Penatalaksanaan Depresi Postpartum

Oleh :

dr. Irwan Supriyanto PhD SpKJ

Penatalaksanaan depresi postpartum yang terbukti efektif adalah antidepresan dan psikoterapi melalui telemedicine. Terapi depresi postpartum perlu segera dilakukan, karena gejala-gejala depresi akan mengganggu hubungan ibu dan anak sehingga dapat mengganggu pertumbuhan dan perkembangan anak.[18,19]

Psikoterapi

Penatalaksanaan depresi postpartum sebaiknya mengedepankan metode nonfarmakologis sebagai terapi lini pertama. Penelitian menunjukkan bahwa psikoterapi, seperti individual interpersonal, cognitive behavioral therapy (CBT), dan terapi kelompok/keluarga efektif pada kasus depresi postpartum.[2,19]

Referensi

2. Mughal S, Azhar Y, Siddiqui W. Postpartum Depression.Treasure Island (FL): StatPearls Publishing; 2022 Jan. https://www.ncbi.nlm.nih.gov/books/NBK519070/
3. Trigo, M. Postpartum depression: How it differs from the “baby blues”. European Psychiatry, 64(S1), S694-S695. 2021. doi:10.1192/j.eurpsy.2021.1839
8. Lenells M, Andersson E, et al. Breastfeeding interventions for preventing postpartum depression. Cochrane Database of Systematic Reviews 2021, Issue 10. Art. No.: CD014833. DOI: 10.1002/14651858.CD014833.
12. Gondo, H. K. Skrinning Edinburgh Postnatal Depression Scale (EPDS) pada Postpartum Blues. Jurnal Ilmiah Kedokteran Wijaya Kusuma Surabaya. 2012
18. Chow, R., Huang, E., Li, A. et al. Appraisal of systematic reviews on interventions for postpartum depression: systematic review. BMC Pregnancy Childbirth 21, 18 (2021). https://doi.org/10.1186/s12884-020-03496-5
19. Sriraman NK, Pham DQ, Kumar R. Postpartum Depression: What Do Pediatricians Need to Know? Pediatr Rev. 2017 Dec;38(12):541-551. doi: 10.1542/pir.2015-0133. Erratum in: Pediatr Rev. 2018 Jan;39(1):54. PMID: 29196509.
20. Lau Y, Htun TP, et al. Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis. J Med Internet Res. 2017;19(4):e138. doi:10.2196/jmir.6712
21. Van Lieshout RJ, Layton H, et al. Effect of Online 1-Day Cognitive Behavioral Therapy-Based Workshops Plus Usual Care vs Usual Care Alone for Postpartum Depression: A Randomized Clinical Trial. JAMA Psychiatry. 2021 Nov 1;78(11):1200-1207
22. Fitelson E, Kim S, Baker AS, Leight K. Treatment of postpartum depression: clinical, psychological and pharmacological options. Int J Womens Health 2011; 3: 1-14 [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3039003/]
23. Gressier F, Rotenberg S, et al. Postpartum electroconvulsive therapy: a systematic review and case report. Gen Hosp Psychiatry. 2015 Jul-Aug;37(4):310-4. doi: 10.1016/j.genhosppsych.2015.04.009. Epub 2015 Apr 16. PMID: 25929986.
24. Bais B, Kamperman AM, et al. Effects of bright light therapy for depression during pregnancy: a randomised, double-blind controlled trial. BMJ Open. 2020 Oct 28;10(10):e038030. doi: 10.1136/bmjopen-2020-038030. PMID: 33115894; PMCID: PMC7594358.
25. Özkan SA, Kücükkelepce DS,et al. The effectiveness of an exercise intervention in reducing the severity of postpartum depression: A randomized controlled trial. Perspect Psychiatr Care. 2020 Oct;56(4):844-850. doi: 10.1111/ppc.12500. Epub 2020 Mar 18. PMID: 32187390.

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