Database Information
Below is additional detail on the Perinatal Mental Health Systematic Review database that’s been developed so that those interrogating the data can understand the underlying information.
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Specifically:
Interventions for prevention and treatment of mental health problems in the perinatal period (including any intervention, both antenatal and postnatal period, and could target either/both parents)
Barriers and facilitators to care in this population (including service provision, cost, experiences, acceptability, etc)
Initial findings, from MEDLINE only: 2,563 SRs
De-duplication and additional criteria (detailed below) = 2,108
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Prevention and Treatment
Descriptions/Evaluations of Service Design/Organisation
Barriers, Facilitators, and Experiences
Generalisability of Evidence
Measurement
Aetiology, Incidence, and Prevalence
Impact on Offspring Outcomes
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Intervention (Prevention or Treatment)
Service Delivery and Organisation Initiatives
User Experience/Acceptability of Care
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Four different "Inclusion Criteria" were set:
Types of Study
Systematic Reviews
Clear and unambiguous eligibility criteria, detail of studies included, etc.
English language
No restrictions on date or study design
Types of Problem and Population
All Perinatal Mental Health problems
During pregnancy or up to 1 year post birth
Mothers, fathers, and other care givers
Types of Concept
Any type of prevention or treatment, or service intervention
Any evaluation of user experience
Types of Context
Any geographic location or any setting
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SRs were excluded based on the following criteria, but coded so could be easily identified for later synthesis where required.
General
E.g. anxiety-focused birth interventions, PMH post pregnancy termination or stillbirth
Aetiology and Incidence/Prevalence
SRs done on aetiology, incidence and prevalence of perinatal mental health problems
Validity/Reliability
Reviews of validity and reliability of measurement tools to assess perinatal mental health problems (unless relevant to service provision/use)
Offspring
Reviews relating to offspring outcomes relating to perinatal mental health problems, inclusive of parent-infant bonding
Umbrella Review
Overviews of reviews/“umbrella reviews of perinatal mental health questions
Duplicate Studies
Further information on inclusion and exclusion criteria can be provided.
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The SRs were finally categorised according to the following "Review Parameters" with assigned "Study Characteristics".
Review Parameters
Population Studied
Mothers
Fathers/Partners
Both Mothers and Partners
Mental Health Condition
Anxiety
Depression
OCD
PTSD
Eating Disorder
Psychosis
Other
Not Applicable
Perinatal Period
Prenatal
Postnatal
Perinatal
Intervention Type
Psychological / Psychoeducational / Psychosocial
Pharmacological
Physical (e.g. exercise)
Medical
Screening
Dietary
Complementary/Non-Conventional
Other
Not Applicable
Continent of Interest
Africa
Asia
Europe
North America
Oceania
South America
Not Reported
Not Applicable
Included Study Characteristics
Number (size of review)
0-1 Studies
2-5 Studies
6-10 Studies
11+ Studies
Study Types
Controlled Clinical Trials (including RCTs)
Observational Studies
Qualitative Studies (including mixed-methods)
Pilot Studies
Other
Not Reported
Not Applicable
Country in which Study Undertaken