Health economic evaluation evidence of interventions for peripartum depression: a scoping review

This scoping review provides a broad overview of the existing literature on economic evaluations of preventive, screening, and treatment programmes for peripartum depression (PPD). PPD is one of the leading causes of disease-related disability among women. However, PPD often goes undiagnosed and unt...

ver descrição completa

Detalhes bibliográficos
Autores: Tecirli, Gülcan, Çakmak Barsbay, Mehtap, Sheaf, Greg, Öner, Nurettin, Ganho-Ávila, Ana, Palau-Costafreda, Roser, Ribeiro, Inês, Lassemo, Eva, Camacho, Elizabeth, Lopes Ferreira, Pedro, Bauer, Annette
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:dnet:recercat____::6893d029ebac9d02d9b224cc9d1f54a0
Acesso em linha:https://hdl.handle.net/10230/73263
http://dx.doi.org/10.1016/j.healthpol.2025.105264
Access Level:acceso abierto
Palavra-chave:Cost-effectiveness
Peripartum depression
Prevention
Screening
Treatment
Descrição
Resumo:This scoping review provides a broad overview of the existing literature on economic evaluations of preventive, screening, and treatment programmes for peripartum depression (PPD). PPD is one of the leading causes of disease-related disability among women. However, PPD often goes undiagnosed and untreated, with as many as half of cases not being identified. We followed the PICO-P (publication type) structure. Databases were searched from inception until 30 June 2023. The intervention stage in the studies was classified as prevention, screening, treatment, screening and treatment, and prevention and treatment. The health economics methods of the studies were divided into cost-effectiveness analysis, cost-utility analysis, cost-benefit analysis, cost-minimisation analysis, return of investment, and multiple. Ultimately, 38 studies were included for extraction and evaluation. Several interventions for PPD may be cost effective, including peer support, psychological therapies, and screening strategies using tools like the Edinburgh Postnatal Depression Scale (EPDS). However, study limitations include heterogeneity across studies, methodological limitations, and limited generalisability to diverse populations. The cost-effectiveness results of PPD interventions may differ across different health systems, partly due to differences in the amount and distribution of resources available. By implementing suggested policy recommendations, policymakers can significantly improve the identification, treatment, and prevention of PPD, ultimately improving the health and well-being of mothers, children, and families.