Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries.
Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries.
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低收入和中等收入国家的孕产妇抑郁，危险因素和儿童结局的流行病学。
DOI：
10.1016/s2215-0366(16)30284-x
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发表时间：
2016-10
影响因子：
64.3
通讯作者：
Williams, Michelle A.
中科院分区：
文献类型：
--
作者：
Gelaye, Bizu;Rondon, Marta B.;Araya, Ricardo;Williams, Michelle A.
孕产妇抑郁是一种轻度到重度的非精神病性抑郁发作，是妊娠相关发病率和死亡率的主要因素之一。产妇抑郁(产前或产后)与婴儿、儿童和青少年的负面健康相关行为和不良后果有关，包括心理和发育障碍。尽管有巨大的负担，但在低收入和中等收入国家，产妇抑郁仍然没有得到充分的认识和治疗。在这一系列论文中，我们系统地回顾了居住在低收入和中等收入国家的妇女中围产期抑郁(即产前和产后)的流行病学研究。我们还总结了围产期抑郁与婴儿和儿童结局相关的证据。本综述旨在总结现有文献中的研究成果，找出重要的知识差距，并制定研究议程，以创造新的概括性知识，以增加我们对围产期抑郁症的患病率、决定因素和婴幼儿健康结果的理解。这项审查还旨在为随后的工作奠定基础，这些工作旨在加强和加快投资，以便在低收入和中等收入国家提供管理产妇抑郁的服务。
Maternal depression, a non-psychotic depressive episode of mild to major severity, is one of the major contributors of pregnancy-related morbidity and mortality. Maternal depression (antepartum or post partum) has been linked to negative health-related behaviours and adverse outcomes, including psychological and developmental disturbances in infants, children, and adolescents. Despite its enormous burden, maternal depression in low-income and middle-income countries remains under-recognised and undertreated. In this Series paper, we systematically review studies that focus on the epidemiology of perinatal depression (ie, during antepartum and post-partum periods) among women residing in low-income and middle-income countries. We also summarise evidence for the association of perinatal depression with infant and childhood outcomes. This review is intended to summarise fi ndings from the existing literature, identify important knowledge gaps, and set the research agenda for creating new generalisable knowledge pertinent to increasing our understanding of the prevalence, determinants, and infant and childhood health outcomes associated with perinatal depression. This review is also intended to set the stage for subsequent work aimed at reinforcing and accelerating investments toward providing services to manage maternal depression in low-income and middle-income countries.