@article{ref1,
title="Efficacy of contextual therapies in perinatal depression and anxiety: a systematic review and meta-analysis",
journal="Journal of psychiatric research",
year="2023",
author="Torres-Giménez, Anna and Sureda, Bàrbara and Roca-Lecumberri, Alba and Andrés-Perpiñá, Susana and Solé, Eva and Gelabert, Estel",
volume="169",
number="",
pages="209-223",
abstract="BACKGROUND: There are previous meta-analyses on the efficacy of cognitive behavioral therapy or mindfulness-based therapies in the perinatal period, but no previous review has focused on contextual therapies as a whole. The aim of this study was to carry out a systematic review and meta-analysis of the efficacy of contextual therapies on depressive and anxious symptoms in women in the perinatal period. <br><br>METHODS: A systematic search for randomized clinical trials has been carried out in the PUBMED, CINAHL, Psyc-INFO and Cochrane Library search engines. For the quantitative synthesis, the Morris effect size measure has been used. <br><br>RESULTS: A total of 34 RCTs have been found, of which 30 have been used for meta-analysis. The mean effect size of the studies on depression scores was d(ppc2) = -0.81 (95% CI = -1.12 to -0.50), while it was d(ppc2) = -1.04 (95% CI = -1.54 to -0.53) in the case of studies on anxiety scores. These effect sizes decreased to medium effect sizes when corrected for publication bias. LIMITATIONS: The main limitations are the quality of the included studies, publication bias, and the limited number of studies on contextual therapies other than mindfulness-based therapies. <br><br>CONCLUSIONS: In conclusion, this systematic review found a large number of efficacy studies on mindfulness-based therapies and a small number of studies on the other contextual therapies. The effect sizes found are consistent with previous meta-analyses in the perinatal period.<p /> <p>Language: en</p>",
language="en",
issn="0022-3956",
doi="10.1016/j.jpsychires.2023.11.003",
url="http://dx.doi.org/10.1016/j.jpsychires.2023.11.003"
}