%0 Meta-Analysis
%T Efficacy of contextual therapies in perinatal depression and anxiety: A systematic review and meta-analysis.
%A Torres-Giménez A
%A Sureda B
%A Roca-Lecumberri A
%A Andrés-Perpiñá S
%A Solé E
%A Gelabert E
%J J Psychiatr Res
%V 169
%N 0
%D 2024 01 20
%M 38043257
%F 5.25
%R 10.1016/j.jpsychires.2023.11.003
%X 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>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>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 dppc2 = -0.81 (95% CI = -1.12 to -0.50), while it was dppc2 = -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.<BR>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>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.