Canadian Network for Mood and Anxiety Treatments 2024 Clinical Practice Guideline for the Management of Perinatal Mood, Anxiety, and Related Disorders: Guide de pratique 2024 du Canadian Network for Mood and Anxiety Treatments pour le traitement des
BackgroundThe Canadian Network for Mood and Anxiety Treatments (CANMAT) publishes clinical practice guidelines for mood and anxiety disorders. This CANMAT guideline aims to provide comprehensive clinical guidance for the pregnancy and postpartum (perinatal) management of mood, anxiety and related disorders.MethodsCANMAT convened a core editorial group of interdisciplinary academic clinicians and persons with lived experience (PWLE), and 3 advisory panels of PWLE and perinatal health and perinatal mental health clinicians. We searched for systematic reviews of prevention and treatment interventions for perinatal depressive, bipolar, anxiety, obsessive-compulsive and post-traumatic stress disorders (January 2013-October 2023). We prioritized evidence from reviews of randomized controlled trials (RCTs), except for the perinatal safety of medications where reviews of large high-quality observational studies were prioritized due to the absence of RCT data. Targeted searches for individual studies were conducted when systematic reviews were limited or absent. Recommendations were organized by lines of treatment based on CANMAT-defined levels of evidence quality, supplemented by editorial group consensus to balance efficacy, safety, tolerability and feasibility considerations.ResultsThe guideline covers 10 clinical sections in a question-and-answer format that maps onto the patient care journey: case identification; organization and delivery of care; non-pharmacological (lifestyle, psychosocial, psychological), pharmacological, neuromodulation and complementary and alternative medicine interventions; high-risk clinical situations; and mental health of the father or co-parent. Equity, diversity and inclusion considerations are provided.ConclusionsThis guideline's detailed evidence-based recommendations provide clinicians with key information to promote the delivery of effective and safe perinatal mental healthcare. It is hoped that the guideline will serve as a valuable tool for clinicians in Canada and around the world to help optimize clinical outcomes in the area of perinatal mental health.Plain Language Summary TitleThe Canadian Network for Mood and Anxiety Treatments 2024 Guideline for Helping People with Mood, Anxiety and Related Disorders During Pregnancy and Postpartum.
Authors
- Hilary K. Brown (ORCID: https://orcid.org/0000-0002-8690-5841)
- Simone N. Vigod (ORCID: https://orcid.org/0000-0002-2736-9639)
- Lucy C. Barker (ORCID: https://orcid.org/0000-0002-7907-383X)
- Patrícia Zilio Tomasi
- Verinder Sharma (ORCID: https://orcid.org/0000-0002-9885-8245)
- Arun Ravindran (ORCID: https://orcid.org/0000-0002-1655-2753)
- Sagar V. Parikh (ORCID: https://orcid.org/0000-0003-4817-3042)
- Tim F. Oberlander (ORCID: https://orcid.org/0000-0003-4781-6579)
- Ryan J. Van Lieshout (ORCID: https://orcid.org/0000-0001-7244-0222)
- Lakshmi N. Yatham (ORCID: https://orcid.org/0000-0002-7405-0954)
- Roumen Milev (ORCID: https://orcid.org/0000-0001-6884-171X)
- Donna E. Stewart (ORCID: https://orcid.org/0000-0002-8157-7746)
- Deborah Da Costa (ORCID: https://orcid.org/0000-0003-4993-4544)
- Daisy R. Singla (ORCID: https://orcid.org/0000-0001-9865-7112)
- Sidney H. Kennedy (ORCID: https://orcid.org/0000-0001-5339-7185)
- Smadar Valérie Tourjman (ORCID: https://orcid.org/0000-0002-2264-9586)
- Nichole Fairbrother (ORCID: https://orcid.org/0000-0002-1939-5984)
- Benicio Noronha Frey (ORCID: https://orcid.org/0000-0001-8267-943X)
- Cathleen Fleury
- Ayal Schaffer (ORCID: https://orcid.org/0000-0001-6220-5042)
- Serge Beaulieu (ORCID: https://orcid.org/0000-0001-6921-3870)
- Sophie Grigoriadis (ORCID: https://orcid.org/0000-0003-3461-6850)
- Cindy‐Lee Dennis (ORCID: https://orcid.org/0000-0002-0135-7242)
- Jaime Charlebois (ORCID: https://orcid.org/0000-0002-0440-5932)
- Lesley A. Tarasoff (ORCID: https://orcid.org/0000-0001-5130-8660)
- Valerie H. Taylor (ORCID: https://orcid.org/0000-0002-8948-638X)
- Elisa Brietzke (ORCID: https://orcid.org/0000-0003-2697-1342)
- Lianne M. Tomfohr‐Madsen (ORCID: https://orcid.org/0000-0002-0860-5392)
- Sheryl M. Green (ORCID: https://orcid.org/0000-0002-2226-8003)
- Raymond W. Lam (ORCID: https://orcid.org/0000-0001-7142-4669)
- Zainab Samaan (ORCID: https://orcid.org/0000-0002-5974-9361)
- Crystal T. Clark (ORCID: https://orcid.org/0000-0002-5051-3766)
- Martin Van (ORCID: https://orcid.org/0000-0001-5360-1692)
- Nicole Letourneau
- Brittany D. Ellington
Institutions
- Western University (CA)
- Mount Sinai Hospital (CA)
- Sunnybrook Health Science Centre (CA)
- University Health Network (CA)
- Centre for Addiction and Mental Health (CA)
- 3M (United States) (US)
- University of British Columbia (CA)
- University of Calgary (CA)
- University of Toronto (CA)
- Queen's University (CA)
- Lunenfeld-Tanenbaum Research Institute (CA)
- University of Michigan (US)
- Scarborough Health Network (CA)
- Douglas Mental Health University Institute (CA)
- Sinai Hospital (US)
- McGill University Health Centre (CA)
- Women's College Hospital (CA)
- Toronto General Hospital (CA)
- Health Sciences Centre (CA)
- Centre for Mental Health (GB)
- Barrie Urology Group (CA)
- Mental Health Research Canada (CA)
- Michael Smith Health Research BC (CA)
- Waypoint Centre for Mental Health Care (CA)
- Institute for Work & Health (CA)
- BC Children's Hospital (CA)
- McGill University (CA)
- St. Joseph’s Healthcare Hamilton (CA)
- Université de Montréal (CA)
- McMaster University (CA)
Publication Details
- Journal
- The Canadian Journal of Psychiatry
- Published
- 2025-02-12
- DOI
- https://doi.org/10.1177/07067437241303031
- Citations
- 42
- Primary Topic
- Maternal Mental Health During Pregnancy and Postpartum
- Type
- article
- Field-Weighted Citation Impact
- 78.90
Funders
- Eisai
- H. Lundbeck A/S
- Idorsia Pharmaceuticals
- Association des pharmaciens du Canada
- Health Canada
- Canadian Institutes of Health Research