The impact of childhood trauma on psychological interventions for depression during pregnancy and postpartum: a systemat
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REVIEW ARTICLE
The impact of childhood trauma on psychological interventions for depression during pregnancy and postpartum: a systematic review Inbal Reuveni 1,2 & Maia Lauria 2 & Catherine Monk 2,3,4 & Elizabeth Werner 2,3 Received: 9 April 2020 / Accepted: 4 September 2020 # Springer-Verlag GmbH Austria, part of Springer Nature 2020
Abstract Women who have experienced childhood trauma (CT) are at increased risk for depression during pregnancy and postpartum, pregnancy complications, and adverse child outcomes. There are effective psychotherapeutic interventions to treat depression during pregnancy and postpartum, yet there is a paucity of literature on the impact of CT on treatment outcomes. This review aims to determine whether and how maternal CT history affects the outcomes of psychological interventions for depression during pregnancy and postpartum. PubMed, PsycINFO, and Cochrane Library searches were conducted to identify papers on psychological interventions designed to treat depression during pregnancy and postpartum in women with CT. Seven manuscripts, describing six studies, met the inclusion criteria (N = 1234). Three studies utilized core principles of interpersonal psychotherapy (IPT). Two studies investigated interventions based on cognitive behavioral therapy (CBT). One study was based on a psychoeducation component. Results suggest that IPT-based interventions are beneficial for women with CT. The evidence regarding CBT-based interventions is less conclusive. This review is written in light of the paucity of research addressing the question systematically. The Childhood Trauma Questionnaire (CTQ) was the main measure used to assess CT. Trauma related to accidents, illness, and political violence was not included. The results are only applicable to interventions based on either IPT or CBT and cannot be generalized to other forms of psychotherapy. Psychotherapeutic interventions are beneficial for depressed women with history of CT during pregnancy and postpartum; however, further systematic research is needed. Keywords Systematic review . Depression . Pregnancy . Postpartum . Childhood trauma . Psychological interventions
Introduction Depression during pregnancy and postpartum represents a major public health problem affecting 15–20% of women, with significantly higher rates in women who have a history of childhood trauma (CT; Meltzer-Brody et al. 2018; Olsen 2018; Wajid et al. 2019). Childhood traumatic experiences,
* Elizabeth Werner [email protected] 1
Department of Psychiatry, Hadassah Hebrew University Medical Center, Jerusalem, Israel
2
Department of Obstetrics & Gynecology, Columbia University Irving Medical Center, New York, NY, USA
3
Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA
4
New York State Psychiatric Institute, New York, NY, USA
such as physical and emotional abuse, neglect, and/or sexual abuse, are highly prevalent, with over 60% of adults in the USA reporting being exposed to at least one traumatic event in their childhoo
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