Cross-Cultural Approach of Postpartum Depression: Manifestation, Practices Applied, Risk Factors and Therapeutic Interventions
Cross-Cultural Approach of Postpartum Depression: Manifestation, Practices Applied, Risk Factors and Therapeutic Interventions
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DOI：
10.1007/s11126-015-9367-1
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发表时间：
2016-03-01
影响因子：
3.5
通讯作者：
Samakouri, Maria
中科院分区：
文献类型：
--
作者：
Evagorou, Olympia;Arvaniti, Aikaterini;Samakouri, Maria
众所周知，产后抑郁症（PPD）是一种全球性的现象，妇女可能会经历，无论文化身份和信仰如何。这篇文献综述介绍了世界各地的文化信仰和产后实践，在每个大陆和人民的起源，通过他们的积极或消极的疾病的发病作出贡献的程度。通过Pubmed（Medline）和Scopus的系统性电子检索，本研究使用了106篇文章。比较了世界各地和移民之间的患病率、危险因素和不同的发病方式。最后，介绍了各国政府和机构迄今为止为预防和解决这一全球问题而采取的举措和干预措施。结果表明：（a）不同文化对该疾病有相同的危险因素（B）西方和非西方文化之间以及文化本身之间的疾病患病率存在显着差异（c）非西方文化中抑郁症状的躯体化倾向更强，（d）不同文化之间的产后实践并不总是有效（e）文化越非西方，对心理健康的干预较少;在移民负担沉重的人口中也观察到同样的现象。在检测产后抑郁症以及评估近期分娩妇女的需求时，应认真对待文化所持的信念。
It is a well known fact that postpartum depression (PPD) is a global phenomenon that women may experience, regardless of cultural identity and beliefs. This literature review presents the cultural beliefs and postnatal practices around the world, in each continent and people's origins, looking through the extent to which they contribute positively or negatively to the onset of the disease. 106 articles were used in this research, through a systematic electronic search of Pubmed (Medline) and Scopus. Comparison is also made between the prevalence, the risk factors and the different ways of appearance of the disease around the world and among immigrants. Finally, the initiatives and interventions made so far by the governments and institutions with a view to prevent and address this global problem are presented. The results showed (a) that different cultures share the same risk factors towards the disease (b) significant differences in the prevalence of the disease among both Western and non Western cultures and between the cultures themselves (c) more tendencies for somatization of depressive symptoms in non-Western cultures, (d) different postnatal practices between cultures, which are not always effective (e) the more non-West a culture is, the less interventions concern on mental health; the same phenomenon is observed on populations burdened by immigration. The beliefs held by culture should be taken seriously in detecting of PPD, as well as the assessment of the needs of women who have recently given birth.