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Non-pharmacological interventions to reduce the symptoms of mild to moderate anxiety in pregnant women: a systematic review and narrative synthesis of women’s views on the acceptability of and satisfaction with interventions

Evans, Kerry; Spiby, Helen; Morrell, Jane C.

Non-pharmacological interventions to reduce the symptoms of mild to moderate anxiety in pregnant women: a systematic review and narrative synthesis of women’s views on the acceptability of and satisfaction with interventions Thumbnail


Authors

KERRY EVANS Kerry.Evans1@nottingham.ac.uk
Associate Professor

Jane C. Morrell



Abstract

To assess women’s views on the acceptability of and satisfaction with non-pharmacological interventions to reduce the symptoms of anxiety in pregnant women. A systematic review and narrative synthesis (Prospero protocol number CRD42015017841). Fourteen included studies were conducted in Australia, Canada, Germany, New Zealand, UK and USA. Interventions were cognitive behavioural therapy, mindfulness, yoga, psychological assessment, supportive and educational based interventions. Studies included women from general antenatal populations and women with anxiety or depression symptoms or risk factors for anxiety or depression. The findings were limited due to the small number of studies evaluating different types of interventions using various study methods. Some studies had too little procedural reporting to allow a full quality assessment. Women’s views on the acceptability of and satisfaction with interventions were overwhelmingly positive. The review highlights women’s motivations for and barriers to participation as well as the benefit women perceived from peer support and individual discussions of their situation. Interventions need to be further evaluated in randomised controlled trials. The inclusion of women’s views and experiences illuminates how and why intervention components contribute to outcomes. Women’s initial concerns about psychological screening and the benefit derived from peer support and individual discussion should be noted by providers of maternity care.

Journal Article Type Article
Acceptance Date Dec 6, 2018
Online Publication Date Jan 7, 2019
Publication Date Jan 7, 2019
Deposit Date Jan 10, 2019
Publicly Available Date Jan 10, 2019
Journal Archives of Women's Mental Health
Print ISSN 1434-1816
Electronic ISSN 1435-1102
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.1007/s00737-018-0936-9
Keywords Anxiety; Antenatal; Intervention; Pregnancy; Systematic review
Public URL https://nottingham-repository.worktribe.com/output/1460877
Publisher URL https://link.springer.com/article/10.1007/s00737-018-0936-9

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