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Internet-delivered psychological interventions for clinical anxiety and depression in perinatal women: a systematic review and meta-analysis
Open accessAbstract
Perinatal anxiety and depression are common and associated with negative outcomes if left untreated. Internet-delivered treatments can improve treatment accessibility and have demonstrated effectiveness in treating anxiety and depression in the general adult population. However, little is known about how effective and acceptable these interventions are for perinatal women. This paper describes a systematic review and preliminary meta-analysis of internet-delivered psychological interventions for the treatment of clinical anxiety and depression in perinatal women. A systematic search was carried out of seven electronic databases. Seven studies evaluating six distinct internet-delivered psychological interventions were identified. Of the seven studies included, two were open trials and five were randomized controlled trials with a total of 595 participants. Preliminary findings indicate large improvements in depression (Hedges g = 1.67; 95% CI 1.38-1.96) and anxiety (Hedges g = 1.08; 95% CI 0.80-1.36) from pre- to post-treatment. However, between-group differences between interventions and control conditions were only moderate for depression (Hedges g = 0.60; 95% CI 0.43-0.78) and anxiety (Hedges g = 0.54; 95% CI 0.24-0.85). While our preliminary findings are promising, this review identifies an area of research still in its early stages with significant gaps in the literature that need to be addressed. Further research is needed to establish the efficacy and acceptability of these interventions in this population, especially for antenatal depression and anxiety disorders.
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“To our knowledge, there are currently few systematic reviews and meta-analyses in the literature that have dealt specifically with the topic of mental health and telemedicine interventions for pregnant women or new mothers [26–31].”
From Mental health-related telemedicine interventions for pregnant women and new mothers: a systematic literature review (2023) · cites this paper as [27]
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“Existing reviews focused on specific intervention contents like internet-delivered Cognitive Behavioural Therapy (iCBT) [27, 31] on specific diagnoses like depression and anxiety [27, 28, 30, 31] or on specific modalities like internet-delivered interventions [26, 29].”
From Mental health-related telemedicine interventions for pregnant women and new mothers: a systematic literature review (2023) · cites this paper as [27]
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“Losses to follow up are also often higher in patients with mental impairments [27].”
From Mental health-related telemedicine interventions for pregnant women and new mothers: a systematic literature review (2023) · cites this paper as [27]
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Metadata
- Authors
- Loughnan, S. A., Joubert, A. E., Grierson, A., Andrews, G., & Newby, J. M.
- Affiliations
- UNSW Sydney (AU)
- Corresponding author
- Loughnan, Siobhan A.
- Venue
- Archives of Women's Mental Health
- Published
- 2019-05-17
- Volume
- 22
- Issue
- 6
- Pages
- 737-750
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- OpenAlex
- W2946268359
- Cited by
- 123
- References
- 41
- Citations by year
- 2026: 18 · 2025: 14 · 2024: 14 · 2023: 25 · 2022: 22 · 2021: 22 · 2020: 7 · 2019: 1
- FWCI
- 2.12
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Archives of Women s Mental Health (publishedVersion)
- PubMed (publishedVersion)
- UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- perinatal anxiety, perinatal depression, antenatal depression, prenatal anxiety, perinatal women, treatment efficacy, acceptability, digital mental health
- MeSH terms
- Adult, Anxiety Disorders, Depressive Disorder, Female, Humans, Pregnancy, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Treatment Outcome, Telemedicine, Internet
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