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Psychotherapeutic Treatments for Depression During Pregnancy

GENOVEZ, MARTA, MPhil; VANDERKRUIK, RACHEL, MSC, MA; LEMON, ELIZABETH, MA; DIMIDJIAN, SONA, PhD

Clinical Obstetrics and Gynecology: September 2018 - Volume 61 - Issue 3 - p 562–572
doi: 10.1097/GRF.0000000000000388
Depression in the Pregnant Patient

Depression during pregnancy is a significant public health problem that is associated with adverse consequences for women and children. Despite the availability of treatment options, depression during pregnancy is often undertreated. Most pregnant women prefer nonpharmacological interventions over antidepressant medications. We review the evidence base for psychotherapeutic treatment approaches to depression during pregnancy. Treatments reviewed include interpersonal therapy, cognitive-behavioral therapy, behavioral activation, and mindfulness-based cognitive therapy. We review both traditional face-to-face delivery and digital interventions. We conclude with recommendations for treatment preferences, collaborative decision-making, and strategies to improve uptake of such services among prenatal women.

Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado

S.D. receives royalties from Guilford Press for work related to mindfulness-based cognitive therapy and Behavioral Activation and is on the advisory board of Mindful Noggin, which is part of NogginLabs, a private company specializing in customized web-based learning. The remaining authors declare that they have nothing to disclose.

Correspondence: Sona Dimidjian, PhD, Department of Psychology and Neuroscience University of Colorado Boulder, 345 UCB Muenzinger, Office 313B, Boulder, CO. E-mail: sona.dimidjian@colorado.edu

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