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September 5, 2026Internet InterventionsOpen Access

Modifiers of effectiveness and deterioration, and prognostic factors of adherence in internet-based interventions for treatment of perinatal depression: A systematic review and individual participant data meta-analysis

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Authors

MČMarkéta ČihařováPCPim CuijpersMHMathias Harrer

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Overview

Individual participant data meta-analysis finds internet-based interventions reduce perinatal depression, suggesting broad utility across varied maternal demographics.

Key Points

  • To identify modifiers of treatment effectiveness and symptom deterioration, alongside prognostic factors of adherence, in internet-based interventions for perinatal depression.
  • Systematic search across three bibliographic databases on February 7, 2025, to identify randomized controlled trials evaluating internet-based interventions for perinatal depression.
  • Conducted conventional and two-stage individual participant data meta-analyses (IPDMA) pooling data from 9 randomized trials totaling 1,094 participants.
  • Internet-based interventions significantly reduced depressive symptoms (SMD = 0.29, 95% CI: 0.03–0.54) while increasing response (RR = 1.97, 95% CI: 1.57–2.47) and remission (RR = 1.73, 95% CI: 1.38–2.18).
  • Interventions effectively alleviated anxiety symptoms (SMD = 0.26, 95% CI: 0.11–0.40) but did not significantly affect reliable deterioration (OR = 0.80, 95% CI: 0.49–1.32).
  • No modifiers of effectiveness, deterioration, or adherence were identified; baseline depression and comorbid anxiety were the primary prognostic indicators of post-treatment depressive symptoms.

Cite This Study

Čihařová et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4436b95aff0620ebceahttps://doi.org/10.1016/j.invent.2026.100993
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Internet‐based interventions for postpartum depression: A systematic review and meta‐analysis2020 · 57 citations
  2. 2Effectiveness of digital psychological interventions for perinatal depression: a network meta-analysis2026
  3. 3The Impact of Online Mindfulness Interventions on Postpartum Depression: A Systematic Review and Meta‐Analysis2025
  4. 4Internet-Based Problem Management Plus Intervention for Antenatal Depression: Randomized Controlled Trial2026
  5. 5Internet-Based Interventions for Preventing Premature Birth Among Pregnant Women: Systematic Review2024 · 2 citations