From: Management of depression during the perinatal period: state of the evidence
Guideline | Treatment (intervention; provider) | ||||||
---|---|---|---|---|---|---|---|
Severity levels | Across severity levels | Alternative treatment | |||||
Indeterminate to Mild | Mild to Moderate | Moderate to Severe | Severe | Suicidal risk | |||
1. Alhusen and Alvarez [6] | N/A | N/A | N/A | N/A | N/A | •Psychoeducation (N/A; unspecified) •Psychotherapy (CBT, IPT, group therapy; unspecified) •Pharmacology (SSRIs; unspecified) | N/A |
2. Austin et al. [11] | •EPDS (> 10) •Psychoeducation (N/A; PCP or referral) | •EPDS (10–12) •Psychotherapy (CBT, IPT, PDT, non-directive counseling; PCP or referral) | N/A | •EPDS (12–13) •Combined psychotherapy (CBT, IPT, PDT) and pharmacology (SSRIs; PCP and referral) | N/A | N/A | N/A |
3. Austin et al. [10] | N/A | •Undefined •Psychoeducation (N/A; PCP and referral) •Psychotherapy (directive counseling; PCP and referral) | •Undefined •Combined psychotherapy (unspecified) and pharmacology (SSRIs; PCP and referral) | •EPDS (> 13) •ECT (N/A; referral) | •ECT (N/A; referral) | N/A | •Electronic mental health support (apps or moderate online forums; self-administered) |
4. Brock [16] | N/A | N/A | N/A | N/A | N/A | •Psychotherapy (unspecified; unspecified) •Pharmacology (unspecified; unspecified) | N/A |
5. Chua et al. [22] | N/A | •Undefined •Psychoeducation (N/A; referral) •Psychotherapy (CBT, IPT; referral) | •Undefined •Pharmacology (unspecified; referral) | •Undefined •ECT (N/A; referral) | N/A | N/A | N/A |
6. Committee on Obstetric Practice [23] | N/A | N/A | N/A | N/A | N/A | •Psychoeducation (N/A; unspecified) •Psychotherapy (unspecified; unspecified) | N/A |
7. Curry et al. [26] | N/A | N/A | N/A | N/A | N/A | •Psychotherapy (CBT, IPT; unspecified) | N/A |
8. Earls et al. [29] | •Undefined •Psychoeducation (N/A; PCP) | N/A | N/A | N/A | N/A | •Psychoeducation (N/A; referral) •Psychotherapy (unspecified; referral) •Pharmacology (unspecified; referral) | N/A |
9. MacQueen et al. [46] | N/A | •Undefined •Psychotherapy (CBT, IPT; unspecified) | •Undefined •Pharmacology (unspecified; unspecified) •ECT (N/A; unspecified) | •Undefined •ECT (N/A; referral) | N/A | N/A | N/A |
10. Molenaar et al. [50] | N/A | •Undefined •Psychotherapy (CBT, IPT; unspecified) | N/A | •Undefined •Pharmacology (unspecified; unspecified) | N/A | N/A | N/A |
11. NICE [52] | N/A | •Undefined •Psychotherapy (CBT, IPT; referral) | •Undefined •Combined psychotherapy (CBT, IPT) and pharmacology (SSRIs, TCAs, SNRIs; referral) | •Undefined •ECT (N/A; referral) | N/A | N/A | N/A |
12. Nordeng and Jettestad [53] | N/A | •Undefined •Psychotherapy (CBT, family therapy; unspecified) | N/A | N/A | N/A | •Psychotherapy (CBT, family therapy; unspecified) | N/A |
13. O’Hara and Engeldinger [55] | N/A | N/A | N/A | N/A | N/A | •Psychotherapy (CBT, IPT, BA; referral) •Pharmacology (SSRIs, TCAs, SNRIs, NaSSAs; unspecified) | •Electronic mental health support (apps; self-administered) |
14. Rafferty et al. [57] | N/A | •Undefined •Psychoeducation (N/A; referral) •Psychotherapy (CBT; referral) | •Undefined •Pharmacology (SSRIs; referral) | N/A | N/A | •Psychoeducation (N/A; referral) | N/A |
15. RNAO [58] | N/A | •Undefined •Psychotherapy (CBT, IPT; referral) | •Undefined •Pharmacology (unspecified; PCP) | •Undefined •Combined psychotherapy (CBT, IPT) and pharmacology (unspecified; PCP or referral) | N/A | N/A | •BLT (N/A; self-administered) |
16. Robson et al. [59] | N/A | N/A | N/A | •Undefined •Combined psychotherapy (CBT, IPT, PDT) and pharmacology (SSRIs; PCP and referral) | N/A | N/A | N/A |
17. SIGN [63] | N/A | •Undefined •Psychotherapy (CBT, IPT, PDT; PCP or referral) | •Undefined •Pharmacology (SSRIs, TCAs; PCP and referral) | N/A | N/A | N/A | N/A |
18. Siu et al. [65] | N/A | N/A | N/A | N/A | N/A | •Psychotherapy (CBT; unspecified) •Pharmacology (unspecified; unspecified) | N/A |
19. Sparks et al. [68] | •PHQ-9 (5–9) •Psychoeducation (N/A; PCP or referral) | •PHQ-9 (10–14) •Psychotherapy (CBT, group therapy; referral) •Pharmacology (unspecified; PCP or referral) | •PHQ-9 (15–19) •Combined psychotherapy (CBT) and pharmacology (unspecified; PCP and referral) | •PHQ-9 (20–27) •Combined psychotherapy (CBT) and pharmacology (unspecified; PCP and referral) |  | N/A | N/A |
20. Williams et al. [73] | N/A | •Undefined •Psychoeducation (N/A; PCP or referral) •Psychotherapy (CBT, IPT, PDT, group therapy, family therapy; PCP or referral) | •Undefined •Pharmacology (unspecified; PCP and referral) •ECT (N/A; referral) | N/A | •ECT (N/A; unspecified) | N/A | •BLT (N/A: self-administered) |
21. Yonkers et al. [76] | N/A | N/A | N/A | N/A | N/A | •Psychotherapy (CBT, IPT, PDT; referral) •Pharmacology (unspecified; referral) | N/A |