Guidelines for the Management of Depression During Pregnancy

Department of Psychiatry, University of Pennsylvania, 3535 Market Street, 2nd Floor, Philadelphia, PA 19104, USA.
Current Psychiatry Reports (Impact Factor: 3.24). 08/2010; 12(4):279-81. DOI: 10.1007/s11920-010-0114-x
Source: PubMed


Guidelines regarding the treatment of depression during pregnancy were recently published by the American Psychiatric Association and the American College of Obstetricians and Gynecologists. We provide a commentary on these guidelines.

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    • "However, therapeutic gains were not sustained on longitudinal follow-ups and did not generalize to infants' cognitive or behavioral outcomes, with the exception of one study in which extensive and prolonged therapy was implemented (Cicchetti et al., 2000). Current APA and AGOC guidelines recommend psychotherapy as the first-line of treatment for mild to moderate depression, although antidepressant medications are recommended in the presence of moderate to severe depressive symptoms, particularly in women with a history of recurrent depression (Kim et al., 2010; Yonkers et al., 2009). The acceptability of psychotherapy is reported to be high in postpartum women (Chabrol et al., 2004) and psychotherapy is often preferred to antidepressants in this population (Pearlstein et al., 2006; Turner et al., 2008). "
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