难民和寻求庇护妇女产后抑郁症的患病率、风险因素和干预措施：系统回顾和元分析。

IF 2 4区医学 Q2 OBSTETRICS & GYNECOLOGY

Gynecologic and Obstetric Investigation Pub Date : 2024-01-01 Epub Date: 2024-01-12 DOI:10.1159/000535719

Karnvir Heer, Lujayn Mahmoud, Hana Abdelmeguid, Kavin Selvan, Monali S Malvankar-Mehta

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引用次数: 0

摘要

导言：由于各种社会心理压力的综合作用，难民妇女患产后抑郁症（PPD）的风险增加。本系统性综述旨在概述产后抑郁症在难民妇女中的发病率，并探讨相关的风险因素和目前在实践中采取的干预措施：使用MEDLINE、Embase、PsycINFO、CINAHL和Core Collection（Web of Science）对2022年8月之前发表的文章进行检索，共获得229条记录：难民和寻求庇护妇女的发病率为 22.5%（n=657/2922），而非难民/寻求庇护妇女的发病率为 17.5%（n=400/2285）。难民/寻求庇护的妇女面临着一系列独特的问题，如家庭虐待、分离和缺乏支持、压力、移民前的经历、以前的精神病史、低收入和歧视。难民/寻求庇护的妇女可能会从支持小组、个人支持、自我应对机制和家庭支持中受益：本研究发现，与其他群体相比，难民妇女和寻求庇护妇女的 PPD 患病率较高，这可能是由于她们面临着独特的风险因素。由于针对这一人群的干预研究有限，因此有必要开展进一步的研究。

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Prevalence, Risk Factors, and Interventions of Postpartum Depression in Refugees and Asylum-Seeking Women: A Systematic Review and Meta-Analysis.

Introduction: Refugee women are at an increased risk of developing postpartum depression (PPD) due to a combination of various psychosocial stressors. This systematic review aimed to outline the prevalence of PPD among refugee women and explore related risk factors and interventions currently in practice.

Methods: A search was conducted using MEDLINE, Embase, PsycINFO, CINAHL, and Core Collection (Web of Science) for articles published until August 2022, yielding 1,678 records.

Results: The prevalence of refugee and asylum-seeking women was 22.5% (n = 657/2,922), while the prevalence of non-refugee/asylum-seeking women with PPD was 17.5% (n = 400/2,285). Refugee/asylum-seeking women face a unique set of issues such as domestic abuse, separation and lack of support, stress, pre-migrational experiences, prior history of mental illness, low income, and discrimination. Refugee/asylum-seeking women may benefit from support groups, individual support, self-coping mechanisms, and familial support.

Conclusion: This review identifies that a higher prevalence of PPD in refugee and asylum-seeking women compared to other groups can potentially be attributed to the unique risk factors they face. This warrants the need for further research as studies on interventions for this condition are limited among this population.

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来源期刊

Gynecologic and Obstetric Investigation 医学-妇产科学

CiteScore

4.20

自引率

4.80%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal covers the most active and promising areas of current research in gynecology and obstetrics. Invited, well-referenced reviews by noted experts keep readers in touch with the general framework and direction of international study. Original papers report selected experimental and clinical investigations in all fields related to gynecology, obstetrics and reproduction. Short communications are published to allow immediate discussion of new data. The international and interdisciplinary character of this periodical provides an avenue to less accessible sources and to worldwide research for investigators and practitioners.