Social Factors and the Risk of Postpartum Depression during the COVID-19 Pandemic: A Systematic Review

IF 0.4 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Clinical and experimental obstetrics & gynecology Pub Date : 2023-10-09 DOI:10.31083/j.ceog5010203

Haohui Chen, Bo Feng, Yuting Guo, Wei Luo, Yuxin Zhao, Shuying Liao, Jitong Zhao

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引用次数: 0

Abstract

Background: To investigate the effects of social factors including social support and social restriction on postpartum depression (PPD) during the COVID-19 pandemic. Methods: We conducted a systematic review with PubMed and Web of Science from 1 January 2020 to 1 April 2023. Articles focusing on social factors and PPD during COVID-19 pandemic were investigated. Newcastle-Ottawa Scale and the Agency for Healthcare Research and Quality Scale were used to evaluate quality of literatures. Results: We included 31 articles (22 cross-sectional studies and 9 cohort studies) with good quality. Edinburgh Postnatal Depression Scale (EPDS) was used as the preferred measure for defining PPD. Social support reduced the prevalence of developing PPD by 30%–40%. Social restriction increased the risk of PPD but there was lack of evidence or effective scales to define restriction. Conclusions: We found that social support acted as an important protective factor for PPD during the COVID-19 pandemic and that social restriction increased the risk of PPD. EPDS may be an optimal choice for researchers to define PPD. Obstetricians should underline social factors for both pregnancy women and their families. The study was registered on PROSPERO (https://www.crd.york.ac.uk/prospero/), registration number: CRD42023434485.

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新冠肺炎大流行期间社会因素与产后抑郁风险的系统评价

背景:探讨新冠肺炎大流行期间社会支持和社会限制等社会因素对产后抑郁的影响。方法:我们在2020年1月1日至2023年4月1日期间对PubMed和Web of Science进行了系统评价。对COVID-19大流行期间关注社会因素和PPD的文章进行了调查。采用纽卡斯尔-渥太华量表和卫生保健研究机构质量量表评价文献质量。结果:我们纳入了31篇质量较好的文章(22篇横断面研究和9篇队列研究)。爱丁堡产后抑郁量表(EPDS)被用作确定产后抑郁的首选测量标准。社会支持使产后抑郁症患病率降低了30%-40%。社会限制增加了PPD的风险，但缺乏证据或有效的量表来定义限制。结论:我们发现社会支持是COVID-19大流行期间PPD的重要保护因素，社会限制增加了PPD的风险。EPDS可能是研究人员定义PPD的最佳选择。产科医生应强调孕妇及其家庭的社会因素。本研究已在PROSPERO (https://www.crd.york.ac.uk/prospero/)上注册，注册号:CRD42023434485。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and experimental obstetrics & gynecology 医学-妇产科学

CiteScore

0.50

自引率

0.00%

发文量

241

审稿时长

1 months

期刊介绍： CEOG is an international, peer-reviewed, open access journal. CEOG covers all aspects of Obstetrics and Gynecology, including obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine. All submissions of cutting-edge advances of medical research in the area of women''s health worldwide are encouraged.