Abstract：
OBJECTIVE: Screening for perinatal depression is recommended by many guidelines to reduce the disease burden, but current implementation practices require clarification.
METHODS: Fifteen databases were searched for observational studies using a pre-tested search strategy. In addition, the websites of academic organizations were searched for guidelines, recommendations, and reports. Literature published between January 1, 2010, and December 19, 2021, in either English or Chinese, was included. The standard form of the Joanna Briggs Institute (JBI) was used to assess risk of bias of the included studies.
RESULTS: The data analysis covered 103 studies, 21 guidelines, 11 recommendations, five position statements, three reports, two committee opinions, three consensuses, one consultation, and one policy statement. All but one guideline recommended that mothers be routinely screened for perinatal depression at least once during the perinatal period. In addition, 39 documents recommended that perinatal mothers at risk of perinatal depression be provided with or referred to counseling services. In original studies, however, only 8.7% of the original studies conducted routine screenings, and only one-third offered referral services after the screening process. The EPDS emerged as the most frequently used screening tool to measure perinatal depression. 32% (n = 33) of studies reported the technology used for screening. The most commonly used method was face-to-face interviews (n = 22). Screening personnel the agents conducting the screening comprised researchers (n = 26), nurses (n = 15), doctors (n = 11).
CONCLUSIONS: A significant disparity was observed between the recommendations and implementation of perinatal depression screening, highlighting the need to integrate routine screening and referral processes into maternal care services.
METHODS: Fifteen databases were searched for observational studies using a pre-tested search strategy. In addition, the websites of academic organizations were searched for guidelines, recommendations, and reports. Literature published between January 1, 2010, and December 19, 2021, in either English or Chinese, was included. The standard form of the Joanna Briggs Institute (JBI) was used to assess risk of bias of the included studies.
RESULTS: The data analysis covered 103 studies, 21 guidelines, 11 recommendations, five position statements, three reports, two committee opinions, three consensuses, one consultation, and one policy statement. All but one guideline recommended that mothers be routinely screened for perinatal depression at least once during the perinatal period. In addition, 39 documents recommended that perinatal mothers at risk of perinatal depression be provided with or referred to counseling services. In original studies, however, only 8.7% of the original studies conducted routine screenings, and only one-third offered referral services after the screening process. The EPDS emerged as the most frequently used screening tool to measure perinatal depression. 32% (n = 33) of studies reported the technology used for screening. The most commonly used method was face-to-face interviews (n = 22). Screening personnel the agents conducting the screening comprised researchers (n = 26), nurses (n = 15), doctors (n = 11).
CONCLUSIONS: A significant disparity was observed between the recommendations and implementation of perinatal depression screening, highlighting the need to integrate routine screening and referral processes into maternal care services.
摘要：
目的：许多指南建议筛查围产期抑郁症以减轻疾病负担，但目前的实施做法需要澄清。
方法：使用预先测试的搜索策略搜索了15个数据库的观察性研究。此外,搜索学术组织的网站以获取指南，recommendations,和报告。2010年1月1日至2021年12月19日用英文或中文出版的文献，包括在内。JoannaBriggs研究所（JBI）的标准表格用于评估纳入研究的偏倚风险。
结果：数据分析涵盖103项研究，21条准则,11条建议,五个立场声明，三份报告,两个委员会的意见，三个共识,一次咨询,一个政策声明。除一项指南外，所有指南都建议在围产期至少对母亲进行一次围产期抑郁症的常规筛查。此外,39个文件建议向有围产期抑郁症风险的围产期母亲提供或转介咨询服务。在原始研究中，然而,只有8.7%的原始研究进行了常规筛查，只有三分之一的人在筛选过程后提供转介服务。EPDS成为测量围产期抑郁症最常用的筛查工具。32%(n=33)的研究报告了用于筛选的技术。最常用的方法是面对面访谈(n=22)。进行筛查的人员包括研究人员(n=26)，护士（n=15），医生（n=11）。
结论：围产期抑郁症筛查的建议和实施之间存在显着差异，强调需要将常规筛查和转诊程序纳入孕产妇护理服务。
方法：使用预先测试的搜索策略搜索了15个数据库的观察性研究。此外,搜索学术组织的网站以获取指南，recommendations,和报告。2010年1月1日至2021年12月19日用英文或中文出版的文献，包括在内。JoannaBriggs研究所（JBI）的标准表格用于评估纳入研究的偏倚风险。
结果：数据分析涵盖103项研究，21条准则,11条建议,五个立场声明，三份报告,两个委员会的意见，三个共识,一次咨询,一个政策声明。除一项指南外，所有指南都建议在围产期至少对母亲进行一次围产期抑郁症的常规筛查。此外,39个文件建议向有围产期抑郁症风险的围产期母亲提供或转介咨询服务。在原始研究中，然而,只有8.7%的原始研究进行了常规筛查，只有三分之一的人在筛选过程后提供转介服务。EPDS成为测量围产期抑郁症最常用的筛查工具。32%(n=33)的研究报告了用于筛选的技术。最常用的方法是面对面访谈(n=22)。进行筛查的人员包括研究人员(n=26)，护士（n=15），医生（n=11）。
结论：围产期抑郁症筛查的建议和实施之间存在显着差异，强调需要将常规筛查和转诊程序纳入孕产妇护理服务。
