Prevalence and Associated risk Factors of Postnatal Depression in South Asian region—A Systematic review

Prabhu, Savitha; George, Linu Sara; Guruvare, Shyamala; Noronha, Judith A; Hebbar, Shripad

doi:10.5958/0976-5506.2019.01022.2

Cited by 11 publications

(9 citation statements)

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“…The full texts of the remaining 140 citations were evaluated, and 117 articles were excluded, which did not fulfill the eligibility criteria. Finally, 23 articles meeting all the criteria were recruited in this umbrella review (see Table 3), including 12 systematic reviews (Aggarwal and Berk, 2015;Arora and Aeri, 2019;Hossain et al, 2017Hossain et al, , 2014Math and Srinivasaraju, 2010;Mills et al, 2008;Mirza and Jenkins, 2004;Nadkarni et al, 2013;Naskar et al, 2017;Newman, 2013;Rajapakse et al, 2013;Thapa et al, 2018) and 11 meta-analyses (Chauhan et al, 2019;Ganguli, 2000;Hendrickson et al, 2019;Hussain et al, 2018;Mahendran et al, 2019;Malhotra and Patra, 2014;Pilania et al, 2019;Prabhu et al, 2019;Ranjan and Asthana, 2017;Reddy and Chandrashekar, 1998;Upadhyay et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

“…Most of the reviews evaluated mental disorders in India (n = 13), followed by two studies on Bangladesh (Hossain et al, 2014;Newman, 2013), one study each from Nepal (Thapa et al, 2018), Pakistan (Mirza and Jenkins, 2004), and Sri Lanka (Rajapakse et al, 2013). One study evaluated mental disorders among Bhutanese refugees living in Nepal (Mills et al, 2008), and four studies evaluated mental disorders in multiple South Asian nations (Hossain et al, 2017;Mahendran et al, 2019;Prabhu et al, 2019;Ranjan and Asthana, 2017). The quality evaluation found one study with low quality, nine studies with high quality, and remaining (n = 13) studies with medium quality (see Supplementary material).…”

Section: Characteristics Of the Recruited Reviewsmentioning

confidence: 99%

“…All the reviews reported primary studies that recruited participants from diverse populations across South Asian countries. Four reviews focused on mental disorders among children and adolescents (Aggarwal and Berk, 2015;Chauhan et al, 2019;Malhotra and Patra, 2014), three reviews evaluated mental disorders among elderly adults (Nadkarni et al, 2013;Pilania et al, 2019;Thapa et al, 2018), and three reviews studies maternal depression in pregnant and postpartum women (Arora and Aeri, 2019;Prabhu et al, 2019;Upadhyay et al, 2017). Moreover, one study evaluated psychiatric comorbidities among people with a history of alcohol use (Hendrickson et al, 2019), whereas two studies evaluated psychiatric comorbidities among The prevalence rates for overall psychiatric disorders (5.82%), organic psychosis (0.04%), schizophrenia (0.27%), affective disorders (1.23%), mental retardation (0.69%), epilepsy (0.44%), neurotic disorders (2.07%), manic depression (0.27%), endogenous depression (0.89%), neurotic depression (0.31%), alcohol or drug addiction (0.69%), emotional disorders (0.27%), and other mental disorders (0.39%) were reported.…”

Section: Sample Size and Characteristics Of The Study Participantsmentioning

confidence: 99%

“…Fourteen studies reported the prevalence of depressive disorders among different population groups ranging from 0.5% to 97%, which was heterogeneous among participants with diverse sociodemographic and pathophysiological conditions (Aggarwal and Berk, 2015;Arora and Aeri, 2019;Hossain et al, 2014;Hussain et al, 2018;Mahendran et al, 2019;Mills et al, 2008;Mirza and Jenkins, 2004;Naskar et al, 2017;Newman, 2013;Pilania et al, 2019;Prabhu et al, 2019;Reddy and Chandrashekar, 1998;Thapa et al, 2018;Upadhyay et al, 2017). For example, Newman (2013) reported the prevalence of depression was 6.6% to 37% among the general population, whereas 97% of patients with fistula experienced depressive disorders (Newman, 2013).…”

Section: Depressive Disorders Anxiety Disorders and Mood Disordersmentioning

confidence: 99%

“…The severity of depressive disorders also varied with age; another meta-analysis found 34.4% (95% CI: 29.3-39.7) of elderly adults had depressive disorders (Pilania et al, 2019). Moreover, maternal depressive disorders was reported in five reviews (Arora and Aeri, 2019;Mahendran et al, 2019;Newman, 2013;Prabhu et al, 2019;Upadhyay et al, 2017). A meta-analysis reported the prevalence of antenatal depressive disorders as 24.3% (95% CI: 19.03-30.47) (Mahendran et al, 2019), whereas another meta-analysis reported the prevalence of postpartum depressive disorders as 26% (95% CI: 21-30) (Prabhu et al, 2019).…”

Section: Depressive Disorders Anxiety Disorders and Mood Disordersmentioning

confidence: 99%

See 4 more Smart Citations

Prevalence of mental disorders in South Asia: An umbrella review of systematic reviews and meta-analyses

Hossain

Purohit

Sultana

et al. 2020

Asian Journal of Psychiatry

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Objectives: Mental disorders are highly prevalent in eight South Asian countries, yet there is a gap of a synthesized overview of the prevalence of mental disorders in this region. This umbrella review aims to summarize the prevalence of mental disorders from systematic reviews and metaanalyses of South Asian studies. Materials and methods: A systematic search of 11 major databases and additional sources was conducted until December 11, 2019. Articles were included if they were systematic reviews or meta-analyses, reported the prevalence of mental disorders, and reported primary studies conducted in South Asian countries only. Results: Among 2591 citations, a total of 23 reviews met all the criteria of this umbrella review. The synthesized findings from those reviews suggest high prevalence rates for mental disorders, including depressive disorders, anxiety disorders, mood disorders, suicidal behavior and selfharm, schizophrenia, substance use disorders, neurodevelopmental disorders, dementia, and other mental health problems. Also, findings suggest a high burden of maternal depression, psychiatric comorbidities in chronic physical illnesses, and various mental disorders among children, elderly adults, refugees, and other vulnerable populations. Most studies were from India whereas evidence from Afghanistan, Bhutan, and Maldives was limited. Conclusion: The findings of this review are constrained with heterogeneity in prevalence estimations, methodologies, sampling issues, and limitations in the existing literature, which should be addressed in future research. The evidence synthesized in this review provides national and regional overview of the prevalence of mental disorders, which may inform better policymaking and practice advancing mental health in South Asia.

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Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of the Recruited Reviewsmentioning

confidence: 99%

Section: Sample Size and Characteristics Of The Study Participantsmentioning

confidence: 99%

Section: Depressive Disorders Anxiety Disorders and Mood Disordersmentioning

confidence: 99%

Section: Depressive Disorders Anxiety Disorders and Mood Disordersmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence of mental disorders in South Asia: An umbrella review of systematic reviews and meta-analyses

Hossain

Purohit

Sultana

et al. 2020

Asian Journal of Psychiatry

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Burden of severe maternal peripartum mental disorders in low- and middle-income countries: a systematic review

Kalra

Tran

Romero

et al. 2022

Arch Womens Ment Health

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Peripartum severe mental disorders (PSMDs) encompass schizophrenia, affective psychosis, and psychotic and non-psychotic forms of bipolar disorders. PSMDs are well documented in high-income countries. However, much less is known about the prevalence of PSMDs in low- and middle-income countries (LMICs). The aim was to review the available literature systematically and estimate the prevalence of PSMDs among women in LMICs. We searched the Ovid MEDLINE, Embase, PsycINFO, CINAHL and Maternity and Infant Care databases systematically from the date of inception to Dec 31, 2020, for English-language publications with data on the prevalence of PSMDs among women in World Bank–defined LMICs. Selection of studies, extraction of data and assessment of study quality were each undertaken independently by at least two of the investigators. A total of five studies (completed in three countries spanning two continents) met the inclusion criteria. Five studies reported cumulative incidence of postpartum psychosis (ranging from 1.1 to 16.7 per 1000 births). We found no studies on the prevalence of severe mental disorder during pregnancy in these settings. Marked heterogeneity in methodology precluded meta-analysis. These findings indicate that PSMDs occur at a similar prevalence in low- and middle-income to high-income countries. However overall, there is a paucity of high-quality evidence from these settings. There is a need for rigorous studies with standardized methods to increase knowledge of the nature, prevalence, and determinants of PSMDs among women in resource-constrained LMICs to inform policies, service development, program planning and health professional training.

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Postpartum Depression, Complications During Pregnancy, and Offspring Behavior Problems in Early Childhood

Ben-Harush

Schiff

Sulimani

et al. 2021

Child Youth Care Forum

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Prevalence and Associated risk Factors of Postnatal Depression in South Asian region—A Systematic review

Cited by 11 publications

References 0 publications

Prevalence of mental disorders in South Asia: An umbrella review of systematic reviews and meta-analyses

Prevalence of mental disorders in South Asia: An umbrella review of systematic reviews and meta-analyses

Burden of severe maternal peripartum mental disorders in low- and middle-income countries: a systematic review

Postpartum Depression, Complications During Pregnancy, and Offspring Behavior Problems in Early Childhood

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