Rates and risk of postpartum depression - A meta-analysis

Rates and risk of postpartum depression - A meta-analysis
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DOI:
10.3109/09540269609037816
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发表时间:
1996-03-01
影响因子:
2.8
通讯作者:
Swain, AM
Swain, AM
中科院分区:
医学4区
文献类型:
--
作者:
OHara, MW;Swain, AM

文献摘要

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根据大量研究结果,非精神病性产后抑郁症的平均患病率为13%。流行率估计值受评估方法的性质(在使用自我报告方法的研究中,估计值较大)和接受评估的产后时间长短(较长的时间预测高流行率)的影响。进行了一项荟萃分析,以确定一些假定的风险因素的影响大小,在怀孕期间测量,远产后抑郁症。产后抑郁的最强预测因子为孕期精神病理史、心理障碍史、婚姻关系不佳、社会支持不足、生活压力事件。社会地位低的指标与产后抑郁的预测关系虽小但显著。总之,这些发现大体上反映了早期产后抑郁风险因素定性评价的结论。
The average prevalence rate of non-psychotic postpartum depression based on the results of a large number of studies is 13%. Prevalence estimates are affected by the nature of the assessment method (larger estimates in studies using self-report measures) and by the length of the postpartum period under evaluation (longer periods predict high prevalences). A meta-analysis was undertaken to determine the sizes of the effects of a number of putative risk factors, measured during pregnancy, far postpartum depression. The strongest predictors of postpartum depression were past history of psychopathology and psychological disturbance during pregnancy, poor marital relationship and low social support, and stressful life events. Finally, indicators of low social status showed a small but significant predictive relation to postpartum depression. In sum, these findings generally mirror the conclusions from earlier qualitative reviews of postpartum depression risk factors.