- 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.
- 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.