{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T06:31:11Z","timestamp":1786516271640,"version":"build-2736575974"},"reference-count":59,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":222,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Depression and Anxiety"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Antenatal depression affects a substantial proportion of pregnant women and is associated with adverse maternal and infant outcomes, particularly in settings where specialist mental health services are limited. The purpose of this narrative review was to synthesize evidence on the effectiveness and implementation feasibility of nonpharmacological interventions for antenatal depression in low\u2010resource settings, with particular attention to task sharing, cultural adaptation, and relevance to Palestine. A targeted search of PubMed, ScienceDirect, SpringerLink, JMIR Publications, Google Scholar, and an Arabic\u2010language journal was conducted to 30 September 2025. Eligible studies included pregnant women with depressive disorders or clinically relevant depressive symptoms, as well as prevention\u2010oriented antenatal samples in which depressive symptoms were a prespecified outcome. Eligible publications evaluated nonpharmacological interventions using randomized, quasi\u2010experimental, or prospective pre\u2013post designs; linked reports of pregnancy or neonatal outcomes from otherwise eligible antenatal intervention programs were also considered. Twenty\u2010two studies met the inclusion criteria. Generally favorable findings were reported for cognitive behavioral therapy (CBT)\u2010 and interpersonal psychotherapy (IPT)\u2010based interventions delivered in individual, group, task\u2010shared, and brief clinic\u2010based formats, although the strength and consistency of evidence varied by study design and population. Favorable findings were also reported for depression\u2010specific acupuncture, brief mindfulness and mind\u2013body programs, nurse\u2010supported counseling, and culturally or spiritually integrated approaches, although the strength of inference varied by study design. Supervised digital formats and task\u2010shared models involving primary health workers, nurses, and midwives showed promise for extending care in constrained systems, whereas unguided self\u2010help approaches produced less consistent findings. Implementation reporting was uneven: service integration, task sharing, brief delivery, and supervised formats supported preliminary feasibility, whereas formal measures of acceptability, fidelity, cost, population reach, and sustainability were infrequently reported. The review identified several potentially implementable nonpharmacological options for antenatal depression in low\u2010resource settings, particularly brief psychological therapies, task\u2010shared models, selected supervised mindfulness formats, nurse\u2010supported counseling, and culturally adapted programs. However, locally codesigned pragmatic studies are required before broad implementation in Palestine and similar humanitarian or resource\u2010constrained settings.<\/jats:p>","DOI":"10.1155\/da\/4692841","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T05:57:13Z","timestamp":1786514233000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Narrative Review of Implementing Nonpharmacological Interventions for Antenatal Depression in Low Resource Settings With Implications for Palestine"],"prefix":"10.1155","volume":"2026","author":[{"given":"Sawsan Saeed Abd Al Rahman","family":"Shqair","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4508-7117","authenticated-orcid":false,"given":"Mohammed","family":"Hayek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5703-5664","authenticated-orcid":false,"given":"Loai M.","family":"Zabin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5153-3112","authenticated-orcid":false,"given":"Mohammad","family":"Marie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6984-3020","authenticated-orcid":false,"given":"Jamal","family":"Qaddumi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2006-0305","authenticated-orcid":false,"given":"Shurouq Ghalib","family":"Qadous","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2604-8948","authenticated-orcid":false,"given":"Adnan L.","family":"Sarhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"e_1_2_15_1_2","doi-asserted-by":"crossref","unstructured":"BeyeneB. G. GebremichaelG. B. andGebreselassieA. T. Prevalence and Associated Factors of Antenatal Depression Among Women Attending Antenatal Care Follow up at Michu Clinic in Ayder Comprehensive Specialized Hospital 2020 https:\/\/doi.org\/10.21203\/rs.3.rs-22003\/v1.","DOI":"10.21203\/rs.3.rs-22003\/v1"},{"key":"e_1_2_15_2_2","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/4518979"},{"key":"e_1_2_15_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017173"},{"key":"e_1_2_15_4_2","doi-asserted-by":"publisher","DOI":"10.4081\/aamr.2018.13"},{"key":"e_1_2_15_5_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2009001200019"},{"key":"e_1_2_15_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2018-211819"},{"key":"e_1_2_15_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2011.03.009"},{"key":"e_1_2_15_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2007.06.010"},{"key":"e_1_2_15_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2006.00130.x"},{"key":"e_1_2_15_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2013.09.004"},{"key":"e_1_2_15_11_2","unstructured":"National Institute for Health and Care Excellence Antenatal and Postnatal Mental Health: Clinical Management and Service Guidance 2014 NICE guideline CG192https:\/\/www.nice.org.uk\/guidance\/cg192."},{"key":"e_1_2_15_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-014-0468-x"},{"key":"e_1_2_15_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-13-321"},{"key":"e_1_2_15_14_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291799002937"},{"key":"e_1_2_15_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2014.924228"},{"key":"e_1_2_15_16_2","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5545.105534"},{"key":"e_1_2_15_17_2","doi-asserted-by":"crossref","unstructured":"Abd-alrazaqA. MalkawiA. A. andMaabrehA. H. et al.The Effectiveness of Listening to the Holy Quran to Improve Mental Disorders and Psychological Well-Being: Systematic Review and Meta-Analysis 2020 https:\/\/doi.org\/10.21203\/rs.3.rs-44376\/v1.","DOI":"10.21203\/rs.3.rs-44376\/v1"},{"key":"e_1_2_15_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2023.0702"},{"key":"e_1_2_15_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2023.115599"},{"key":"e_1_2_15_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.04.009"},{"key":"e_1_2_15_21_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2025.1572633"},{"key":"e_1_2_15_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06629-2"},{"key":"e_1_2_15_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.04.133"},{"key":"e_1_2_15_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2025.106088"},{"key":"e_1_2_15_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2025.03.056"},{"key":"e_1_2_15_26_2","doi-asserted-by":"publisher","DOI":"10.19080\/GJORM.2020.07.555712"},{"key":"e_1_2_15_27_2","doi-asserted-by":"publisher","DOI":"10.17140\/PCSOJ-3-136"},{"key":"e_1_2_15_28_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-1155-x"},{"key":"e_1_2_15_29_2","unstructured":"Palestinian Health Information Center Health Annual Report 2019 2020 Ministry of Health."},{"key":"e_1_2_15_30_2","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2010.528443"},{"key":"e_1_2_15_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60108-2"},{"key":"e_1_2_15_32_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13033-016-0056-8"},{"key":"e_1_2_15_33_2","unstructured":"World Health Organization Country Cooperation Strategy for WHO and the Occupied Palestinian Territory: 2009-2013 2010 Regional Office for the Eastern Mediterranean."},{"key":"e_1_2_15_34_2","unstructured":"World Health Organization WHO Operational Response and Early Recovery Plan for the Occupied Palestinian Territory: 2025 2025 World Health Organization Regional Office for the Eastern Mediterranean."},{"key":"e_1_2_15_35_2","unstructured":"Ministry of Health Health Annual Report Palestine 2024 2025 Palestinian Health Information Center Health Policy and Planning Unit Ministry of Health: Ramallah."},{"key":"e_1_2_15_36_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-011-0845-2"},{"key":"e_1_2_15_37_2","doi-asserted-by":"publisher","DOI":"10.1186\/s41073-019-0064-8"},{"key":"e_1_2_15_38_2","doi-asserted-by":"publisher","DOI":"10.1017\/gmh.2026.10198"},{"key":"e_1_2_15_39_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-010-0319-7"},{"key":"e_1_2_15_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2004.05.009"},{"key":"e_1_2_15_41_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181cc0816"},{"key":"e_1_2_15_42_2","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12308"},{"key":"e_1_2_15_43_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-13-33"},{"key":"e_1_2_15_44_2","first-page":"92","article-title":"Effectiveness of Cognitive Behavioral Therapy-Based Self-Management on Depression in Pregnant Women: A Randomized Controlled Trial","volume":"10","author":"Mehri M.","year":"2019","journal-title":"Journal of Biochemical Technology"},{"key":"e_1_2_15_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61400-2"},{"key":"e_1_2_15_46_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.160.3.555"},{"key":"e_1_2_15_47_2","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.154.7.1028"},{"key":"e_1_2_15_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.06.008"},{"key":"e_1_2_15_49_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2017.04.006"},{"key":"e_1_2_15_50_2","doi-asserted-by":"publisher","DOI":"10.2196\/71708"},{"key":"e_1_2_15_51_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13060584"},{"key":"e_1_2_15_52_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12938"},{"key":"e_1_2_15_53_2","doi-asserted-by":"publisher","DOI":"10.5812\/ircmj.35421"},{"key":"e_1_2_15_54_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-017-0417-x"},{"key":"e_1_2_15_55_2","first-page":"144","article-title":"A Comparative Study of Mindfulness Efficiency Based on Islamic-Spiritual Schemes and Group Cognitive Behavioral Therapy on Reduction of Anxiety and Depression in Pregnant Women","volume":"5","author":"Aslami E.","year":"2017","journal-title":"International journal of community based nursing and midwifery"},{"key":"e_1_2_15_56_2","unstructured":"MoranJ. Peer Support in Perinatal Mental Health: Review of Evidence and Provision in Scotland 2020 Scottish Government Internship Project Report."},{"key":"e_1_2_15_57_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-019-2510-5"},{"key":"e_1_2_15_58_2","doi-asserted-by":"publisher","DOI":"10.1177\/0020764015612119"},{"key":"e_1_2_15_59_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(00)00265-2"}],"container-title":["Depression and Anxiety"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/da\/4692841","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/da\/4692841","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/da\/4692841","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T05:57:16Z","timestamp":1786514236000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/da\/4692841"}},"subtitle":[],"editor":[{"given":"Samraggi","family":"Choudhury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":59,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/da\/4692841"],"URL":"https:\/\/doi.org\/10.1155\/da\/4692841","archive":["Portico"],"relation":{},"ISSN":["1091-4269","1520-6394"],"issn-type":[{"value":"1091-4269","type":"print"},{"value":"1520-6394","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-04-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"4692841"}}