Prevalence, nature and determinants of postpartum mental health problems among women who have migrated from South Asian to high-income countries: A systematic review of the evidence

Nilaweera, Irosha; Doran, Frances; Fisher, Jane

doi:10.1016/j.jad.2014.05.021

Cited by 57 publications

(77 citation statements)

References 30 publications

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“…Likelihood of publication bias assessed11. Conflict of interest includedOverall Quality ratingBorque et al [6]✓✓✓××✓✓✓✓✓×8/11 (moderate)Das Munshi et al [16]✓×✓××✓✓×✓✓×6/11 (moderate)Nilaweera et al [19]✓×✓××✓✓××××4/11 (low)Cantor Graee & Selten [8]✓××××✓××✓××3/11 (low)Lindert et al [9]✓××××✓××✓××3/11 (low)Fazel et al [17]×××××✓××✓××2/11 (low)Bronstein and Montgomery [15]✓×✓✓×✓✓✓×××6/11 (moderate)Slewa-Youghan et al [18]×✓✓××✓✓××××4/11 (low)…”

Section: Resultsmentioning

confidence: 99%

“…Of the five low quality reviews, one reported the prevalence of CMDs and psychotic disorders of adult and children first generation migrants [17], one reported the prevalence of CMDs [9], another reported the risk of schizophrenia [8], one reported on PTSD and depression in Iraqi refugees [18] and the fifth reported the prevalence of postpartum depression (PPD) [19]. All five reviews presented the characteristics of included studies.…”

Section: Resultsmentioning

confidence: 99%

“…AMSTAR scores were poor because reviews failed to report how duplicate study selection was addressed as well as omitting details about: the status of publication as an inclusion criterion, a list of included and excluded studies, if there had been any assessment of publication bias and if there was any conflict of interest. In addition, only one review used a method of assessing quality [19]. …”

Section: Resultsmentioning

confidence: 99%

“…Nilaweera et al [19] reported on PPD. This mixed methods review included ten quantitative studies and reported clinical (diagnostic) outcomes such as ICD 9 as recorded in medical notes and self-report outcomes such as the Edinburgh Postnatal Depression Scale (EPNDS).…”

Section: Resultsmentioning

confidence: 99%

“…Only one study in this review specifically calculated prevalence rates of PPD using ICD-9 codes recorded in medical notes and this study reported very low prevalence rates of PPD at just 5 %. Seven of the ten quantitative studies in this review by Nilaweera et al [19] reported specifically on PPD in South Asian born women and prevalence rates varied considerably from 3 to 52 %, with a mean prevalence of 19 %. In this review by Nilaweera et al [19] three other quantitative studies reported on the prevalence of PPD in women born overseas in general and prevalence rates ranged from 5 to 19 %, with a mean prevalence of 12 %.…”

Section: Resultsmentioning

confidence: 99%

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The mental health and wellbeing of first generation migrants: a systematic-narrative review of reviews

et al. 2016

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BackgroundFirst generation migrants are reportedly at higher risk of mental ill-health compared to the settled population. This paper systematically reviews and synthesizes all reviews on the mental health of first generation migrants in order to appraise the risk factors for, and explain differences in, the mental health of this population.MethodsScientific databases were searched for systematic reviews (inception-November 2015) which provided quantitative data on the mental ill-health of first generation migrants and associated risk factors. Two reviewers screened titles, abstracts and full text papers for their suitability against pre-specified criteria, methodological quality was assessed.ResultsOne thousand eight hundred twenty articles were identified, eight met inclusion criteria, which were all moderate or low quality. Depression was mostly higher in first generation migrants in general, and in refugees/asylum seekers when analysed separately. However, for both groups there was wide variation in prevalence rates, from 5 to 44 % compared with prevalence rates of 8–12 % in the general population. Post-Traumatic Stress Disorder prevalence was higher for both first generation migrants in general and for refugees/asylum seekers compared with the settled majority. Post-Traumatic Stress Disorder prevalence in first generation migrants in general and refugees/ asylum seekers ranged from 9 to 36 % compared with reported prevalence rates of 1–2 % in the general population. Few studies presented anxiety prevalence rates in first generation migrants and there was wide variation in those that did. Prevalence ranged from 4 to 40 % compared with reported prevalence of 5 % in the general population. Two reviews assessed the psychotic disorder risk, reporting this was two to three times more likely in adult first generation migrants. However, one review on the risk of schizophrenia in refugees reported similar prevalence rates (2 %) to estimates of prevalence among the settled majority (3 %). Risk factors for mental ill-health included low Gross National Product in the host country, downward social mobility, country of origin, and host country.ConclusionFirst generation migrants may be at increased risk of mental illness and public health policy must account for this and influencing factors. High quality research in the area is urgently needed as is the use of culturally specific validated measurement tools for assessing migrant mental health.Electronic supplementary materialThe online version of this article (doi:10.1186/s12992-016-0187-3) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The mental health and wellbeing of first generation migrants: a systematic-narrative review of reviews

et al. 2016

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Peptidomics analysis of human breast milk from women with postpartum depression reveals its potential pathogenesis

Wang

Mei

et al. 2023

Intl J of Devlp Neuroscience

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Background Postpartum depression (PPD) is a prevalent psychiatric disorder during the postnatal period, and it exerts adverse impacts not only on mothers but also on infants, impairing the well‐being of the whole family. However, the role of peptides in the breast milk of mothers with PPD has not been studied. The purpose of this study was to unveil the peptidomic profile of PPD from breast milk samples. Methods We performed comparative peptidomic profiling of human breast milk from PPD and control mothers using liquid chromatography–tandem mass spectrometry technology with iTRAQ‐8 labelling. GO and KEGG pathway analyses of precursor proteins were used to predict the underlying biological functions of differentially expressed peptides (DEPs). Ingenuity Pathway Analysis (IPA) was further performed to explore the interactions and involved pathways of DEPs. Results A total of 294 peptides from 62 precursor proteins were identified to be differentially expressed in the breast milk of PPD mothers compared with the control group. Bioinformatics analysis predicted that these DEPs were associated with ECM–receptor interaction, neuroactive ligand‐receptor interaction, cell adhesion molecule binding and oxidative stress in macrophages. These results indicate that DEPs from human breast milk may play a part in PPD and become promising noninvasive biomarkers.

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Mental Health Care Models in Low-and Middle-Income Countries

Nadkarni

Hanlon

Patel

2023

Tasman’s Psychiatry

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Prevalence, nature and determinants of postpartum mental health problems among women who have migrated from South Asian to high-income countries: A systematic review of the evidence

Cited by 57 publications

References 30 publications

The mental health and wellbeing of first generation migrants: a systematic-narrative review of reviews

The mental health and wellbeing of first generation migrants: a systematic-narrative review of reviews

Peptidomics analysis of human breast milk from women with postpartum depression reveals its potential pathogenesis

Mental Health Care Models in Low-and Middle-Income Countries

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