产后抑郁症超过12个月:一个系统的审查和元分析
Elsie Hellyer1, Katrina Nash2, Ellie Jones3
1Aintree University Hospital NHS Foundation Trust, Liverpool, UK.
International journal of mental health nursing
|March 7, 2025
概括
产后抑郁症 (PND) 影响15%的妇女在分娩后的第二年,类似于第一年. 这一发现凸显出需要在产后12个月以后继续提供支持.
科学领域:
- 围产期心理健康问题
- 流行病学 流行病学
- 精神病学是一个精神病学.
背景情况:
- 产后抑郁症 (PND) 传统上被定义为发生在分娩后的第一年内.
- 最近将专业围产期心理健康服务扩展到产后第二年,需要了解这一时期的PND患病率.
- 现有的PND患病率超过产后12个月的现有数据有限.
研究的目的:
- 确定产后抑郁症 (PND) 在产后第二年 (13-24个月) 的患病率的最佳估计.
- 为了比较PND在分娩后第二年的患病率与第一年的患病率.
主要方法:
- 对评估PND患病率超过分娩后12个月的研究进行系统审查和元分析.
- 在主要数据库 (PubMed,Embase,Web of Science,CINAHL,PsychINFO) 进行的搜索,于2024年2月更新.
- 包括使用经过验证的查工具或临床诊断的研究,不包括那些具有先前存在的抑郁症的研究;使用ROBINS-I和Risk of Bias 2工具评估质量.
主要成果:
- 32项涉及18个国家的57,210名参与者的研究符合纳入标准.
- 在分娩后的第二年 (13-24个月) PND的患病率估计为15% (95% CI 12%-17%).
- 这种患病率与产后第一年估计的16% (95% CI 14%-19%) 类似.
结论:
- 很大一部分妇女在分娩后的第二年经历产后抑郁症 (PND).
- 在分娩后的第二年,PND的患病率与第一年的患病率相当.
- 这些发现支持延长产前精神健康服务和对PND的监测,超出产后最初的12个月.
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