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Table 1 Characteristics of 12 randomized controlled trials of psychological interventions in pregnant women

From: Universal prevention of distress aimed at pregnant women: a systematic review and meta-analysis of psychological interventions

Author

Year

Country

Intervention type

Outcome(s)

Delivery method

Control

Nsess

Inclusion of partner

Timing intervention

Npat

Risk of bias

Akbarzadeh

2016

Iran

Psychoeducation

Anxiety (STAI)

Group

CAU

4

Yes

Prenatal

126 couples

High

Beattie et al.

2017

Australia

Mindfulness

Stress (PSS-10); Depression (EPDS)

Group

CAU (Pregnancy Support Program)

8

No

Prenatal

48 women

Low

Daley-McCoy et al.

2015

England

Psychoeducation

Depression (EPDS)

Group

CAU

1

Yes

Prenatal

63 couples (70 women and 65 men)

Some concerns

Feinberg & Kan

2008

United States

CBT

Depression (CES-D); Anxiety (TMAS)

Group

CAU (+ child care brochure)

8

Yes

Mixed (4 postnatal sessions)

169 couples

Some concerns

Gao et al.

2010

China

IPT

Depression (EPDS; GHQ)

Group (prenatal)/ Individual (postpartum phone call)

CAU

3

No

Mixed (1 postnatal session)

194 women

Some concerns

Haga et al.

2019

Norway

Multimodal

Depression (EPDS)

Individual (10-min online self-help sessions)

CAU

44

No

Mixed (11 prenatal sessions)

1342 women

Some concerns

Khorsandi et al.

2016

Iran

CBT

Stress (PSS-14)

Group

WL

8

No

Prenatal

64 women

Some concerns

Mao et al.

2012

China

CBT

Depression (PHQ-9; EPDS)

Group/Individual (1 coaching session)

CAU

5

No

Prenatal

240 women

Low

Matvienko-Sikar & Dockray

2017

Ireland

Mindfulness

Stress (PDS); Depression (EPDS)

Self-help

CAU

11

No

Prenatal

46 women

High

Milgrom et al.

2011

Australia

Psychoeducation

Depression (BDI-II); Anxiety (DASS); Stress (DASS)

Self-help (workbook)/individual (phone)

CAU (+ intervention workbook after study)

8

No

Mixed (1 postnatal session)

143 women

Some concerns

Ramezani et al.

2017

Iran

CBT

Depression (Austin Inventory; EPDS)

Group

AI (solution-focused counselling) + CAU

4

No

Prenatal

85 women

High

Woolhouse et al.

2014

Australia

Mindfulness

Depression (CES-D; DASS); Anxiety (STAI; DASS); Stress (PSS; DASS)

Group

CAU

• 6

No

Prenatal

32 women

Some concerns

  1. Abbreviations. BDI Beck Depression Inventory; depression; CAU care as usual; CBT cognitive behavioural therapy; CES-D Center for Epidemiological Studies, Depression Scale; DASS Depression Anxiety Stress scales short form; EPDS Edinburgh Postnatal Depression Scale; HADS-D Hospital Anxiety and Depression Scale; GHQ General Health Questionnaire; LQ Leverton Questionnaire; IPT Interpersonal psychotherapy; N pat number of patients; Nsess number of sessions; PDS Prenatal Distress Scale; PHQ-9 Patient Health Questionnaire; POMS Profile of Mood States (Depression / dejection scale); PSS Perceived Stress Scale; SH self-help; STAI State and Trait Anxiety Inventory; TMAS – Taylor Manifest Anxiety Scale; WL – waiting list.