Levine, MaryEllen & Nguyen, Fiona. The effectiveness of peer support for depression in postpartum women: a systematic review. Retrieved from https://doi.org/doi:10.7282/t3-61b0-3y41
DescriptionPurpose of Project:
The purpose of this systematic review was to examine available literature on the effectiveness of peer support and depression among postpartum women. Postpartum depression affects one in nine women and is associated with poor maternal and child outcomes including decreased breastfeeding duration and impaired bonding. Peer support groups may benefit women struggling with postpartum depression.
Methodology:
The systematic review method was utilized in this project to determine if the evidence supports the effectiveness of peer support interventions in decreasing postpartum depression. Using the three-step search strategy of the JBI, two databases were searched. Of the 133 articles identified, 14 full text articles were retrieved that met inclusion criteria based on abstract or title; 119 were excluded. Of the 14 articles that met criteria, 8 articles were excluded as they were out of the scope of the review. The majority (N=6) were excluded because they did not contain peer support interventions and 2 articles were excluded because they were observational studies. The final six studies were then appraised and extracted independently by two reviewers using the JBI Meta-Analysis of Statistics Assessment and Review Instrument critical appraisal and extraction tools. No articles were excluded after quality appraisal. The six included studies consisted of 3 randomized controlled trials and 3 quasi-experimental studies. A statistical meta-analysis was able to be performed on two of the articles, Narrative summary provides details for the remaining four articles that were not able to be included in the meta-analysis.
Results:
It was concluded that there was no significance in the meta-analysis. Clinical significance was appreciated in the narrative summary of the remaining four articles. The meta-analysis may have been underpowered due to small sample size, therefore, there is a need for more studies on the topic. Patients identified with PPD may benefit from peer support.
Implications for Practice:
Peer support may benefit women with postpartum depression. Peer support should be made available to all women at risk for depression after the birth of their child. It can be made available in the community or office setting and offered virtually or in person.