基于诊断面试的产后抑郁症的患病率:系统审查和元分析
Yanping Bai1, Qiao Li1, Kar Keung Cheng2
1HER Team and Department of Maternal and Child Health, Xiangya School of Public Health, Central South University, Hunan 410078, China.
Depression and anxiety
|April 14, 2025
概括
产后抑郁症 (PPD) 影响了大约八分之一的女性,而15分之一的女性患有严重抑郁症. 这项使用诊断访谈的元分析发现,PPD的患病率低于之前的研究,特别是在高收入国家.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 流行病学 流行病学
背景情况:
- 产后抑郁症 (PPD) 是影响分娩后妇女的重大公共卫生问题.
- 以前的患病率估计通常依赖于查工具,可能高估了PPD率.
- 诊断面试提供了一种更可靠的方法来评估PPD病例.
研究的目的:
- 为了确定产后抑郁症 (PPD) 的患病率,仅从使用诊断访谈的研究中来确定.
- 为全球人口提供更准确和有效的PPD率估计.
- 通过子组分析,识别影响PPD流行的因素.
主要方法:
- 在多个数据库 (PubMed,Web of Science,Embase等) 进行了全面的系统文献搜索. 在2022年9月之前.
- 采用随机效应的元分析,从54项符合条件的研究 (n=15586名女性) 中汇集了流行数据.
- 进行了质量,异质性,出版偏差和子组分析 (时间点,设置,收入水平,诊断标准).
主要成果:
- 产后一年内任何抑郁症的综合患病率为12.1%,主要抑郁症为7.0%.
- 抑郁症在产后前六个月达到顶峰,在2-3周和6-8周显著增加.
- 在低收入和中等收入国家 (LMICs) 和使用ICD诊断标准时,主要抑郁症的患病率更高.
结论:
- 大约八分之一的产后妇女患有抑郁症,15分之一的妇女患有严重抑郁症.
- 从诊断访谈中得出的患病率低于之前根据查仪器报告的估计值.
- 由于观察到的患病率更高,对LMIC中PPD的研究和服务的关注越来越重要.
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