Effect of Behavioral Activation for Women with Postnatal Depression: A Systematic Review and Meta-Analysis.

Evidence shows that behavioral activation (BA), a simple form of psychological therapy, is as effective as the more complex psychological therapy-cognitive behavioral therapy (CBT)-in treating general depression. However, it remains unclear whether BA when compared with treatment-as-usual (TAU) has...

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Main Authors: Yisma, Engida, Walsh, Sandra, Steen, Mary, Gray, Richard, Dennis, Shaun, Gillam, Marianne, Parange, Nayana, Jones, Martin
Format: Journal Article
Language:English
Published: 2024
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/94441
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author Yisma, Engida
Walsh, Sandra
Steen, Mary
Gray, Richard
Dennis, Shaun
Gillam, Marianne
Parange, Nayana
Jones, Martin
author_facet Yisma, Engida
Walsh, Sandra
Steen, Mary
Gray, Richard
Dennis, Shaun
Gillam, Marianne
Parange, Nayana
Jones, Martin
author_sort Yisma, Engida
building Curtin Institutional Repository
collection Online Access
description Evidence shows that behavioral activation (BA), a simple form of psychological therapy, is as effective as the more complex psychological therapy-cognitive behavioral therapy (CBT)-in treating general depression. However, it remains unclear whether BA when compared with treatment-as-usual (TAU) has greater contributions in reducing postnatal depression. This systematic review compared the effect of BA versus TAU in reducing depression symptoms among postnatal women. Five databases (MEDLINE, Embase, Emcare, Cochrane Library, and PsycINFO) were searched. Risk of bias was assessed using the Cochrane Collaboration's 'risk-of-bias 2 tool'. A random-effects meta-analysis was conducted to examine the effect of BA on postnatal depression. Of 2844 initial studies, only two randomized control trials (RCTs) met the inclusion criteria. The overall quality of evidence of these two RCTs was low. When compared to TAU, meta-analysis showed that BA was associated with reduced depression symptoms in postnatal women (standard mean difference -0.56; 95% confidence interval -0.76 to -0.37). This review suggests that BA might be more effective than TAU for alleviating postnatal depression. However, due to concerns about evidence quality, these findings should be interpreted cautiously.
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spelling curtin-20.500.11937-944412024-04-05T01:38:32Z Effect of Behavioral Activation for Women with Postnatal Depression: A Systematic Review and Meta-Analysis. Yisma, Engida Walsh, Sandra Steen, Mary Gray, Richard Dennis, Shaun Gillam, Marianne Parange, Nayana Jones, Martin behavioral activation meta-analysis postnatal depression systematic review women Evidence shows that behavioral activation (BA), a simple form of psychological therapy, is as effective as the more complex psychological therapy-cognitive behavioral therapy (CBT)-in treating general depression. However, it remains unclear whether BA when compared with treatment-as-usual (TAU) has greater contributions in reducing postnatal depression. This systematic review compared the effect of BA versus TAU in reducing depression symptoms among postnatal women. Five databases (MEDLINE, Embase, Emcare, Cochrane Library, and PsycINFO) were searched. Risk of bias was assessed using the Cochrane Collaboration's 'risk-of-bias 2 tool'. A random-effects meta-analysis was conducted to examine the effect of BA on postnatal depression. Of 2844 initial studies, only two randomized control trials (RCTs) met the inclusion criteria. The overall quality of evidence of these two RCTs was low. When compared to TAU, meta-analysis showed that BA was associated with reduced depression symptoms in postnatal women (standard mean difference -0.56; 95% confidence interval -0.76 to -0.37). This review suggests that BA might be more effective than TAU for alleviating postnatal depression. However, due to concerns about evidence quality, these findings should be interpreted cautiously. 2024 Journal Article http://hdl.handle.net/20.500.11937/94441 10.3390/nursrep14010007 eng http://creativecommons.org/licenses/by/4.0/ unknown
spellingShingle behavioral activation
meta-analysis
postnatal depression
systematic review
women
Yisma, Engida
Walsh, Sandra
Steen, Mary
Gray, Richard
Dennis, Shaun
Gillam, Marianne
Parange, Nayana
Jones, Martin
Effect of Behavioral Activation for Women with Postnatal Depression: A Systematic Review and Meta-Analysis.
title Effect of Behavioral Activation for Women with Postnatal Depression: A Systematic Review and Meta-Analysis.
title_full Effect of Behavioral Activation for Women with Postnatal Depression: A Systematic Review and Meta-Analysis.
title_fullStr Effect of Behavioral Activation for Women with Postnatal Depression: A Systematic Review and Meta-Analysis.
title_full_unstemmed Effect of Behavioral Activation for Women with Postnatal Depression: A Systematic Review and Meta-Analysis.
title_short Effect of Behavioral Activation for Women with Postnatal Depression: A Systematic Review and Meta-Analysis.
title_sort effect of behavioral activation for women with postnatal depression: a systematic review and meta-analysis.
topic behavioral activation
meta-analysis
postnatal depression
systematic review
women
url http://hdl.handle.net/20.500.11937/94441