Effect of eHealth interventions on perinatal depression: A meta-analysis.

Journal: Journal of affective disorders

Volume: 354

Issue: 

Year of Publication: 

Affiliated Institutions:  School of Nursing, Nanjing Medical University, Jiangsu, China. Women's Hospital of Nanjing Medical University, Nanjing Women and Children's Healthcare Hospital, Jiangsu, China. Central South University Xiangya School of Nursing, Hunan, China. Affiliated Hospital of Xuzhou Medical University, Jiangsu, China. School of Nursing, Suzhou University, Jiangsu, China. Women's Hospital of Nanjing Medical University, Nanjing Women and Children's Healthcare Hospital, Jiangsu, China. Electronic address: zhangaixia@njmu.edu.cn.

Abstract summary 

Perinatal depression (PND) is a common mental health problem, and eHealth interventions may provide a strategy for alleviating PND.This meta-analysis aimed to determine the effect of eHealth interventions on PND.Six databases were searched to retrieve published randomized controlled trials (RCTs) on the effect of eHealth interventions on PND. A meta-analysis was performed on the data of these studies using a random effects model.A total of 21 RCTs were included in the meta-analysis, which revealed that eHealth interventions significantly reduced antenatal depression (WMD = -1.64, 95 % CI [-2.92, -0.35], P = .013), postpartum depression (SMD = -0.41, 95 % CI [-0.52, -0.29], P < .001), anxiety (SMD = -0.39, 95 % CI [-0.51, -0.28], P < .001), stress (WMD = -2.93, 95 % CI [-4.58, -1.27], P = .001), and improved self-efficacy (SMD = 0.42, 95 % CI [0.21, 0.63], P < .001) compared with the control group. However, eHealth interventions did not significantly improve social support (SMD = 0.27, 95 % CI [-0.01, 0.56], P = .058). For antenatal depression, significant subgroup differences were observed in the digital platform and material presentation format. In addition, for postpartum depression, significant subgroup differences were found in the type of therapy.The meta-analysis results suggest that eHealth interventions can relieve depression, anxiety, and stress symptoms and improve self-efficacy in perinatal women. However, these interventions did not improve social support. Additional high-quality studies on eHealth interventions in PND are needed to validate these results.

Authors & Co-authors:  Xie Cong Wang Sun Han Ni Zhang

Study Outcome 

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Statistics
Citations : 
Authors :  7
Identifiers
Doi : 10.1016/j.jad.2024.03.027
SSN : 1573-2517
Study Population
Male,Female
Mesh Terms
Other Terms
Depression;Perinatal;eHealth
Study Design
Study Approach
Country of Study
Publication Country
Netherlands