ESTRATEGIAS DE INTERVENCIÓN PARA LA DEPRESIÓN POSPARTO: REVISIÓN BIBLIOGRÁFICA
DOI:
https://doi.org/10.47820/recima21.v5i6.5303Palabras clave:
Depresión posparto, intervenciones terapéuticas, tratamiento, salud mental materna y recuperación.Resumen
La depresión posparto (DPP) es una enfermedad que afecta significativamente a la salud mental de las madres y al desarrollo de sus hijos. Con múltiples enfoques terapéuticos disponibles, es crucial identificar los más efectivos para tratar y manejar esta condición. Objetivo: Este artículo tiene como objetivo revisar y sintetizar las estrategias de intervención para la depresión posparto, destacando las terapias basadas en la evidencia y explorando los enfoques farmacológicos, psicológicos y alternativos en el tratamiento de la DPP. Métodos: Se realizó una revisión bibliográfica de los últimos 20 años, que abarcó estudios sobre la eficacia de la terapia cognitivo-conductual (TCC), la terapia interpersonal (TIP), las intervenciones psicoeducativas, los tratamientos farmacológicos y las prácticas de mindfulness y yoga. Resultados y Discusión: Terapias como la TCC y la TIP han demostrado ser eficaces para aliviar los síntomas de la DPP y mejorar el ajuste psicológico. Las intervenciones online y psicoeducativas facilitan el acceso y la adherencia al tratamiento. Los antidepresivos requieren una cuidadosa consideración en cuanto a su seguridad durante la lactancia. Las prácticas complementarias como el yoga y la atención plena son beneficiosas para reducir la ansiedad y promover el bienestar, lo que subraya la importancia de un enfoque holístico e integrador del tratamiento. Conclusión: La combinación de tratamientos psicológicos, farmacológicos y holísticos, adaptados a las necesidades individuales, es esencial para el tratamiento eficaz de la DPP.
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ANDERSSON, Gerhard et al. Guided Internet‐based vs. face‐to‐face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta‐analysis. World psychiatry, v. 13, n. 3, p. 288-295, 2014. DOI: https://doi.org/10.1002/wps.20151
BRUGHA, Traolach S. et al. Universal prevention of depression in women postnatally: cluster randomized trial evidence in primary care. Psychological medicine, v. 41, n. 4, p. 739-748, 2011. DOI: https://doi.org/10.1017/S0033291710001467
BRUMMELTE, Susanne; GALEA, Liisa AM. Postpartum depression: Etiology, treatment and consequences for maternal care. Hormones and behavior, v. 77, p. 153-166, 2016. DOI: https://doi.org/10.1016/j.yhbeh.2015.08.008
CUIJPERS, Pim; BRÄNNMARK, Jessica G.; VAN STRATEN, Annemieke. Psychological treatment of postpartum depression: a meta‐analysis. Journal of clinical psychology, v. 64, n. 1, p. 103-118, 2008. DOI: https://doi.org/10.1002/jclp.20432
DENNIS, Cindy‐Lee; CHUNG‐LEE, Leinic. Postpartum depression help‐seeking barriers and maternal treatment preferences: A qualitative systematic review. Birth, v. 33, n. 4, p. 323-331, 2006. DOI: https://doi.org/10.1111/j.1523-536X.2006.00130.x
DENNIS, Cindy‐Lee; HODNETT, Ellen D. Psychosocial and psychological interventions for treating postpartum depression. Cochrane database of systematic reviews, n. 4, 2007. DOI: https://doi.org/10.1002/14651858.CD006116.pub2
DOĞAN, Reyhan Aydin; BEJI, Nezihe Kizilkaya. Quality of life and depression conditions of women with gestational diabetes during pregnancy and postpartum period. Revista Brasileira de Ginecologia e Obstetrícia, v. 45, p. 065-073, 2023. DOI: https://doi.org/10.1055/s-0043-1764494
DRYER, Rachel; BRUNTON, R. Pregnancy-Related Anxiety. Theory, Research, and Practice, 2021. DOI: https://doi.org/10.4324/9781003014003
DUNCAN, Larissa G.; BARDACKE, Nancy. Mindfulness-based childbirth and parenting education: promoting family mindfulness during the perinatal period. Journal of child and family studies, v. 19, p. 190-202, 2010. DOI: https://doi.org/10.1007/s10826-009-9313-7
EBERT, David Daniel et al. Prevention of mental health disorders using internet-and mobile-based interventions: a narrative review and recommendations for future research. Frontiers in psychiatry, v. 8, p. 232196, 2017. DOI: https://doi.org/10.3389/fpsyt.2017.00116
FRANK, Ellen; SWARTZ, Holly A.; KUPFER, David J. Interpersonal and social rhythm therapy: managing the chaos of bipolar disorder. Bipolar Disorder, p. 257-268, 2019. DOI: https://doi.org/10.4324/9781315054308-27
GIDÉN, Karin et al. Feeling better?–Identification, interventions, and remission among women with early postpartum depressive symptoms in Sweden: a nested cohort study. European Psychiatry, v. 67, n. 1, p. e14, 2024. DOI: https://doi.org/10.1192/j.eurpsy.2024.6
GRIGORIADIS, Sophie et al. Antidepressant exposure during pregnancy and congenital malformations: is there an association? A systematic review and meta-analysis of the best evidence. The Journal of clinical psychiatry, v. 74, n. 4, p. 903, 2013. DOI: https://doi.org/10.4088/JCP.12r07966
GROTE, Nancy K. et al. A randomized controlled trial of culturally relevant, brief interpersonal psychotherapy for perinatal depression. Psychiatric Services, v. 60, n. 3, p. 313-321, 2009. DOI: https://doi.org/10.1176/ps.2009.60.3.313
HOWARD, Louise M. et al. Non-psychotic mental disorders in the perinatal period. The Lancet, v. 384, n. 9956, p. 1775-1788, 2014. DOI: https://doi.org/10.1016/S0140-6736(14)61276-9
JORDAN, Sue et al. Antidepressant prescriptions, discontinuation, depression and perinatal outcomes, including breastfeeding: a population cohort analysis. PLoS one, v. 14, n. 11, p. e0225133, 2019. DOI: https://doi.org/10.1371/journal.pone.0225133
KOZHIMANNIL, Katy Backes et al. Racial and ethnic disparities in postpartum depression care among low-income women. Psychiatric Services, v. 62, n. 6, p. 619-625, 2011. DOI: https://doi.org/10.1176/ps.62.6.pss6206_0619
KUMAR, Vikram et al. The effectiveness of internet-based cognitive behavioral therapy in treatment of psychiatric disorders. Cureus, v. 9, n. 8, 2017. DOI: https://doi.org/10.7759/cureus.1626
LE, Huynh-Nhu; PERRY, Deborah F.; STUART, Elizabeth A. Randomized controlled trial of a preventive intervention for perinatal depression in high-risk Latinas. Journal of consulting and clinical psychology, v. 79, n. 2, p. 135, 2011. DOI: https://doi.org/10.1037/a0022492
LEVIS, Brooke et al. Accuracy of the Edinburgh Postnatal Depression Scale (EPDS) for screening to detect major depression among pregnant and postpartum women: systematic review and meta-analysis of individual participant data. BMJ, v. 371, 2020. DOI: https://doi.org/10.1136/bmj.m4022
MILGROM, Jeannette et al. Antenatal risk factors for postnatal depression: a large prospective study. Journal of affective disorders, v. 108, n. 1-2, p. 147-157, 2008. DOI: https://doi.org/10.1016/j.jad.2007.10.014
MU, Ting‐Yu et al. Internet‐based interventions for postpartum depression: A systematic review and meta‐analysis. Nursing open, v. 8, n. 3, p. 1125-1134, 2021. DOI: https://doi.org/10.1002/nop2.724
MUZIK, Maria et al. Mindfulness yoga during pregnancy for psychiatrically at-risk women: Preliminary results from a pilot feasibility study. Complementary therapies in clinical practice, v. 18, n. 4, p. 235-240, 2012. DOI: https://doi.org/10.1016/j.ctcp.2012.06.006
O'HARA, Michael W.; MCCABE, Jennifer E. Postpartum depression: current status and future directions. Annual review of clinical psychology, v. 9, p. 379-407, 2013. DOI: https://doi.org/10.1146/annurev-clinpsy-050212-185612
O'MAHEN, Heather A. et al. Internet-based behavioral activation—Treatment for postnatal depression (Netmums): A randomized controlled trial. Journal of affective disorders, v. 150, n. 3, p. 814-822, 2013. DOI: https://doi.org/10.1016/j.jad.2013.03.005
O'MAHEN, Heather A.; FLYNN, Heather A. Preferences and perceived barriers to treatment for depression during the perinatal period. Journal of women's health, v. 17, n. 8, p. 1301-1309, 2008. DOI: https://doi.org/10.1089/jwh.2007.0631
PARK, Seong-Hi; KIM, Jeung-Im. Predictive validity of the Edinburgh postnatal depression scale and other tools for screening depression in pregnant and postpartum women: a systematic review and meta-analysis. Archives of Gynecology and Obstetrics, v. 307, n. 5, p. 1331-1345, 2023. DOI: https://doi.org/10.1007/s00404-022-06525-0
PAYNE, Jennifer L.; MAGUIRE, Jamie. Pathophysiological mechanisms implicated in postpartum depression. Frontiers in neuroendocrinology, v. 52, p. 165-180, 2019. DOI: https://doi.org/10.1016/j.yfrne.2018.12.001
PEARSON, R. M. et al. Depressive symptoms in early pregnancy disrupt attentional processing of infant emotion. Psychological medicine, v. 40, n. 4, p. 621-631, 2010. DOI: https://doi.org/10.1017/S0033291709990961
REYES, Jessica et al. Usability and acceptability of everhealthier women, a mobile application to enhance informed health choices. Journal of Obstetric, Gynecologic & Neonatal Nursing, v. 47, n. 6, p. 853-861, 2018. DOI: https://doi.org/10.1016/j.jogn.2018.04.139
SEGRE, Lisa S.; STUART, Scott; O'HARA, Michael W. Interpersonal Psychotherapy for Antenatal and Postpartum Depression. Primary Psychiatry, 2004.
SERATI, M. et al. Perinatal major depression biomarkers: a systematic review. Journal of affective disorders, v. 193, p. 391-404, 2016. DOI: https://doi.org/10.1016/j.jad.2016.01.027
SHARMA, Manoj; RUSH, Sarah E. Mindfulness-based stress reduction as a stress management intervention for healthy individuals: a systematic review. Journal of evidence-based complementary & alternative medicine, v. 19, n. 4, p. 271-286, 2014. DOI: https://doi.org/10.1177/2156587214543143
SOCKOL, Laura E. A systematic review and meta-analysis of interpersonal psychotherapy for perinatal women. Journal of affective disorders, v. 232, p. 316-328, 2018. DOI: https://doi.org/10.1016/j.jad.2018.01.018
SOCKOL, Laura E. A systematic review of the efficacy of cognitive behavioral therapy for treating and preventing perinatal depression. Journal of affective disorders, v. 177, p. 7-21, 2015. DOI: https://doi.org/10.1016/j.jad.2015.01.052
STEIN, Alan et al. Effects of perinatal mental disorders on the fetus and child. The Lancet, v. 384, n. 9956, p. 1800-1819, 2014. DOI: https://doi.org/10.1016/S0140-6736(14)61277-0
STEWART, Donna E.; VIGOD, Simone N. Postpartum depression: pathophysiology, treatment, and emerging therapeutics. Annual review of medicine, v. 70, p. 183-196, 2019. DOI: https://doi.org/10.1146/annurev-med-041217-011106
SUFREDINI, Francieli et al. The effects of social support on depression and anxiety in the perinatal period: A mixed-methods systematic review. Journal of Affective Disorders, v. 319, p. 119-141, 2022. DOI: https://doi.org/10.1016/j.jad.2022.09.005
UDECHUKU, Adaobi et al. Antidepressants in pregnancy: a systematic review. Australian & New Zealand Journal of Psychiatry, v. 44, n. 11, p. 978-996, 2010.
VELDERS, Fleur P. et al. Prenatal and postnatal psychological symptoms of parents and family functioning: the impact on child emotional and behavioural problems. European child & adolescent psychiatry, v. 20, p. 341-350, 2011. DOI: https://doi.org/10.1007/s00787-011-0178-0
VIDHYALAKSHMI, R. Effect of IAYT (Integrated Approach of Yoga Therapy) on motor nerve conductivity in spastic hemiplegic men. 2018. Tese (Doutorado) - Government Yoga and Naturopathy Medical College, Chennai, 2018.
WALLACE, Maeve E. et al. Joint effects of structural racism and income inequality on small-for-gestational-age birth. American journal of public health, v. 105, n. 8, p. 1681-1688, 2015. DOI: https://doi.org/10.2105/AJPH.2015.302613
WEISSMAN, Alicia M. et al. Pooled analysis of antidepressant levels in lactating mothers, breast milk, and nursing infants. American Journal of Psychiatry, v. 161, n. 6, p. 1066-1078, 2004. DOI: https://doi.org/10.1176/appi.ajp.161.6.1066
WOOLHOUSE, Hannah et al. Antenatal mindfulness intervention to reduce depression, anxiety and stress: a pilot randomised controlled trial of the MindBabyBody program in an Australian tertiary maternity hospital. BMC pregnancy and childbirth, v. 14, p. 1-16, 2014. DOI: https://doi.org/10.1186/s12884-014-0369-z
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