围产期心理健康问题在高收入国家影响约10%的妇女,在低收入或中等收入国家影响约30%的妇女。这篇综述旨在确定巴基斯坦母亲和父亲围产期抑郁症的患病率,并确定相关的危险因素。
我们遵循系统评价和荟萃分析指南的首选报告项目进行了系统评价和荟萃分析。我们纳入了关于孕产妇和父亲围产期抑郁症患病率或发病率的定量研究,包括巴基斯坦的产前或产后抑郁症,有或没有相关的危险因素。我们进行了电子搜索,双重标题/摘要和全文筛选,和数据提取。在Revman和JBISUMARI软件上进行分析。使用NHLBI工具评估纳入研究的质量。这篇综述更新了以前发表的一篇综述,其中包括43项研究,上一次搜索日期为2019年5月31日,现在扩展到2023年6月30日出版的文献。
■与之前的评论一致,我们对61项研究的分析表明,孕产妇产前抑郁的合并患病率为37%(95%置信区间(CI):30.6~43.6).产后抑郁症在不同的时间点,显示率为34.2%(95%CI:22.7-46.7),40.9%(95%CI:0-97.4),在3、6和12个月时为43.1%(95%CI:24.4-62.9),分别。根据两项研究,观察到父亲产后抑郁症为40.5%(95%CI:14.9-69)。围产期抑郁症的危险因素包括多胎,避孕失败,产前护理不足,妊娠高血压,以前的精神病,被动吸烟,药物滥用,社会经济地位低,婚姻问题,家庭的艰辛,最近的丧亲,住房困难,粮食不安全,丈夫的文盲,他的失业,并被指责为儿童残疾。
■研究结果表明,母亲围产期抑郁症的患病率很高,父亲居住在巴基斯坦的证据非常有限,强调需要进行前瞻性研究来应对心理健康挑战。
■此评论已在PROSPERO(CRD42023442581)上注册。
UNASSIGNED: Perinatal mental health issues affect approximately 10% of women in high-income countries and 30% in low- or middle-income countries. This review aims to determine the prevalence of perinatal depression among mothers and fathers in Pakistan and identify associated risk factors.
UNASSIGNED: We conducted a systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. We included quantitative studies on the prevalence or incidence of maternal and paternal perinatal depression, including antenatal or postnatal depression in Pakistan, with or without associated risk factors. We performed an electronic search, dual-title/abstract and full-text screening, and data extraction. Analysis was conducted on Revman and JBI SUMARI software. The quality of the included studies was assessed with the NHLBI tool. This review updated a previously published review that included 43 studies, with the last search date of 31st May 2019, now extended to literature published up to June 30, 2023.
UNASSIGNED: Consistent with the previous review, our analysis of 61 studies indicated a pooled prevalence of 37% (95% confidence interval (CI): 30.6-43.6) for maternal antenatal depression. Postnatal depression at different time points, revealed rates of 34.2% (95% CI: 22.7-46.7), 40.9% (95% CI: 0-97.4), and 43.1% (95% CI: 24.4-62.9) at 3, 6 and 12 months, respectively. Paternal postnatal depression was observed at 40.5% (95% CI: 14.9-69) based on two studies. Risk factors for maternal perinatal depression include multiparity, contraceptive failure, inadequate antenatal care, pregnancy-induced hypertension, previous psychiatric illness, passive smoking, drug abuse, low socio-economic status, marital problems, family hardships, recent bereavement, housing difficulties, food insecurity, husband\'s illiteracy, his unemployment, and being blamed for child disability.
UNASSIGNED: The findings reveal a high prevalence of perinatal depression among mothers with very limited evidence of fathers residing in Pakistan, emphasising the need for prospective studies addressing mental health challenges.
UNASSIGNED: This review is registered on PROSPERO (CRD42023442581).