Prevalence and Risk Factors for Antenatal Depression in Ethiopia: Systematic Review.
Prevalence and Risk Factors for Antenatal Depression in Ethiopia: Systematic Review.
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DOI：
10.1155/2018/3649269
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发表时间：
2018
影响因子：
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通讯作者：
Azale T
中科院分区：
文献类型：
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作者：
Getinet W;Amare T;Boru B;Shumet S;Worku W;Azale T
孕期抑郁症是一种综合征，其中妇女在怀孕期间经历抑郁情绪，过度焦虑，失眠和体重变化。母亲抑郁症对儿童结局和母亲健康产生负面影响。采用不同的评定量表，即BDI、EPDS和PHQ测量产后抑郁。本系统评价的目的是综合埃塞俄比亚产前抑郁症的患病率和潜在危险因素的逻辑证据。 我们的团队探索了多个数据库，包括PSYNTHFO，MEDLINE，Embase，Google Scholar和Google Search，以检测已发表的关于产前抑郁症患病率的研究。我们发现了246篇关于产前抑郁症的研究论文，其中210篇与标题不符，27篇重复。随后，9篇文献被用于综合患病率，其中4篇研究被选入分析计划外妊娠对产前抑郁的影响。数据摘自已发表的报告和灰色文献，任何丢失的信息都要求研究者提供。使用随机效应荟萃分析汇总估计值。 所选的5项研究中，使用BDI的产前抑郁症合并患病率为25.33（20.74，29.92）。其他4项研究包括其他筛查工具（3项EPDS和1项PHQ），患病率降至23.56（19.04，28.07），计划外妊娠对产前抑郁的合并效应为1.93（1.81，2.06）。年龄、婚姻状况、经济收入、职业、既往精神障碍史、产前随访、计划外妊娠、孕期并发症、母亲孕期年龄、冲突、社会支持等因素与产前抑郁相关。 产后抑郁症是一种常见的产妇问题;应进一步关注意外怀孕、社会支持、与怀孕有关的并发症、家庭冲突和暴力对孕妇的影响。所有这些都可能是产前抑郁症的危险因素。
Antenatal depression is a syndrome, in which women experience depressed mood, excessive anxiety, insomnia, and change in weight during the period of pregnancy. Maternal depression negatively influences child outcomes and maternal health. Antenatal depression was measured by different rating scales, namely, BDI, EPDS, and PHQ. The objective of this systematic review was to synthesize logical evidence about the prevalence and potential risk factors of antenatal depression in Ethiopia. Our team explored multiple databases including PSYCHINFO, MEDLINE, Embase, Google Scholar, and Google Search to detect studies published with data on the prevalence of antenatal depression. We found 246 research papers on antenatal depression, of which 210 did not correspond to the title and 27 were duplicates. Subsequently, nine articles were used for synthesis prevalence, of which four studies were selected in the analysis of the effect of unplanned pregnancy on antenatal depression. Figures were extracted from published reports and grey literature, and any lost information was requested from investigators. Estimates were pooled using random-effects meta-analyses. The pooled prevalence of antenatal depression for five studies selected, which had used BDI, was 25.33 (20.74, 29.92). The other four studies that had included other screening tools (3 EPDS and 1 PHQ) had the prevalence decreased to 23.56 (19.04, 28.07), and the pooled effect of unplanned pregnancy on antenatal depression was 1.93 (1.81, 2.06). Factors such as age, marital status, income, occupation, history of the previous mental disorder, antenatal follow-up, unplanned pregnancy, complication during to pregnancy, age of mother during pregnancy, conflict, and social support were associated with antenatal depression. Antenatal depression is a common maternal problem; further attention should be given to the effect of unplanned pregnancy, social support, pregnancy-related complications, family conflicts, and violence on pregnant women. All these are possible risk factors for antenatal depression.