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Review
. 2021 Aug;24(4):595-603.
doi: 10.1007/s00737-020-01101-4. Epub 2021 Jan 15.

Listening Visits for maternal depression: a meta-analysis

Jennifer E McCabe  1 , Birgitta Wickberg  2 , Jennifer Deberg  3 , Rebecca Chuffo Davila  4 , Lisa S Segre  5
Affiliations
Review

Listening Visits for maternal depression: a meta-analysis

Jennifer E McCabe et al. Arch Womens Ment Health. 2021 Aug.

Abstract

Listening Visits are a non-directive counseling intervention delivered by nurses to depressed postpartum women. In 2007, Listening Visits were listed as a recommended treatment in British national guidelines. They were removed from the guideline update, due to the small effect size drawn from a meta-analysis of five clinical trials with depressed and non-depressed postpartum women. The purpose of this meta-analysis is to provide an estimate of the true population effect of Listening Visits as a treatment for maternal depression compared to control conditions. A meta-analytic review was conducted of studies published before October 2020. Inclusion criteria required that the study was a pragmatic or randomized trial of Listening Visits delivered by non-mental health specialists to mothers with elevated symptoms of maternal depression. Post-treatment depression rates for the treatment and control groups were extracted from eligible studies. Six studies met eligibility criteria which included 703 participants. Analyses of observed effect sizes corrected for study artifacts revealed an estimate of 0.66 (95% CI: 0.32, 0.99) with high heterogeneity (Q = 17.95, p = 0.003, I2 = 72.14). After removing outliers and addressing heterogeneity across observed effect sizes, the meta-analytic estimate across four methodologically similar studies and 651 participants was 0.43 (95% CI: 0.24, 0.62). The moderate effect size for Listening Visits, considered together with the advantages afforded by how, where, and who provides this treatment, supports Listening Visits as a first-line intervention in a stepped care approach for mothers with mild to moderately severe depression symptoms.

Keywords: Listening Visits; Maternal depression; Meta-analysis; Nurses; Treatment.

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References

    1. Atkins DC, Christensen A (2001) Is professional training worth the bother? A review of the impact of psychotherapy training on client outcome. Aust Psychol 36:122–130. https://doi.org/10.1080/00050060108259644 - DOI
    1. Brugha TS, Morrell CJ, Slade P, Walters SJ (2011) Universal prevention of depression in women postnatally: clustered randomized trial evidence in primary care. Psychol Med 41:739–748. https://doi.org/10.1017/S0033291710001467 - DOI - PubMed
    1. Collaborators GBD, Nomura S (2018) Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 392:1789–1858. https://doi.org/10.1016/S0140-6736(18)32279-7 - DOI
    1. Cooper PJ, Murray L, Wilson A, Romaniuk H (2003) Controlled trial of the short-and long-term effect of psychological treatment of post-partum depression. I. Impact on maternal mood. Br J Psychiatry 182(5):412–419. https://doi.org/10.1192/bjp.182.5.412 - DOI - PubMed
    1. Cowley S, Caan W, Dowling S, Weir H (2007) What do health visitors do? A national survey of activities and service organization. Public Health 121:869–879. https://doi.org/10.1016/j.puhe.2007.03.016 - DOI - PubMed

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