How to prevent pregnancy and birth depression with a low budget without medicine
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There are very many people who get depressed during ' perinatal period ', which means the period before and after childbirth , and 1 out of 7 pregnant women are experiencing perinatal depression. Women who have become depressed during the perinatal period are less likely to receive medical treatment for themselves or their own babies, and there are cases where they struggle to develop bonds with their born babies. It seems that there are many. To prevent such perinatal depression, a low-budget prevention method has been created that does not require the use of drugs that may adversely affect the human body.
Interventions to Prevent Perinatal Depression: US Preventive Services Task Force Recommendation Statement. | Depressive Disorders | JAMA | JAMA Network
https://jamanetwork.com/journals/jama/fullarticle/2724195
How to Prevent Perinatal Depression-Scientific American
https://www.scientificamerican.com/article/how-to-prevent-perinatal-depression/
The US Committee on Preventive Medicine (USPSSTF), who has established guidelines for lung cancer detection in the past, has found a way to use aspirin for heart disease prevention, and has made a number of achievements in the medical field. The Journal of Medical Association (JAMA) publishes research papers on new ways to prevent perinatal depression. According to the paper, there is 'convincing evidence' that counseling (conversational therapy) can treat or prevent perinatal depression. Treatment of perinatal depression includes drug treatment, etc., but it is the best treatment or prevention method for depression for pregnant women that speech therapy is relatively inexpensive and there are no side effects of treatment. It may be.
The USPSTF has reviewed 50 studies in the past on depression that are considered 'good' or 'fair' quality. Most of the reviewed studies are randomized clinical trials, which are the standard for treatment studies, compared to controls. About half of the studies focused on pregnant women and the other half focused on postnatal women. Some of the studies reviewed have experienced depression in the past, family experiences of depression, socioeconomic status, life stress or partner violence etc. Surveys are conducted on women who are at high risk for depression, based on whether they have stress factors, etc.
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Of these studies, 20 studies have measured the effectiveness of speech therapy. In the study, conversational therapy is continued for an average of about 8 weeks for the subjects, and the combined therapy and personal therapy spend about 12 hours of treatment time. And all 20 of the surveys found that speech therapy reduced perinatal depression and reduced depression by about 39% overall.
According to USPSTF estimates, it is possible to prevent the onset of depression in about 1 in 13 to 14 people in the general population who participate in counseling for speech therapy, which can be regarded as a solid return on investment costs about. Also, in studies of women already at risk for perinatal depression, the rate of treatment and prevention of depression has been improved further.
In addition, the speech therapy used in the research surveyed by the USP STF is ' cognitive behavior therapy (CBT)' focusing on tracking and correction of thinking and behavior, and ' interpersonal targeting on social roles and relationships. Two related treatment (IPT). One example of CBT is ' Mothers & Babies ', one of the group therapy, where weekly sessions are held during pregnancy and several booster sessions are held after delivery. The group CBT will provide education on mood, stress and health, as well as training to change problematic thinking patterns.
Northwestern Mothers & Babies Home-Northwestern Mothers & Babies
The USPSTF is also investigating 30 different studies focusing on treatments for depression other than speech therapy. Various treatments have been tried in each study, and some have included special screening for perinatal women and changes in insurance system levels such as patient navigation tools. In addition, various things such as exercise, sleep education for infants, yoga, essay writing, and support by telephone were tried, and it was said that many helped alleviate perinatal depression. However, overall, it seems that more research was needed for these alternative treatments.
Some of the studies that have been surveyed have also been related to pharmacological treatments or diets using sertraline , nortriptin , omega-3 fatty acids, etc. However, these studies have reported side effects of treatment and potential risks to the fetus. On the other hand, there are no side effects or other drawbacks in conversational therapy.
by JOSHUA COLEMAN
'It's great news that conversational therapy can prevent perinatal depression, but the actual medical practice has not been able to provide the expected preventative care,' says Scientific American. You However, as awareness about perinatal depression increases and incidents caused by perinatal depression increase, awareness across the community certainly changes. For example, California's new bill requires obstetrics providers to perform regular mental health screenings to detect perinatal depression early.
The cost of newly developed intravenous injection for the treatment of depression is about $ 34,000 per person (about 3,800,000 yen), while treatment with conversational therapy takes only eight sessions on average. Even semi-experts such as clinical social workers who have Given this cost advantage and no concern about side effects, conversational therapy to prevent perinatal depression may be 'one of the best treatments in healthcare,' the Scientific American notes You
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