Interventions to address postpartum depression in South Asian countries: a scoping review.

IF 2.1 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Karuna Poddar, Basil H Aboul-Enein, Parth Lalakia, Veereshkumar Nandagaon, Amey Khande, Shweta Angadi, Babita Belgundkar, Patricia J Kelly
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Abstract

Background: Postpartum depression (PPD) can result in poor health outcomes in mothers, affect maternal-child bonding and have long-term effects on child development.

Aims: The aim of this review was to identify existing studies on PPD and characterise any gaps in literature.

Methods: We conducted a scoping review of 14 databases using a combination of search terms and phrases related to PPD and the respective Southern Asian countries. We applied the criteria from the PRISMA Extension for Scoping Reviews to identify relevant articles from Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan and Sri Lanka published between January 2004 and September 2024.

Results: We identified 20 studies conducted in only four of the South Asian countries: Pakistan, India, Bangladesh and Nepal. Fifteen were studies with clear post-intervention outcomes; five had process outcomes. Intervention studies used trained community health workers in a variety of psychosocial programs, many with culturally specific content, including adoption of language and integration of local activities. Among the 15 intervention studies, six had positive maternal mental health outcomes and three had positive pediatric-related findings.

Conclusion: The 20 articles identified address the important problem of PPD in South Asia. The positive findings in both the large randomised control trials and small pilot studies identified in this article, combined with the studies' use of the resource of community health workers, suggest that the gap in the literature is less on identifying effective interventions and more on securing the political and policy resolution to address the problem of PPD.

南亚国家解决产后抑郁症的干预措施:范围审查。
背景:产后抑郁症(PPD)可导致母亲健康状况不佳,影响母子关系,并对儿童发育产生长期影响。目的:本综述的目的是确定现有的关于产后抑郁症的研究,并描述文献中的空白。方法:我们使用与PPD和各自南亚国家相关的搜索词和短语组合对14个数据库进行了范围审查。我们应用了PRISMA扩展范围审查的标准,以确定2004年1月至2024年9月期间发表的来自阿富汗、孟加拉国、不丹、印度、马尔代夫、尼泊尔、巴基斯坦和斯里兰卡的相关文章。结果:我们确定了仅在四个南亚国家进行的20项研究:巴基斯坦、印度、孟加拉国和尼泊尔。15项研究具有明确的干预后结果;5个有过程结果。干预研究在各种社会心理方案中使用了训练有素的社区卫生工作者,其中许多方案具有特定文化的内容,包括采用语言和融入当地活动。在15项干预研究中,6项具有积极的孕产妇心理健康结果,3项具有积极的儿科相关发现。结论:这20篇文章解决了南亚PPD的重要问题。本文中确定的大型随机对照试验和小型试点研究的积极结果,以及这些研究对社区卫生工作者资源的利用,表明文献中的差距较少是在确定有效的干预措施上,而更多是在确保政治和政策解决PPD问题上。
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
Journal of Reproductive and Infant Psychology
Journal of Reproductive and Infant Psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
6.80
自引率
8.00%
发文量
55
期刊介绍: The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.
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