Risk factors for depressive symptoms during pregnancy: a systematic review.

Risk factors for depressive symptoms during pregnancy: a systematic review.
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DOI:
10.1016/j.ajog.2009.09.007
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发表时间:
2010-01
影响因子:
9.8
通讯作者:
Davis MM
Davis MM
中科院分区:
医学1区
文献类型:
--
作者:
Lancaster CA;Gold KJ;Flynn HA;Yoo H;Marcus SM;Davis MM

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本研究的目的是评估产前抑郁症状的危险因素,可以评估在常规产科护理。我们评估了从1980年到2008年的英语文献中的文章。如果研究评价了产前抑郁症状与≥1个危险因素之间的关联,则选择这些研究。对于每个风险因素,2名设盲的独立审查员评价了证据的总体趋势。共有57项研究符合合格标准。在双变量分析中,母亲焦虑、生活压力、抑郁症史、缺乏社会支持、意外怀孕、医疗补助保险、家庭暴力、低收入、低教育、吸烟、单身状态和关系质量差与产前抑郁症状的可能性更大相关。生活压力、缺乏社会支持和家庭暴力在多变量分析中继续显示出显著的相关性。我们的研究结果表明,几个相关性始终与怀孕期间抑郁症状的风险增加有关。
The purpose of this study was to evaluate risk factors for antepartum depressive symptoms that can be assessed in routine obstetric care. We evaluated articles in the Englishlanguage literature from 1980 through 2008. Studies were selected if they evaluated the association between antepartum depressive symptoms and ≥1 risk factors. For each risk factor, 2 blinded, independent reviewers evaluated the overall trend of evidence. In total, 57 studies met eligibility criteria. Maternal anxiety, life stress, history of depression, lack of social support, unintended pregnancy, Medicaid insurance, domestic violence, lower income, lower education, smoking, single status, and poor relationship quality were associated with a greater likelihood of antepartum depressive symptoms in bivariate analyses. Life stress, lack of social support, and domestic violence continued to demonstrate a significant association in multivariate analyses. Our results demonstrate several correlates that are consistently related to an increased risk of depressive symptoms during pregnancy.
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