treatment (mean score at endpoint or first measurement) – Available case analysis

Child attachment security Post-treatment (mean score at endpoint or first measurement) – Available case analysis

Mother-infant behaviour management problems Post-treatment (number with adverse events measured at endpoint or first measurement) – ITT analysis

Mother-infant behaviour management problems Post-treatment (number with adverse events measured at endpoint or first measurement) – Available case analysis

Maternal confidence/competence Post-treatment (mean score at endpoint or first measurement) – Available case analysis

Mother-infant positive interaction Intermediate follow-up (mean score at 17-24 week follow-up) – Available case analysis

Maternal sensitivity Intermediate follow-up (mean score at 17-24 week follow-up) – Available case analysis

Maternal intrusive behaviour Intermediate follow-up (mean score at 17-24 week follow-up) – Available case analysis

Mother-infant attachment problems Long follow-up (number with adverse events measured at >24 week follow-up) – ITT analysis

Mother-infant attachment problems Long follow-up (number with adverse events measured at >24 week follow-up) – Available case

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 nonintrusive behaviour 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

Mother-infant attachment/positive interactions Very long follow-up (mean score at >104 week follow-up) – Available case analysis

Child attachment security Very long follow-up (mean score at >104 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

Maternal confidence Post-treatment (mean scores at endpoint or first measurement) – Available case analysis

Maternal perceptions of infant behaviour Post-treatment (mean scores at endpoint or first measurement) – Available case 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 childbirth hospital Post-Treatment (service utilisation at endpoint) – Available case analysis

Use of childbirth hospital Post-Treatment (service utilisation at endpoint) – Available case analysis

Use of maternal general health hospital Post-Treatment (service utilisation at endpoint) – ITT analysis

Use of maternal general health hospital Post-Treatment (service utilisation at endpoint) – Available case analysis

Use of maternal general health hospital Post-Treatment (service utilisation at endpoint) – Available case analysis

Use of mental health hospital Post-Treatment (service utilisation at endpoint) – ITT analysis

Use of mental health hospital Post-Treatment (service utilisation at endpoint) – Available case analysis

Use of mental health hospital Post-Treatment (service utilisation at endpoint) – Available case analysis

Use of mental health outpatient Post-Treatment (service utilisation at endpoint) – ITT analysis

Use of mental health outpatient Post-Treatment (service utilisation at endpoint) – Available case analysis

Use of mental health outpatient Post-Treatment (service utilisation at endpoint) – Available case analysis

Use of health community service Post-Treatment (service utilisation at endpoint) – ITT analysis

Use of health community service Post-Treatment (service utilisation at endpoint) – Available case analysis

Use of health community service Post-Treatment (service utilisation at endpoint) – Available case analysis

Antidepressant medication Post-Treatment (medication use at endpoint or first measurement) – ITT analysis

Antidepressant medication Post-Treatment (medication use at endpoint or first measurement) – Available case analysis

Antidepressant medication Post-Treatment (medication use at endpoint) – Available case analysis

1.5.84. Attrition: Structured psychological interventions (CBT or IPT) versus TAU/Enhanced TAU

Dropout

1.5.85. Attrition: CBT versus Relational Constructivist Therapy

Dropout

1.5.86. Attrition: IPT versus support group

Dropout

1.5.87. Attrition: Facilitated self-help versus TAU

Dropout

1.5.88. Attrition: Listening visits versus TAU

Dropout

1.5.89. Attrition: Directive counselling versus TAU

Dropout

1.5.90. Attrition: Post-miscarriage counselling versus TAU/Enhanced TAU

Dropout

1.5.91. Attrition: Post-traumatic birth counselling versus TAU

Dropout

1.5.92. Attrition: Social support versus TAU

Dropout

1.5.93. Attrition: Psychologically (CBT/IPT) - informed psychoeducation versus TAU/Enhanced TAU

Dropout

1.5.94. Attrition: Non-mental health-focused education and support versus TAU

Dropout

1.5.95. Attrition: Home visits versus TAU

Dropout

1.5.96. Attrition: Mother-infant relationship interventions versus TAU/Enhanced TAU

Dropout

1.5.97. Attrition: Mother-infant relationship intervention with video feedback versus mother-infant relationship intervention with verbal feedback

Dropout

1.5.98. Attrition: Mother-infant relationship intervention (and guided self-help) versus listening visits (and guided self-help)

Dropout

1.5.99. Attrition: Co-parenting intervention versus Enhanced TAU

Dropout

1.5.100. Attrition: Music therapy during birth versus TAU

Dropout

1.5.101. Attrition: Psychosomatic intervention versus TAU

Dropout

1.5.102. Attrition: Mindfulness training versus Enhanced TAU

Dropout

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 NHS health visitor at clinic Post-Treatment (service utilisation [in past month] at endpoint) – ITT analysis

Visit to NHS health visitor at clinic Post-Treatment (service utilisation [in past month] at endpoint) – Available case analysis

Visit from NHS health visitor at home Post-Treatment (service utilisation [in past month] at endpoint) - by intervention

Visit from NHS health visitor at home Post-Treatment (service utilisation [in past month] at endpoint) - by intervention

Visit to GP Post-Treatment (service utilisation [in past month] at endpoint) – ITT analysis

Visit to GP Post-Treatment (service utilisation [in past month] 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) – 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

Asthma medication Post-Treatment (medication use [in past week] at endpoint) – Available case 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

Visit to A&E Long follow-up (service utilisation [in past month] at >24 week follow-up) – ITT analysis

Visit to A&E Long follow-up (service utilisation [in past month] at >24 week follow-up) – Available case analysis

Visit to NHS health visitor at clinic Long follow-up (service utilisation [in past month] at >24 week follow-up) – Available case analysis

Visit to GP Long follow-up (service utilisation [in past month] at >24 week follow-up) – ITT analysis

Visit to GP Long follow-up (service utilisation [in past month] 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)

Weight-for-age Post-treatment (mean z score at endpoint or first measurement) – Available case analysis

1.5.116. Infant physical development: Mother-infant relationship interventions versus TAU/Enhanced TAU

Infant motor development Post-treatment (mean score at endpoint or first measurement) – Available case analysis

1.5.128. Prevention of neglect or abuse of the infant: Home visits versus TAU

Child injury Post-treatment (Injury requiring medical attention at endpoint or first measurement) – ITT analysis

Child injury Post-treatment (Injury requiring medical attention at endpoint or first measurement) – Available case analysis

Ingestion of poison Post-treatment (incidence during trial measured at endpoint or first measurement) – Available case analysis

Child protective service reports (all types) Post-treatment (substantiated reports during trial measured at endpoint or first measurement) – ITT analysis

Child protective service reports (all types) Post-treatment (substantiated reports during trial measured at endpoint or first measurement) – Available case analysis

Child protective service reports (neglect) Post-treatment (substantiated reports during trial measured at endpoint or first measurement) – ITT analysis

Child protective service reports (neglect) Post-treatment (substantiated reports during trial measured at endpoint or first measurement) – Available case analysis

Maternal use of punishment Post-treatment (corporate/verbal punishment used anytime in past week measured at endpoint or first measurement) – ITT analysis

Maternal use of punishment Post-treatment (corporate/verbal punishment used anytime in past week measured at endpoint or first measurement) – Available case analysis

Potential for child abuse Post-treatment (mean score at endpoint or first measurement) – Available case analysis

1.6. PHARMACOLOGICAL INTERVENTIONS: PREVENTION (NO RISK FACTORS)

1.7. PHARMACOLOGICAL INTERVENTIONS (RISK FACTORS)

1.9. PHARMACOLOGICAL INTERVENTIONS: 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)

1.9.14. 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)

1.10. 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

Fluvoxamine - Teratogenic harms - VSD-cohort design

Escitalopram - Teratogenic harms - VSD-cohort design

1.12. PHYSICAL INTERVENTIONS: TREATMENT

1.12.2. Response: Depression specific acupuncture versus non-specific acupuncture

Non-response to treatment - Post-treatment - at endpoint or first measurement - (treatment)

1.12.8. Depression: Electroacupuncture versus non-invasive sham acupuncture

Depression symptoms - Mean depression scores Post-treatment - at endpoint or first measurement - (treatment)

1.12.13. Anxiety: Electroacupuncture versus non-invasive sham acupuncture

Anxiety symptoms - Mean anxiety scores Post-treatment - at endpoint or first measurement - (treatment)

1.12.14. General mental health outcomes: Physical activity versus treatment as usual

Sleep disturbance symptoms - Mean scores - Post-treatment – Available case analysis (treatment)

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