Psychological Therapies for Perinatal Depression: Updated Systematic Review
November 4, 2025
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3 min
8 Key Takeaways
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1
Review analyzed 44 trials involving 5,926 participants.
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2
CBT and IPT show moderate effectiveness in reducing depressive symptoms.
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3
Behavioral activation demonstrated limited benefits.
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4
Nondirective counseling shows no significant advantage.
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5
Evidence strength varies among treatments.
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6
Consistency across various settings and delivery methods.
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7
Study limitations include moderate bias risk and demographic homogeneity.
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8
Findings impact upcoming ACOG clinical guidelines.
A systematic review of 44 randomized controlled trials examined the efficacy of cognitive behavioral therapy (CBT), interpersonal therapy (IPT), behavioral activation (BA), and nondirective counseling in treating perinatal depression among 5,926 participants. CBT and IPT show probable reductions in depressive symptoms compared to usual care, alongside moderate effectiveness for anxiety, while BA demonstrated limited efficacy. Nondirective counseling offered no significant advantage. Therapy benefits were consistent across various conditions, but generalizability is limited due to study demographics. This review influences clinical practice guidelines from the ACOG.
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