Mental health outcomes across the reproductive life course among women with disabilities: a systematic review.

IF 3.2 3区 医学 Q2 PSYCHIATRY
Andrea Lauren Deierlein, Curie Park, Nishtha Patel, Robin Gagnier, Michele Thorpe
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Abstract

Purpose: This systematic review examined literature on mental health outcomes among women with disabilities living in high-income countries within the context of reproductive health, spanning menstruation through menopause.

Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we searched MEDLINE, CINAHL, and PsycINFO databases for studies published through June 2023. Eligible studies were observational, quantitative, and included a comparison group without disabilities.

Results: A total of 2,520 studies were evaluated and 27 studies met inclusion criteria. These studies assessed mental health during prepregnancy, pregnancy, postpartum, and parenting among women with and without disabilities. None of the studies examined reproductive health time periods related to menstruation, fertility, or menopause. Women of reproductive age with disabilities were more likely to have poor mental health outcomes compared to women without disabilities. During pregnancy and the postpartum, women with disabilities were at greater risk of diagnosed perinatal mental disorders and psychiatric-related healthcare visits. Findings also suggested mental distress and inadequate emotional and social support related to parenting among women with disabilities. The greatest risks of poor mental health outcomes were often observed among women with intellectual and developmental disabilities and among women with multiple types of disabilities, compared to women without disabilities.

Conclusions: Routine reproductive healthcare visits provide significant prevention and treatment opportunities for poor mental health among women with disabilities. Further research examining mental health outcomes within the context of reproductive health, especially understudied areas of menstruation, fertility, parenting, and menopause, among women with disabilities is needed.

残疾妇女在整个生育期的心理健康结果:系统综述。
目的:本系统性综述研究了生活在高收入国家的残疾女性在生殖健康(从月经期到更年期)背景下的心理健康结果:根据《系统综述和元分析首选报告项目》指南,我们检索了 MEDLINE、CINAHL 和 PsycINFO 数据库中截至 2023 年 6 月发表的研究。符合条件的研究均为观察性、定量研究,并包含一个无残疾的对比组:共评估了 2520 项研究,27 项研究符合纳入标准。这些研究评估了残疾妇女和非残疾妇女在孕前、孕期、产后和育儿期间的心理健康情况。没有一项研究对与月经、生育或更年期相关的生殖健康时段进行了调查。与非残疾妇女相比,育龄残疾妇女的心理健康状况更差。在怀孕期间和产后,残疾妇女被诊断为围产期精神障碍和接受与精神病相关的医疗服务的风险更大。研究结果还表明,残疾妇女在养育子女的过程中会遇到精神困扰以及情感和社会支持不足的问题。与非残疾妇女相比,患有智力和发育障碍的妇女以及患有多种残疾的妇女出现不良心理健康后果的风险最大:常规生殖保健就诊为预防和治疗残疾妇女的不良心理健康提供了重要机会。需要进一步研究在生殖健康的背景下,尤其是在月经、生育、养育子女和更年期等未被充分研究的领域中,残疾妇女的心理健康结果。
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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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