A Systematic Review of Technology-Based Prevention and Treatment Interventions for Perinatal Depression and Anxiety in Latina and African American Women

Matern Child Health J. 2021 Feb;25(2):268-281. doi: 10.1007/s10995-020-03028-9. Epub 2021 Jan 3.

Abstract

Introduction: Latina and African American women have elevated risk for perinatal depression and anxiety but have low rates of treatment engagement. Amid significant improvements in narrowing the digital divide, the number of technology-based mental health interventions has increased. A technology-based mode of delivery is important to consider because it can increase patient engagement and should inform program development. This review aimed to assess the mode of technology used for preventing and/or treating perinatal depression and anxiety in Latina and African American women, examine symptom management, and describe participant satisfaction.

Methods: We used PubMed, CINAHL, PsycINFO, PsycARTICLES, EBSCO, and Social Services Abstracts to identify studies that used technology (e.g., smartphones) to prevent and/or treat depression and/or anxiety in Latina and/or African American perinatal women. To be eligible for inclusion, studies must have had at least 50% Latina and/or African American samples. The review was conducted between November 2018 and October 2019, with no set publication start date.

Results: Of 152 studies reviewed, six met the inclusion criteria. Four studies included African American women; two studies had samples that were mostly composed of Latina women. Three studies used telephone/smartphone (e.g., text messaging) and three implemented internet-based interventions. All studies addressed depression; one focused on anxiety. The findings demonstrated participant satisfaction and promise for symptom management.

Discussion: Despite the limited number of studies that used technology to engage Latina and African American perinatal women, the results suggest that these women were willing to participate in digital interventions to address perinatal depression and anxiety.

Keywords: African American; Anxiety; Latina; Perinatal depression; Technology.

Publication types

  • Systematic Review

MeSH terms

  • Anxiety / therapy*
  • Anxiety Disorders / therapy*
  • Black or African American / psychology*
  • Black or African American / statistics & numerical data
  • Depression / therapy*
  • Female
  • Hispanic or Latino / psychology*
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Mental Health
  • Perinatal Care / methods*
  • Pregnancy
  • Pregnancy Complications / psychology*
  • Quality of Life / psychology
  • Smartphone
  • Stress, Psychological
  • Technology*
  • Telephone
  • Text Messaging