Alternative Treatments for Postpartum Depression
Purpose of review While pharmacotherapy is often used in the treatment of postpartum depression, there have been few positive randomized controlled trials that have supported this practice. Prior studies eliciting the treatment preferences of postpartum women have shown that this population is often hesitant to use antidepressant medications and have expressed a strong preference for psychotherapeutic interventions. Despite this, access to high-quality psychotherapy remains problematic in many regions. Given the concerns that many postpartum women have around the safety of antidepressant medications, it is important to consider alternative treatments that have some literature supporting their use in the treatment of postpartum depression. These alternative treatments include omega 3 fatty acids, vitamin D3, bright light therapy, repetitive transcranial magnetic stimulation, electroconvulsive therapy, exercise, parenting skills training, and social/peer support. In this narrative review, we will summarize the available literature for these treatments and discuss their potential incorporation into clinical practice. Recent findings Among alternative treatments for postpartum depression, we feel that there is a high level of support for psychosocial interventions targeting the women’s primary support network. The neuro-interventional treatments electroconvulsive therapy and repetitive transcranial magnetic stimulation have a moderate level of support. Treatments with a low level of supportive evidence include omega 3 fatty acid supplementation, vitamin D3 supplementation, exercise programs, parenting skills training, and bright light therapy. Summary Despite their popularity among this patient population, alternative treatments for postpartum depression other than primary psychosocial support lack a sufficient evidence base to recommend routine use..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:10 |
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| Enthalten in: |
Current treatment options in psychiatry - 10(2023), 3 vom: 06. Juni, Seite 288-312 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Thomson, Michael [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Themen: |
Alternative |
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| Anmerkungen: |
© The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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| doi: |
10.1007/s40501-023-00295-5 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a Purpose of review While pharmacotherapy is often used in the treatment of postpartum depression, there have been few positive randomized controlled trials that have supported this practice. Prior studies eliciting the treatment preferences of postpartum women have shown that this population is often hesitant to use antidepressant medications and have expressed a strong preference for psychotherapeutic interventions. Despite this, access to high-quality psychotherapy remains problematic in many regions. Given the concerns that many postpartum women have around the safety of antidepressant medications, it is important to consider alternative treatments that have some literature supporting their use in the treatment of postpartum depression. These alternative treatments include omega 3 fatty acids, vitamin D3, bright light therapy, repetitive transcranial magnetic stimulation, electroconvulsive therapy, exercise, parenting skills training, and social/peer support. In this narrative review, we will summarize the available literature for these treatments and discuss their potential incorporation into clinical practice. Recent findings Among alternative treatments for postpartum depression, we feel that there is a high level of support for psychosocial interventions targeting the women’s primary support network. The neuro-interventional treatments electroconvulsive therapy and repetitive transcranial magnetic stimulation have a moderate level of support. Treatments with a low level of supportive evidence include omega 3 fatty acid supplementation, vitamin D3 supplementation, exercise programs, parenting skills training, and bright light therapy. Summary Despite their popularity among this patient population, alternative treatments for postpartum depression other than primary psychosocial support lack a sufficient evidence base to recommend routine use. | ||
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