Non-Pharmacological Interventions for Various Perinatal Mental Health Disorders: A Scoping Review

Elismi Haryanti; Cesa Septiana Pratiwi; Asri Hidayat

doi:10.30994/jnp.v10i1.1104

Authors

Elismi Haryanti Faculty of Health Sciences, 'Aisyiyah University Yogyakarta, Yogyakarta, Indonesia https://orcid.org/0009-0006-3027-1436
Cesa Septiana Pratiwi Faculty of Health Sciences, 'Aisyiyah University Yogyakarta, Yogyakarta, Indonesia https://orcid.org/0000-0002-4854-8484
Asri Hidayat Faculty of Health Sciences, 'Aisyiyah University Yogyakarta, Yogyakarta, Indonesia

DOI:

https://doi.org/10.30994/jnp.v10i1.1104

Keywords:

Mental Health Disorders, Non-Pharmacological Intervention, Perinatal Mental Health, Scoping Review

Abstract

Background: Perinatal mental health disorders are a critical maternal health concern because their effects extend beyond mothers to infant development and family well-being. Non-pharmacological interventions offer safe and holistic approaches that may support maternal mental health while reducing concerns related to medication.
Purpose: This scoping review aimed to map the types, characteristics, and applications of non-pharmacological interventions for perinatal mental health disorders and examine their relevance to modern midwifery practice.
Methods: A scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews framework. Literature searches were conducted on December 10, 2025, in PubMed, Scopus, Wiley, and Research Rabbit. Articles published in English or Indonesian during the past decade and addressing non-pharmacological interventions for perinatal mental health were included. Of 1,089 identified records, 10 articles met the eligibility criteria and were analyzed using a standardized data charting form.
Results: Five themes emerged: intervention types, delivery media, intervention content, provider characteristics, and barriers to implementation. Conclusion: Non-pharmacological interventions can strengthen maternal mental health through education, emotional support, and multidisciplinary collaboration. However, limited access, social stigma, and inadequate provider capacity remain important barriers to sustained implementation in midwifery practice.

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References

Abdelaziz, E. M., Alshammari, A. M., Elsharkawy, N. B., & Oraby, F. A. (2025). Digital intervention for tokophobia : a randomized controlled trial of internet- based cognitive behavioral therapy on fear of childbirth and self-efficacy among Egyptian pregnant women. BMC Pregnancy and Childbirth, 5. https://doi.org/10.1186/s12884-025-07341-5 (2025)

Anyanwu, I. S., & Jenkins, J. (2024). Effectiveness of digital health interventions for perinatal depression : a systematic review and meta-analysis. Oxford Open Digital Health, August. https://doi.org/10.1093/oodh/oqae026

Ariasih, A., Besral, Budiharsana, M., & Ronoatmodjo, S. (2024). Common Mental Disorders and Associated Factors During Pregnancy and the Postpartum Period in Indonesia: An Analysis of Data From the 2018 Basic Health Research. Journal of Preventive Medicine and Public Health, 57(4), 388–398. https://doi.org/10.3961/jpmph.24.082

Arksey, H., & O’Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology. https://doi.org/10.1080/1364557032000119616

Aromataris E, Lockwood C, Porritt K, Pilla B, J. Z. (2024). Synthesis., JBI Manual for Evidence. JBI Manual for Evidence Synthesis

Brown, J., Wilson, C., & Lm, H. (2021). Antidepressant treatment for postnatal depression ( Review ). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD013560.pub2.www.cochranelibrary.com

Ching, H., Chua, J. Y. X., Chua, J. S., & Shorey, S. (2023). The effectiveness of technology-based cognitive behavioral therapy on perinatal depression and anxiety: A systematic review and meta-analysis. Worldviews on Evidence-Based Nursing, 20(5), 451–464. https://doi.org/10.1111/wvn.12673

Danaher, B. G., Seeley, J. R., Silver, R. K., Mat, M. S. T., Kim, J. J., La, L. M., Ma, P., Bs, E. C., Smith, D. R., Milgrom, J., & Ms, J. M. G. (2023). Trial of a patient-directed eHealth program to ameliorate perinatal depression: the MomMoodBooster2 practical effectiveness study. The American Journal of Obstetrics & Gynecology, 228(4), 453.e1-453.e10. https://doi.org/10.1016/j.ajog.2022.09.027

Dennis, C., Grigoriadis, S., Zupancic, J., Kiss, A., & Ravitz, P. (2020). Telephone-based nurse-delivered interpersonal psychotherapy for postpartum depression : nationwide randomised controlled trial. The British Journal Of Pschiatry, 189–196. https://doi.org/10.1192/bjp.2019.275

Evans, J., Ingram, J., Law, R., Taylor, H., Johnson, D., Glynn, J., Hopley, B., Kessler, D., Round, J., Ford, J., Culpin, I., & Mahen, H. O. (2021). Interpersonal counselling versus perinatal- specific cognitive behavioural therapy for women with depression during pregnancy offered in routine psychological treatment services : a phase II randomised trial. BMC Psychiatry, 1–11. https://doi.org/10.1186/s12888-021-03482-x

Fahmida, U., Htet, M. K., Ameline, A. S., Angelin, T. C., Kolopaking, R., Davies-kershaw, H., & Ferguson, E. (2025). Nutrition and non-nutrition determinants of maternal mental disorders, stress, and depression in pregnancy amidst a global pandemic: Findings from Action Against Stunting Hub Indonesia. https://doi.org/10.1017/S0007114525105515

Fortuna, K. L., Myers, A. L., Ferron, J., Kadakia, A., Bianco, C., Bruce, M. L., & Bartels, S. J. (2023). Assessing a digital peer support self-management intervention for adults with serious mental illness: feasibility, acceptability, and preliminary effectiveness. Journal of Mental Health, 31(6), 833–841. https://doi.org/10.1080/09638237.2021.2022619.Assessing

Hankin, B. L., Demers, C. H., Hennessey, E. P., Perzow, S. E. D., Curran, M. C., Gallop, R. J., Hoffman, M. C., & Davis, E. P. (2023). Effect of Brief Interpersonal Therapy on Depression During Pregnancy A Randomized Clinical Trial. JAMAPsychiatry |, 3500(6), 539–547. https://doi.org/10.1001/jamapsychiatry.2023.0702

Husain, N., Lunat, F., Lovell, K., Miah, J., Chew-Graham, C. A., Bee, A. A. M., Waqas, A., Pierce, M., Sharma, D., Atif, N., Aseem, S., Bhui, K., Bower, P., Brugha, T., Chaudhry, N., Ullah, A., Davies, L., Gire, N., Kai, J., … Morriss, R. (2025). Efficacy of a Culturally Adapted, Cognitive Behavioural Therapy-based Intervention for Postnatal Depression in British South Asian Women (ROSHNI-2): A Multicentre, Randomised Controlled Trial. Obstetric Anesthesia Digest. https://doi.org/10.1016/S0140-6736(24)01612-X

Ladyman, C., Sweeney, B., Sharkey, K., Bei, B., Wright, T., Mooney, H., Huthwaite, M., Cunningham, C., Firestone, R., & Signal, T. L. (2022). A scoping review of non ‑ pharmacological perinatal interventions impacting maternal sleep and maternal mental health. BMC Pregnancy and Childbirth, 3, 1–52. https://doi.org/10.1186/s12884-022-04844-3

Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., Mcarthur, A., & Aromataris, E. (2018). Systematic review or scoping review ? Guidance for authors when choosing between a systematic or scoping review approach. 1–7. https://doi.org/10.1186/s12874-018-0611-x

Nakku, J., Nalwadda, O., Gaarman, E., Honikman, S., Charlotte, H., & Kigozi, F. (2021). Group problem solving therapy for perinatal depression in primary health care settings in rural Uganda : an intervention cohort study. BMC Pregnancy and Childbirth, 6, 1–12. https://doi.org/10.1186/s12884-021-04043-6 (2021)

Pettman, D., Mahen, H. O., Blomberg, O., Svanberg, A. S., & Essen, L. Von. (2023). Effectiveness of cognitive behavioural therapy ‑ based interventions for maternal perinatal depression : a systematic review and meta ‑ analysis. BMC Psychiatry, 1–25. https://doi.org/10.1186/s12888-023-04547-9

Runkle, J. D., Risley, K., Roy, M., & Sugg, M. M. (2023). Association Between Perinatal Mental Health and Pregnancy and Neonatal Complications: A Retrospective Birth Cohort Study. Women’s Health Issues, 33(3), 289–299. https://doi.org/10.1016/j.whi.2022.12.001

Shariatpanahi, M., Faramarzi, M., Barat, S., Farghadani, A., & Shirafkan, H. (2025). Effectiveness of Internet-Based Emotion- Focused Cognitive Behavioral Therapy ( iECBT ) with and without husband ’ s participation in improvement of psychological distress in pregnant women with anxiety disorders : a randomized controlled trial. BMC Psychology, 1–12. https://doi.org/10.1186/s40359-025-02839-1

Waqas, A., Zafar, S. W., Akhtar, P., & Naveed, S. (2023). Optimizing cognitive and behavioral approaches for perinatal depression : A systematic review and meta-regression analysis. Cambridge Prisms: Global Mental Health. https://doi.org/10.1017/gmh.2023.8

World Bank. (2024). World Bank country and lending groups. https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups

World Health Organization (n.d.) Perinatal mental health. Available at: https://www.who.int/teams/mental-health-and-substance-use/promotion-prevention/perinatal-mental-health (Accessed: 20 April 2026).