流产后焦虑、抑郁和压力的全球患病率:一项系统回顾和荟萃分析。

IF 4.3 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Asha Shetty, Alwin Issac, Sanjay Dhiraaj, Vijay Vr, Latha Thimappa, Deepthy Balakrishnan, Bhola Nath, Shruti Sinha, Suyash Singh, Prabakar Mishra, Kurvatteppa Halemani
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引用次数: 0

摘要

背景:精神障碍在2017年被列为残疾调整生命年的第六大原因,对卫生保健系统构成了重大挑战。焦虑和抑郁在孕妇中经常被报道,特别是在经历流产之后。我们的目的是评估流产后女性焦虑、抑郁和压力的全球患病率。方法:检索电子数据库,包括PubMed (MEDLINE)、Cochrane、Nursing and Allied Health Literature Cumulative Index、EMBASE、Web of Science、Scopus和ClinicalKey,检索1995年1月至2024年12月发表的英文研究。我们遵循Cochrane协作指南,并使用PRISMA 2020声明进行报告。焦虑、抑郁和压力是我们评估的主要结果。结果:在这项系统回顾和荟萃分析中,我们纳入了29项研究,33575名参与者。参与者的年龄从18岁到45岁不等。我们发现,在流产后的六周内,32.5%的女性经历过焦虑,30.1%的女性经历过抑郁,33.6%的女性经历过压力。值得注意的是,这些精神健康障碍的患病率在低收入和中等收入国家较高。结论:我们的研究结果强调了心理健康对整体幸福感的影响,尤其是流产后。医疗保健专业人员需要认识到流产后六周内心理健康的重要性。及早发现和治疗精神障碍对于减轻其对妇女精神健康的影响和改善今后怀孕的结果至关重要。报名:普洛斯彼罗:CRD42024578605。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Global prevalence of post-miscarriage anxiety, depression, and stress: a systematic review and meta-analysis.

Global prevalence of post-miscarriage anxiety, depression, and stress: a systematic review and meta-analysis.

Global prevalence of post-miscarriage anxiety, depression, and stress: a systematic review and meta-analysis.

Global prevalence of post-miscarriage anxiety, depression, and stress: a systematic review and meta-analysis.

Background: Mental disorders, ranked as the sixth leading cause of disability-adjusted life years in 2017, present significant challenges to healthcare systems. Anxiety and depression are frequently reported among pregnant women, particularly after experiencing a miscarriage. We aim to evaluate the global prevalence of anxiety, depression, and stress in women following a miscarriage.

Methods: We searched electronic databases, including PubMed (MEDLINE), Cochrane, Cumulative Index to Nursing and Allied Health Literature, EMBASE, Web of Science, Scopus, and ClinicalKey, for studies published in English from January 1995 to December 2024. We adhered to the Cochrane Collaboration guidelines and reported it using the PRISMA 2020 statement. Anxiety, depression, and stress were the primary outcomes we assessed.

Results: In this systematic review and meta-analysis, we included 29 studies with 35 375 participants. Participants' age ranged from 18 to 45 years. We found that 32.5% of women experienced anxiety, 30.1% depression, and 33.6% stress within six weeks following a miscarriage. Notably, the prevalence of these mental health disorders was higher in low- and middle-income countries.

Conclusions: Our findings underscore the impact of mental health on overall well-being, particularly after a miscarriage. Healthcare professionals need to acknowledge the importance of mental health during the six weeks following a miscarriage. Early identification and treatment of mental disorders are crucial for mitigating their effects on women's mental health and improving outcomes in future pregnancies.

Registration: PROSPERO: CRD42024578605.

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来源期刊
Journal of Global Health
Journal of Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.10
自引率
2.80%
发文量
240
审稿时长
6 weeks
期刊介绍: Journal of Global Health is a peer-reviewed journal published by the Edinburgh University Global Health Society, a not-for-profit organization registered in the UK. We publish editorials, news, viewpoints, original research and review articles in two issues per year.
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