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BMJ. 2019 Feb 25;364:l322. doi: 10.1136/bmj.l322.

Management of perinatal depression with non-drug interventions.

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1
Stanford University School of Medicine, Stanford, CA 94305-5119, USA.

Abstract

Perinatal depression is a common disorder that has been associated with serious risks to mother and child. Recently, screening for depression in pregnant and postpartum women has increased, as has the development of new psychotherapy and non-drug treatment modalities. Matching patients to treatments can be challenging, and although research into personalized treatment of major depression in the general population has increased, no published guidelines focus on personalized treatment approaches to perinatal depression. In particular, guidelines on non-drug treatments are lacking. This review summarizes the evidence on personalized non-drug treatment of perinatal depression, how to incorporate patients' preferences, novel treatments under investigation, and the potential role of biomarkers in matching patients to treatment. The review provides recommendations for future research in personalized care of perinatal depression.

PMID:
30803997
DOI:
10.1136/bmj.l322

Conflict of interest statement

Competing interests: We have read and understood BMJ policy on declaration of interests and declare the following interests: none.

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