Identifying and Synthesizing Components of Perinatal Mental Health Peer Support - a Systematic Review

Overview

Journal Front Psychiatry

Specialty Psychiatry

Date 2024 Jul 5

PMID 38966189

Authors

Laura Holzle

Philipp Schoch

Christine Hortnagl

Anna Buchheim

Astrid Lampe

Ingrid Zechmeister-Koss

Jean Lillian Paul

Affiliations

Soon will be listed here.

Abstract

Background: Becoming a parent, while often perceived as a joyous event, can also be a vulnerable life transition, with approximately one in five mothers experiencing perinatal mental illness. Peer support is recommended for its preventive and therapeutic benefits. However, relevant program components of perinatal mental health peer support remain to be identified.

Objectives: This review aims to (1) identify peer support programs in perinatal mental health through existing reviews and to (2) synthesize the components of these programs.

Methods: A systematic literature review guided by PRISMA was conducted searching four databases, supplemented by hand searches. The Template for Intervention Description and Replication (TIDieR) checklist facilitated the systematic extraction and synthesis of program components.

Results: Eleven peer support programs were identified from three reviews, largely conducted in English-speaking countries. The identified reviews highlight the benefits of peer support in perinatal mental health. Key components of individual programs were contextual background, materials, provider training and support, delivery modes and locations, and evaluation. Sharing lived experience and providing flexible support were central to all programs.

Conclusion: Aspects of flexibility, authenticity and the challenges of program evaluation in peer support must be considered. Findings can now inform future planning and implementation efforts of peer support programs in periantal mental health.

References

OHara M, Wisner K . Perinatal mental illness: definition, description and aetiology. Best Pract Res Clin Obstet Gynaecol. 2013; 28(1):3-12. PMC: 7077785. DOI: 10.1016/j.bpobgyn.2013.09.002. View

Sikander S, Lazarus A, Bangash O, Fuhr D, Weobong B, Krishna R . The effectiveness and cost-effectiveness of the peer-delivered Thinking Healthy Programme for perinatal depression in Pakistan and India: the SHARE study protocol for randomised controlled trials. Trials. 2015; 16:534. PMC: 4659202. DOI: 10.1186/s13063-015-1063-9. View

Goodman S, Rouse M, Connell A, Broth M, Hall C, Heyward D . Maternal depression and child psychopathology: a meta-analytic review. Clin Child Fam Psychol Rev. 2010; 14(1):1-27. DOI: 10.1007/s10567-010-0080-1. View

Anding J, Rohrle B, Grieshop M, Schucking B, Christiansen H . Early Detection of Postpartum Depressive Symptoms in Mothers and Fathers and Its Relation to Midwives' Evaluation and Service Provision: A Community-Based Study. Front Pediatr. 2015; 3:62. PMC: 4495314. DOI: 10.3389/fped.2015.00062. View

Shalaby R, Agyapong V . Peer Support in Mental Health: Literature Review. JMIR Ment Health. 2020; 7(6):e15572. PMC: 7312261. DOI: 10.2196/15572. View

Mead S, Hilton D, Curtis L . Peer support: a theoretical perspective. Psychiatr Rehabil J. 2002; 25(2):134-41. DOI: 10.1037/h0095032. View

Carter R, Cust F, Boath E . Effectiveness of a peer support intervention for antenatal depression: a feasibility study. J Reprod Infant Psychol. 2019; 38(3):259-270. DOI: 10.1080/02646838.2019.1668547. View

Miyamoto Y, Sono T . Lessons from peer support among individuals with mental health difficulties: a review of the literature. Clin Pract Epidemiol Ment Health. 2012; 8:22-9. PMC: 3343315. DOI: 10.2174/1745017901208010022. View

Dennis C . Peer support within a health care context: a concept analysis. Int J Nurs Stud. 2003; 40(3):321-32. DOI: 10.1016/s0020-7489(02)00092-5. View

10.

Lilja G, Edhborg M, Nissen E . Depressive mood in women at childbirth predicts their mood and relationship with infant and partner during the first year postpartum. Scand J Caring Sci. 2011; 26(2):245-53. DOI: 10.1111/j.1471-6712.2011.00925.x. View

11.

Cust F . Peer support for mothers with postnatal depression: A pilot study. Community Pract. 2016; 89(1):38-41. View

12.

Ansari N, Shah J, Dennis C, Shah P . Risk factors for postpartum depressive symptoms among fathers: A systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2021; 100(7):1186-1199. DOI: 10.1111/aogs.14109. View

13.

Triece P, Massazza A, Fuhr D . Effectiveness and implementation outcomes for peer-delivered mental health interventions in low- and middle-income countries: a mixed-methods systematic review. Soc Psychiatry Psychiatr Epidemiol. 2022; 57(9):1731-1747. DOI: 10.1007/s00127-022-02294-y. View

14.

Howard L, Piot P, Stein A . No health without perinatal mental health. Lancet. 2014; 384(9956):1723-4. DOI: 10.1016/S0140-6736(14)62040-7. View

15.

Kim P, Swain J . Sad dads: paternal postpartum depression. Psychiatry (Edgmont). 2010; 4(2):35-47. PMC: 2922346. View

16.

Rahman A, Fisher J, Bower P, Luchters S, Tran T, Yasamy M . Interventions for common perinatal mental disorders in women in low- and middle-income countries: a systematic review and meta-analysis. Bull World Health Organ. 2013; 91(8):593-601I. PMC: 3738304. DOI: 10.2471/BLT.12.109819. View

17.

Sockol L, Epperson C, Barber J . A meta-analysis of treatments for perinatal depression. Clin Psychol Rev. 2011; 31(5):839-49. PMC: 4108991. DOI: 10.1016/j.cpr.2011.03.009. View

18.

Howard L, Khalifeh H . Perinatal mental health: a review of progress and challenges. World Psychiatry. 2020; 19(3):313-327. PMC: 7491613. DOI: 10.1002/wps.20769. View

19.

Page M, McKenzie J, Bossuyt P, Boutron I, Hoffmann T, Mulrow C . The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021; 372:n71. PMC: 8005924. DOI: 10.1136/bmj.n71. View

20.

Dennis C . The effect of peer support on postpartum depression: a pilot randomized controlled trial. Can J Psychiatry. 2003; 48(2):115-24. DOI: 10.1177/070674370304800209. View