Perinatal depression: USPSTF guidelines highlight counseling for at-risk women

  • JAMA

  • curated by Kelli Whitlock Burton
  • Clinical Essentials
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Takeaway

  • US Preventive Services Task Force (USPSTF) has released recommendations for interventions to prevent perinatal depression such as cognitive behavioral therapy and interpersonal therapy for adult women and adolescents aged 12-18 years who are pregnant or postpartum.

Why this matters

  • There are no guidelines on the prevention of perinatal depression, which affects as many up to 8.9% of pregnant women and up to 37% of women during the first year after delivery.

Key points

  • In the absence of a screening tool to identify those at high risk for perinatal depression, clinicians should provide counseling interventions to adult women and adolescents aged 12-18 years who are pregnant or postpartum and have ≥1 of these risk factors:
    • History of depression.
    • Current depressive symptoms that do not meet diagnostic criteria.
    • Socioeconomic factors, including low income, adolescent age, and single parenthood.
    • Survivors of recent intimate partner violence.
    • Those with heightened anxiety, a history of significant negative life events, or other mental health issues.
  • No evidence to support screening in children aged 11 years or younger.
  • Little evidence on the effectiveness of physical activity, education, pharmacotherapy, dietary supplements, and health system interventions for the prevention of perinatal depression.

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