Perinatal depression in the Spanish contextconsensus report from the General Council of Psychology of Spain

  1. María F Rodríguez-Muñoz
  2. Emma Motrico
  3. Carmen Miguez
  4. Covadonga Chaves
  5. Carlos Suso-Ribera 1
  6. Almudena Duque
  7. María García Salinas
  8. Rafael A Caparrós-González
  9. Nuria Martin-Agudiez
  10. Katina Kovacheva
  11. Helena S García-López
  12. Patricia Vazquez-Batan
  13. Cecilia Peñacoba
  14. Jorge Osma 2
  1. 1 CIBER of Physiopathology of Obesity and Nutrition
  2. 2 Health Research Institute
Revue:
Clínica y salud: Investigación Empírica en Psicología

ISSN: 1130-5274

Année de publication: 2023

Volumen: 34

Número: 2

Pages: 51-63

Type: Article

DOI: 10.5093/CLYSA2023A15 DIALNET GOOGLE SCHOLAR

D'autres publications dans: Clínica y salud: Investigación Empírica en Psicología

Objectifs de Développement Durable

Résumé

ABSTRACT Background: Perinatal depression is a major public health problem, with an estimated prevalence of approximately 15% during the first postpartum year. Despite the high prevalence of postpartum depression, there is no consensus regarding assessment and treatment in the Spanish context. The General Council of Psychology of Spain convened a working group of experts in the field, including both academics and healthcare professionals, to review and propose recommendations based on evidence and best practices that could be applied in the Spanish context. Method: A literature search was completed in various databases (e.g., Medline, PsychInfo) including a combination of terms related to peripartum depression (PPD) assessment and diagnosis, prevention, treatment, and cost-effectiveness. A narrative synthesis of the literature has been conducted together with a critical overview of PPD with a special focus on the Spanish context. Results: In this consensus report, developing questions including prevalence and assessment tools, comparative effectiveness of preventive and treatment interventions, and cost-effectiveness of PPD management have been analyzed. Conclusions: The General Council of Psychology of Spain network advocates the establishment of compulsory screening protocols in all the autonomous regions. Also, it is necessary to promote the inclusion in maternal education of programs for the promotion of mental well-being and selective/indicated prevention carried out by a psychology professional with specialized training in the area. This consensus document also promotes the presence of a psychology professional with specialized training in the area.

Références bibliographiques

  • Abrams, L. S,Dornig, K,Curran, L.. (2009). Barriers to service use for postpartum depression symptoms among low-income ethnic minority mothers in the United States. Qualitative Health Research. 19. 535
  • (2013). American College of Obstetricians and Gynecologists Postpartum depression.. DC.
  • (2013). American Psychiatric Association Manual diagnóstico y estadístico de los trastornos mentales - DSM-5. APA.
  • Anderson, F. M,Hatch, S. L,Comacchio, C,Howard, L. M.. (2017). Prevalence and risk of mental disorders in the perinatal period among migrant women: A systematic review and meta-analysis. Archives of Women’s Mental Health. 20. 449
  • Arango, C,Díaz-Caneja, C. M,McGorry, P. D,Rapoport, J,Sommer, I. E,Vorstman, J. A,McDaid, D,Marín, O,Serrano-Drozdowskyj, E,Freedman, R,Carpenter, W.. (2018). Preventive strategies for mental health. The Lancet. Psychiatry. 5. 591-604
  • Baron, E,Bass, J,Murray, S. M,Schneider, M,Lund, C.. (2017). A systematic review of growth curve mixture modelling literature investigating trajectories of perinatal depressive symptoms and associated risk factors. Journal of Affective Disorders. 223. 194-208
  • Barlow, D. H,Sauer-Zavala, S,Farchi, T. J,Murray, H,Ellard, K,Bullis, J,Cassiello-Robbins, C.. (2018). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. Alianza Editorial.
  • Bauer, A,Parsonage, M,Knapp, M,Iemmi, V,Adelaja, B.. (2014). The costs of perinatal mental health problems.. Center for Mental Health and London School of Economic.
  • Besteiro, E. M,Aliaga, M. T,Pineda, M,Alegre, J. M,Berlanga, J. F,Martín, P. B.. (2001). La depresión postparto: un estudio exploratorio con una muestra de mujeres valencianas. Revista de Psicopatología y Psicología Clínica. 6. 37-48
  • Bina, R,Glasser, S.. (2019). Factors associated with attitudes toward seeking mental health treatment postpartum. Women & health. 59. 1-12
  • Bourget, D,Grace, J,Whitehurst, L.. (2007). A review of maternal and paternal filicide. The Journal of the American Academy of Psychiatry and the Law. 35. 74-82
  • Branquinho, M,Rodríguez-Muñoz, M. F,Maia, B. R,Marques, M,Matos, M,Osma, J,Moreno-Peral, P,Conejo-Cerón, S,Fonseca, A,Vousoura, E.. (2021). Effectiveness of psychological interventions in the treatment of perinatal depression: A systematic review of systematic reviews and meta-analyses. Journal of Affective Disorders. 291. 294-306
  • Brown, J. V. E,Wilson, C. A,Ayre, K,Robertson, L,South, E,Molyneaux, E,Trevillion, K,Howard, L. M,Khalifeh, H.. (2021). Antidepressant treatment for postnatal depression. The Cochrane Database of Systematic Reviews. 2.
  • Camacho, E. M,Shields, G. E.. (2018). Cost-effectiveness of interventions for perinatal anxiety and/or depression: A systematic review. BMJ Open. 8.
  • Carter, T,Bastounis, A,Guo, B,Jane Morrell, C.. (2019). The effectiveness of exercise-based interventions for preventing or treating postpartum depression: A systematic review and meta-analysis. Archives of Women’s Mental Health. 22. 37-53
  • Castelao, P,Rodríguez-Muñoz, M. F,Le, H.-N,Olivares, M. E,Izquierdo, N.. (2022). Suicidal ideation: Prevalence and risk factors during pregnancy. Midwifery. 106.
  • Cena, L,Mirabella, F,Palumbo, G,Gigantesco, A,Trainini, A,Stefana, A.. (2021). Prevalence of maternal antenatal and postnatal depression and their association with sociodemographic and socioeconomic factors: A multicentre study in Italy. Journal of Affective Disorders. 279. 217
  • Chapman, S. L. C,Wu, L. T.. (2013). Postpartum substance use and depressive symptoms: A review. Women & Health. 53. 47-503
  • Chaves, C,Marchena, C,Palacios, B,Salgado, A,Duque, A.. (2022). Effects of the COVID-19 pandemic on perinatal mental health in Spain: Positive and negative outcomes. Women and Birth. 35. 254
  • Chrzan-Dtko, M,Rodríguez-Muñoz, M. F,Krupelnytska, L,Morozova-Larina, O,Vavilova, A,López, H. G,Murawaska, N,Radoš, S. N.. (2022). Good practices in perinatal mental health for women during wars and migrations: A narrative synthesis from the COST Action Riseup-PPD in the context of the war in Ukraine. Clínica y Salud. 33. 127
  • Cox, J.. (2019). Thirty years with the Edinburgh Postnatal Depression Scale: Voices from the past and recommendations for the future. The British Journal of Psychiatry. 214. 127
  • Cox, J. L,Holden, J. M.. (1994). Perinatal psychiatry. Use and misuse of the Edinburgh Postnatal Depression Scale.. The Royal College of Psychiatrics.
  • Cox, J. L,Holden, J. M,Sagovsky, R.. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry. 150. 782
  • Crespo-Delgado, E,Martínez-Borba, V,Osma, J.. (2020). The unified protocol for transdiagnostic treatment of perinatal depression: A case study. Clinical Case Studies. 19. 491-508
  • Cuijpers, P,Franco, P,Ciharova, M,Miguel, C,Segre, L,Quero, S,Karyotaki, E.. (2021). Psychological treatment of perinatal depression: A meta-analysis. Psychological Medicine. 53. 2596-260813
  • Curry, S. J,Krist, A. H,Owens, D. K,Barry, M. J,Caughey, A. B,Davidson, K. W,Doubeni, C. A,Epling Jr, J. W,Grossman, D. C,Kemper, A. R,Kubik, M,Landefeld, C. S,Mangione, C. M,Silverstein, M,Simon, M. A,Tseng, C. W,Wong, J. B.. (2019). Interventions to prevent perinatal depression: US preventive services task force recommendation statement. JAMA. 321. 580
  • Dagher, R. K,Bruckheim, H. E,Colpe, L. J,Edwards, E,White, D. B.. (2021). Perinatal depression: Challenges and opportunities. Journal of Women’s Health. 30. 154
  • Dekel, S,Ein-Dor, T,Berman, Z,Barsoumian, I. S,Agarwal, S,Pitman, R. K.. (2019). Delivery mode is associated with maternal mental health following childbirth. Archives of Women’s Mental Health. 22. 817
  • Dennis, C. L,Dowswell, T.. (2013). Psychosocial and psychological interventions for preventing postpartum depression. The Cochrane Database of Systematic Reviews. 2.
  • Dimidjian, S,Goodman, S. H,Sherwood, N. E,Simon, G. E,Ludman, E,Gallop, R,Welch, S. S,Boggs, J. M,Metcalf, C. A,Hubley, S,Powers, J. D,Beck, A.. (2017). A pragmatic randomized clinical trial of behavioral activation for depressed pregnant women. Journal of Consulting and Clinical Psychology. 85. 26-36
  • Dunkel-Schetter, C.. (2011). Psychological science on pregnancy: Stress processes, biopsychosocial models, and emerging research issues. Annual Review of Psychology. 62. 531
  • Earls, M. F,Yogman, M. W,Mattson, G,Rafferty, J. (2019). Committee on Psychosocial Aspects of Child and Family Health Incorporating recognition and management of perinatal depression into pediatric practice. Pediatrics. 143. 20183259
  • Falah-Hassani, K,Shiri, R,Dennis, C. L.. (2017). The prevalence of antenatal and postnatal co-morbid anxiety and depression: A meta-analysis. Psychological Medicine. 47. 2041
  • Franta, G,Hersh, A. R,Cirino, N. H,Caughey, A. B.. (2022). Prevention of perinatal depression with counseling in adolescents: A cost-effectiveness analysis. The journal of Maternal-Fetal & Neonatal Medicine : The Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 35. 9593
  • Garcia-Esteve, L,Ascaso, C,Ojuel, J,Navarro, P.. (2003). Validation of the Edinburgh Postnatal Depression Scale (EPDS) in Spanish mothers. Journal of Affective Disorders. 75. 71
  • Garcia-Esteve, L,Giménez, A. T,Gurrutxaga, M,García, P. N,Terrén, C. A,Gelabert, E.. (2014). Perinatal depression among Spanish-speaking and Latin American women. Springer.
  • Gavin, N. I,Gaynes, B. N,Lohr, K. N,Meltzer-Brody, S,Gartlehner, G,Swinson, T.. (2005). Perinatal depression: A systematic review of prevalence and incidence. Obstetrics and Gynecology. 106. 1071
  • Gelaye, B,Rondon, M. B,Araya, R,Williams, M. A.. (2016). Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries. The lancet. 3. 973
  • (2018). Generalitat de Catalunya. Protocol de seguiment de l’embaràs a Catalunya.
  • Giannini, G,Cevoli, S,Sambati, L,Cortelli, P.. (2012). Migraine: Risk factor and comorbidity. Neurological Sciences. 33. 37-41
  • Glover, V,O’Connor, T. G,O’Donnell, K.. (2010). Prenatal stress and the programming of the HPA axis. Neuroscience and Biobehavioral Reviews. 35. 17-22
  • Goodman, J. H,Tyer-Viola, L.. (2010). Detection, treatment, and referral of perinatal depression and anxiety by obstetrical providers. Journal of Women’s Health. 19. 477
  • Grissette, B. G,Spratling, R,Aycock, D. M.. (2018). Barriers to help-seeking behavior among women with postpartum depression. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 47. 812
  • Grote, N. K,Bridge, J. A,Gavin, A. R,Melville, J. L,Iyengar, S,Katon, W. J.. (2010). A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Archives of General Psychiatry. 67. 1012
  • Gutiérrez-Zotes, A,Labad, J,Martín-Santos, R,García-Esteve, L,Gelabert, E,Jover, M,Guillamat, R,Mayoral, F,Gornemann, I,Canellas, F,Gratacós, M,Guitart, M,Roca, M,Costas, J,Luis Ivorra, J,Navinés, R,de Diego-Otero, Y,Vilella, E,Sanjuan, J.. (2015). Coping strategies and postpartum depressive symptoms: A structural equation modelling approach. European Psychiatry. 30. 701
  • Gutiérrez-Zotes, A,Labad, J,Martín-Santos, R,García-Esteve, L,Gelabert, E,Jover, M,Guillamat, R,Mayoral, F,Gornemann, I,Canellas, F,Gratacós, M,Guitart, M,Roca, M,Costas, J,Ivorra, J. L,Navinés, R,de Diego-Otero, Y,Vilella, E,Sanjuan, J.. (2016). Coping strategies for postpartum depression: A multi-centric study of 1626 women. Archives of Women’s Mental Health. 19. 455
  • Hoekzema, E,Barba-Müller, E,Pozzobon, C,Picado, M,Lucco, F,García-García, D,Soliva, J. C,Tobeña, A,Desco, M,Crone, E. A,Ballesteros, A,Carmona, S,Vilarroya, O.. (2017). Pregnancy leads to long-lasting changes in human brain structure. Nature Neuroscience. 20. 287
  • Hoekzema, E,Tamnes, C. K,Berns, P,Barba-Müller, E,Pozzobon, C,Picado, M,Lucco, F,Martínez-García, M,Desco, M,Ballesteros, A,Crone, E. A,Vilarroya, O,Carmona, S.. (2020). Becoming a mother entails anatomical changes in the ventral striatum of the human brain that facilitate its responsiveness to offspring cues. Psychoneuroendocrinology. 112.
  • Howard, L. M,Khalifeh, H.. (2020). Perinatal mental health: A review of progress and challenges. World Psychiatry. 19. 313
  • Huang, L,Zhao, Y,Qiang, C,Fan, B.. (2018). Is cognitive behavioral therapy a better choice for women with postnatal depression? A systematic review and meta-analysis. PLoS One 13. 10.
  • Hutchens, B. F,Kearney, J.. (2020). Risk factors for postpartum depression: An umbrella review. Journal of Midwifery & Women’s Health. 65. 96-108
  • Johnson, M,Schmeid, V,Lupton, S. J,Austin, M. P,Matthey, S. M,Kemp, L,Meade, T,Yeo, A. E.. (2012). Measuring perinatal mental health risk. Archives of Women’s Mental Health. 15. 375
  • Kendall-Tackett, K.. (2016). Depression in new mothers: Causes, consequences and treatment alternatives. Routledge.
  • Kendig, S,Keats, J. P,Hoffman, M. C,Kay, L. B,Miller, E. S,Moore Simas, T. A,Frieder, A,Hackley, B,Indman, P,Raines, C,Semenuk, K,Wisner, K. L,Lemieux, L. A.. (2017). Consensus bundle on maternal mental health: Perinatal depression and anxiety. Obstetrics and Gynecology. 129. 422
  • Kim, S.-K,Lee, K. T,Kang, C. S,Tao, L,Kannan, K,Kim, K.-R,Lee, J. S,Park, P. S,Yoo, Y. W,Ha, J. Y,Shin, Y.-S,Lee, J.-H.. (2011). Distribution of perfluorochemicals between sera and milk from the same mothers and implications for prenatal and postnatal exposures. Environmental Pollution (Barking, Essex: 1987). 159. 169
  • Kittel-Schneider, S,Felice, E,Buhagiar, R,Lambregtse-van den Berg, M,Wilson, C. A,Banjac Baljak, V,Vujovic, K. S,Medic, B,Opankovic, A,Fonseca, A,Lupattelli, A.. (2022). Treatment of peripartum depression with antidepressants and other psychotropic medications: A synthesis of clinical practice guidelines in Europe. International Journal of Environmental Research and Public Health. 19. 1973
  • Klaman, S. L,Turner, K.. (2016). Prevalence of perinatal depression in the military: A systematic review of the literature. Maternal and Child Health Journal. 20. 52-65
  • Kroenke, K,Spitzer, R.. (2002). The PHQ -9: A new depression diagnostic and severity measure. Psychiatric Annals. 32. 509
  • Kroenke, K,Spitzer, R. L,Williams, J. B.. (2003). The Patient Health Questionnaire-2: Validity of a two-item depression screener. Medical Care. 41. 1284
  • Le, H. N,Rodríguez-Muñoz, M. F,Soto-Balbuena, C,Olivares Crespo, M. E,Izquierdo Méndez, N,Marcos-Nájera, R.. (2020). Preventing perinatal depression in Spain: a pilot evaluation of “Mamás y Bebés”. Journal of Reproductive and Infant Psychology. 38. 546
  • Ledoux, C,Pilot, E,Diaz, E,Krafft, T.. (2018). Migrants’ access to healthcare services within the European Union: A content analysis of policy documents in Ireland, Portugal and Spain. Globalization and Health. 14. 1-11
  • Lee, E. W,Denison, F. C,Hor, K,Reynolds, R. M.. (2016). Web-based interventions for prevention and treatment of perinatal mood disorders: a systematic review. BMC Pregnancy and Childbirth. 16.
  • Lobel, M,Preis, H,Mahaffey, B,Schaal, N. K,Yirmiya, K,Atzil, S,Reuveni, I,Balestrieri, M,Penengo, C,Colli, C,Garzitto, M,Driul, L,Ilska, M,Brandt-Salmeri, A,Kołodziej-Zaleska, A,Caparros-Gonzalez, R. A,Castro, R. A,La Marca-Ghaemmaghami, P,Meyerhoff, H.. (2022). Common model of stress, anxiety, and depressive symptoms in pregnant women from seven high-income western countries at the COVID-19 pandemic onset. Social Science & Medicine. 315.
  • Loughnan, S. A,Sie, A,Hobbs, M. J,Joubert, A. E,Smith, J,Haskelberg, H,Mahoney, A. E. J,Kladnitski, N,Holt, C. J,Milgrom, J,Austin, M. P,Andrews, G,Newby, J. M.. (2019). A randomized controlled trial of ‘MUMentum Pregnancy’: Internet-delivered cognitive behavioral therapy program for antenatal anxiety and depression. Journal of Affective Disorders. 243. 381
  • Maia, B. R,Pereira, A. T,Marques, M,Bos, S,Soares, M. J,Valente, J,Gomes, A. A,Azevedo, M. H,Macedo, A.. (2012). The role of perfectionism in postpartum depression and symptomatology. Archives of Women’s Mental Health. 15. 459
  • Manea, L,Gilbody, S,McMillan, D.. (2015). A diagnostic meta-analysis of the Patient Health Questionnaire-9 (PHQ-9) algorithm scoring method as a screen for depression. General Hospital Psychiatry. 37. 67-75
  • Marcos-Nájera, R,Le, H. N,Rodríguez-Muñoz, M. F,Olivares, M. E,Izquierdo, N.. (2018). The structure of the Patient Health Questionnaire-9 in pregnant women in Spain. Midwifery. 62. 36-41
  • Marcos-Nájera, R,Rodríguez-Muñoz, M. F,Lara, M. A,Navarrete, L,Le, H. N.. (2021). A cross-cultural analysis of the prevalence and risk factors for prenatal depression in Spain and Mexico. Culture, Medicine, and Psychiatry. 45. 599-612
  • Marcos-Nájera, R,Rodríguez-Muñoz, M. F,Soto Balbuena, C,Olivares Crespo, M. E,Izquierdo Méndez, N,Le, H. N,Escudero Gomis, A.. (2020). The prevalence and risk factors for antenatal depression among pregnant immigrant and native women in Spain. Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society. 31. 564
  • Marín-Morales, D,Carmona Monge, F. J,Peñacoba-Puente, C.. (2014). Personalidad, síntomas depresivos en el embarazo y su influencia en la depresión postparto en gestantes Españolas. Anales de Psicología. 30. 908
  • Marín-Morales, D,Toro-Molina, S,Peñacoba-Puente, C,Losa-Iglesias, M,Carmona-Monge, F. J.. (2018). Relationship between postpartum depression and psychological and biological variables in the initial postpartum period. Maternal and Child Health Journal. 22. 866
  • Martín-Sánchez, M. B,Martínez-Borba, V,Catalá, P,Osma, J,Peñacoba-Puente, C,Suso-Ribera, C.. (2022). Development and psychometric properties of the maternal ambivalence scale in Spanish women. BMC Pregnancy and Childbirth. 22. 625
  • Martín-Santos, R,Gelabert, E,Subirà, S,Gutierrez-Zotes, A,Langorh, K,Jover, M,Torrens, M,Guillamat, R,Mayoral, F,Canellas, F,Iborra, J. L,Gratacos, M,Costas, J,Gornemann, I,Navinés, R,Guitart, M,Roca, M,DE Frutos, R,Vilella, E,Sanjuan, J.. (2012). Research letter: Is neuroticism a risk factor for postpartum depression?. Psychological Medicine. 42. 1559
  • Martinez-Borba, V,Suso-Ribera, C,Osma, J.. (2018). The use of information and communication technologies in perinatal depression screening: A systematic review. Cyberpsychology, Behavior and Social Networking. 21. 741
  • Martínez-Borba, V,Suso-Ribera, C,Osma, J,Andreu-Pejó, L.. (2020). Predicting postpartum depressive symptoms from pregnancy biopsychosocial factors: A longitudinal investigation using structural equation modeling. International Journal of Environmental Research and Public Health. 17. 8445
  • Martínez-Herreros, M. C,Rodríguez-Muñoz, M. F,Izquierdo-Méndez, N,Olivares-Crespo, M. E. (2022). Psychological, psychosocial and obstetric differences between spanish and immigrant mothers: Retrospective observational study. International Journal of Environmental Research and Public Health. 19. 11782
  • McCurdy, A. P,Boulé, N. G,Sivak, A,Davenport, M. H.. (2017). Effects of exercise on mild-to-moderate depressive symptoms in the postpartum period: A meta-analysis. Obstetrics and Gynecology. 129. 1087
  • Meaney, M. J.. (2018). Perinatal maternal depressive symptoms as an issue for population health. The American Journal of Psychiatry. 175. 1084
  • Mendelson, T,Cluxton-Keller, F,Vullo, G. C,Tandon, D,Noazin, S.. (2017). NICU- based interventions to reduce maternal depressive and anxiety symptoms: A meta-analysis. Pediatrics. 139. 20161870
  • Meuti, V,Aceti, F,Giacchetti, N,Carluccio, G. M,Zaccagni, M,Marini, I,Giancola, O,Ciolli, P,Biondi, M.. (2015). Perinatal depression and patterns of attachment: A critical risk factor?. Depression Research and Treatment. 2015.
  • Míguez, M. C,Fernández, V,Pereira, B.. (2017). Depresión postparto y factores asociados en mujeres con embarazos de riesgo. Behavioral Psychology/Psicología Conductual. 25. 47-64
  • Míguez, M. C,Vázquez, M. B.. (2021). Prevalence of depression during pregnancy in Spanish women: Trajectory and risk factors in each trimester. International Journal of Environmental Research and Public Health. 18. 6789
  • Míguez, M. C,Vázquez, M. B.. (2021). Risk factors for antenatal depression: A review. World Journal of Psychiatry. 11. 325
  • Milgrom, J,Negri, L. M,Gemmill, A. W,McNeil, M,Martin, P. R. (2005). A randomized controlled trial of psychological interventions for postnatal depression. The British journal of clinical psychology. 44. 529
  • (2014). Ministerio de Sanidad, Servicios Sociales e Igualdad. Guía de práctica clínica de atención en el embarazo y puerperio.
  • Miranda, J. J,Patel, V.. (2005). Achieving the millennium development goals: Does mental health play a role?. PLoS Medicine. 2.
  • Motrico, E,Domínguez-Salas, S,Rodríguez-Domínguez, C,Gómez-Gómez, I,Rodríguez-Muñoz, M. D. L. F,Gómez-Baya, D.. (2022). The impact of the COVID-19 pandemic on perinatal depression and anxiety: A large cross-sectional study in Spain. Psicothema. 34. 200
  • Motrico, E,Moreno-Peral, P,Uriko, K,Hancheva, C,Anelinovi, M,Ajaz, E,Apter, G,Bramante, A,Cerón, S. C,Christoforou, A,Dikmen-Yildiz, P,Evagorou, O,Fonseca, A,Lupatteli, A,Radoš, S. N,Al Maach, N,Rodríguez-Muñoz, M. F,Žuti, M,Lambregtse-van den Berg, M. P.. (2022). Clinical practice guidelines with recommendations for peripartum depression: A European systematic review. Acta Psychiatrica Scandinavica. 146. 325
  • Mu, T. Y,Li, Y. H,Pan, H. F,Zhang, L,Zha, D. H,Zhang, C. L,Xu, R. X. (2019). Postpartum depressive mood (PDM) among Chinese women: A metaanalysis. Archives of Women´s Mental Health. 22. 279
  • Murray-Kolb, L. E,Beard, J. L.. (2009). Iron deficiency and child and maternal health. The American Journal of Clinical Nutrition. 89. 946
  • Nair, U,Armfield, N. R,Chatfield, M. D,Edirippulige, S.. (2018). The effectiveness of telemedicine interventions to address maternal depression: A systematic review and meta-analysis. Journal of Telemedicine and Telecare. 24. 639
  • (2017). National Childbirth Trust The hidden half: Bringing postnatal mental illness out of hiding. The National Childbirth Trust.
  • (2014). National Institute for Health and Care Excellence (NICE) Antenatal and postnatal mental health: Clinical management and service guidance. NICE Clinical Guidance.
  • Nillni, Y. I,Mehralizade, A,Mayer, L,Milanovic, S.. (2018). Treatment of depression, anxiety, and trauma-related disorders during the perinatal period: A systematic review. Clinical Psychology Review. 66. 136
  • Nisar, A,Yin, J,Waqas, A,Bai, X,Wang, D,Rahman, A,Li, X.. (2020). Prevalence of perinatal depression and its determinants in Mainland China: A systematic review and meta-analysis. Journal of Affective Disorders. 277. 1022
  • Norhayati, M. N,Hazlina, N. H,Asrenee, A. R,Emilin, W. W. (2015). Magnitude and risk factors for postpartum symptoms: A literature review. Journal of Affective Disorders. 175. 34-52
  • O’Connor, E,Rossom, R,Henninger, M,Groom, H,Burda, B.. (2016). Primary care screening for and treatment of depression in pregnant and postpartum women: Evidence report and systematic review for the US Preventive Services Task Force. JAMA. 315. 388-406
  • O’Hara, M. W,Dennis, C.-L,McCabe, J. E,Galbally, M.. (2015). Identifying perinatal depression and anxiety: Evidence-based practice in screening, psychosocial assessment, and management. Wiley Blackwell.
  • (2018). Organización Mundial de la Salud (OMS). Salud mental: fortalecer nuestra respuesta..
  • Osborne, L. M,Voegtline, K,Standeven, L. R,Sundel, B,Pangtey, M,Hantsoo, L,Payne, J. L.. (2021). High worry in pregnancy predicts postpartum depression. Journal of Affective Disorders. 294. 701
  • Peñacoba-Puente, C,Marín-Morales, D,Carmona-Monge, F. J,Velasco, L.. (2016). Post-partum depression, personality, and cognitive-emotional factors: A longitudinal study on Spanish pregnant women. Health Care for Women International. 37. 97-117
  • Pereira, P. K,Lovisi, G. M,Lima, L. A,Legay, L. F,de Cintra, J. F,Santos, S. A,Thiengo, D. L,Valencia, E.. (2011). Psychiatric disorders - trends and developments. IntechOpen.
  • Petrošanec, M,Brekalo, M,Naki Radoš, S.. (2022). The metacognitive model of rumination and depression in postpartum women. Psychology and psychotherapy: Theory, Research and Practice. 95. 838
  • Ponting, C,Mahrer, N. E,Zelcer, H,Dunkel Schetter, C,Chavira, D. A.. (2020). Psychological interventions for depression and anxiety in pregnant Latina and Black women in the United States: A systematic review. Clinical Psychology & Psychotherapy. 27. 249
  • Prevatt, B. S,Desmarais, S. L.. (2018). Facilitators and barriers to disclosure of postpartum mood disorder symptoms to a healthcare provider. Maternal and Child Health Journal. 22. 120
  • Puyané, M,Subirà, S,Torres, A,Roca, A,Garcia-Esteve, L,Gelabert, E.. (2022). Personality traits as a risk factor for postpartum depression: A systematic review and meta-analysis. Journal of Affective Disorders. 298. 577
  • Racine, N,Zumwalt, K,McDonald, S,Tough, S,Madigan, S.. (2020). Perinatal depression: The role of maternal adverse childhood experiences and social support. Journal of Affective Disorders. 263. 576
  • Rafferty, J,Mattson, G,Earls, M. F,Yogman, M. W,Gambon, T. B,Lavin, A,Wissow, L. S. (2019). Incorporating recognition and management of perinatal depression into pediatric practice. Pediatrics. 143. 20183260
  • Rao, W. W,Zhu, X. M,Zong, Q. Q,Zhang, Q,Hall, B. J,Ungvari, G. S,Xiang, Y. T.. (2020). Prevalence of prenatal and postpartum depression in fathers: A comprehensive meta-analysis of observational surveys. Journal of Affective Disorders. 263. 491
  • Recto, P,Champion, J. D.. (2017). Psychosocial risk factors for perinatal depression among female adolescents: A systematic review. Issues in Mental Health Nursing. 38. 633
  • Reut, N,Kanat-Maymon, Y.. (2018). Spouses’ prenatal autonomous motivation to have a child and postpartum depression symptoms. Journal of Clinical Psychology. 74. 1808
  • Rezaie-Keikhaie, K,Arbabshastan, M. E,Rafiemanesh, H,Amirshahi, M,Ostadkelayeh, S. M,Arbabisarjou, A.. (2020). Systematic review and meta-analysis of the prevalence of the maternity blues in the postpartum period. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 49. 127
  • Rodríguez-Muñoz, M. F,Castelao Legazpi, P. C,Olivares Crespo, M. E,Soto Balbuena, C,Izquierdo Méndez, N,Ferrer Barrientos, F. J,Huynh-Nhu, L.. (2017). PHQ-2 como primer instrumento de cribado de la depresión prenatal [PHQ-2 as First Screening Instrument of Prenatal Depression in Primary Health Care, Spain]. Revista Española de Salud Pública. 91.
  • Rodríguez-Muñoz, M. F,Huynh-Nhu, L,Lara Cantú, M. A,Jaffe, A.. (2019). Psicología perinatal: teoría y práctica. Pirámide.
  • Rodríguez-Muñoz, M. F,Soto-Balbuena, C,Olivares Crespo, M. E,Marcos-Nájera, R,Al-Halabí Diaz, S.. (2021). Manual de tratamiento psicológicos adultos. Pirámide.
  • Santos, H,Tan, X,Salomon, R.. (2017). Heterogeneity in perinatal depression: how far have we come? A systematic review. Archives of Women’s Mental Health. 20. 11-23
  • Serati, M,Redaelli, M,Buoli, M,Altamura, A. C.. (2016). Perinatal major depression biomarkers: A systematic review. Journal of Affective Disorders. 193. 391-404
  • Silverman, M. E,Reichenberg, A,Savitz, D. A,Cnattingius, S,Lichtenstein, P,Hultman, C. M,Larsson, H,Sandin, S.. (2017). The risk factors for postpartum depression: A population-based study. Depression and Anxiety. 34. 178
  • Slomian, J,Honvo, G,Emonts, P,Reginster, J,Bruyère, O.. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women’s Health. 15.
  • Soto-Balbuena, C,Rodríguez-Muñoz, M. F,Escudero, A,Ferrer, F. J. (2018). Grupo PMBH Incidence, prevalence and risk factors related to anxiety symptoms during pregnancy. Psicothema. 30. 257
  • Thomason, M,Graham, A,Sullivan, E,Vatalaro, T,Heuvel, Marion I. van den. (2020). COVID-19 and perinatal experiences study.
  • Thul, T. A,Corwin, E. J,Carlson, N. S,Brennan, P. A,Young, L. J.. (2020). Oxytocin and postpartum depression: A systematic review. Psychoneuroendocrinology. 120.
  • Tokumitsu, K,Sugawara, N,Maruo, K,Suzuki, T,Shimoda, K,Yasui-Furukori, N.. (2020). Prevalence of perinatal depression among Japanese women: A meta-analysis. Annals of General Psychiatry. 19. 1-18
  • Vahdat Shariatpanaahi, M,Vahdat Shariatpanaahi, Z,Moshtaaghi, M,Shahbaazi, S. H,Abadi, A. (2007). The relationship between depression and serum ferritin level. European Journal of Clinical Nutrition. 61. 532
  • Van Niel, M. S,Payne, J. L.. (2020). Perinatal depression: A review. Cleveland Clinic Journal of Medicine. 87. 273
  • Vázquez, M. B,Míguez, M. C.. (2019). Validation of the Edinburgh postnatal depression scale as a screening tool for depression in Spanish pregnant women. Journal of Affective Disorders. 246. 515
  • Vázquez, M. B,Míguez, M. C.. (2022). La depresión en el primer año postparto: periodos críticos. Comunicación presentada en la X Jornada de Salud Mental Perinatal organizada por la Sociedad Marcé Española de Salud Mental Perinatal (MARES).
  • Warfa, N,Harper, M,Nicolais, G,Bhui, K.. (2014). Adult attachment style as a risk factor for maternal postnatal depression: A systematic review. BMC Psychology. 2. 56
  • Whisman, M. A,Davila, J,Goodman, S. H.. (2011). Relationship adjustment, depression, and anxiety during pregnancy and the postpartum period. Journal of Family Psychology. 25. 375
  • Wisner, K. L,Hanusa, B. H,Perel, J. M,Peindl, K. S,Piontek, C. M,Sit, D. K,Findling, R. L,Moses-Kolko, E. L.. (2006). Postpartum depression: A randomized trial of sertraline versus nortriptyline. Journal of Clinical Psychopharmacology. 26. 353
  • Woolhouse, H,Brown, S,Krastev, A,Perlen, S,Gunn, J.. (2009). Seeking help for anxiety and depression after childbirth: Results of the Maternal Health Study. Archives of Women’s Mental Health. 12. 75-83
  • Yang, K,Wu, J,Chen, X.. (2022). Risk factors of perinatal depression in women: A systematic review and meta-analysis. BMC Psychiatry. 22. 1-11
  • Yu, Y,Liang, H.-F,Chen, J,Li, Z.-B,Han, Y.-S,Chen, J.-X,Li, J.-C.. (2021). Postpartum depression: Current status and possible identification using biomarkers. Frontiers in Psychiatry. 12.
  • Zivoder, I,Martic-Biocina, S,Veronek, J,Ursulin-Trstenjak, N,Sajko, M,Paukovic, M.. (2019). Mental disorders/difficulties in the postpartum period. Psychiatria Danubina. 31. 338