Psychosocial risk factors for postpartum depression in Chinese women: a meta-analysis

Qi, Weijing; Zhao, Fuqing; Liu, Yutong; Li, Qing; Hu, Jie

doi:10.1186/s12884-021-03657-0

Cited by 46 publications

(24 citation statements)

References 27 publications

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“…Therefore, this study suggests that high education may be a protective factor for PND, as other studies have shown [ 69 , 70 ]. But Miyake et al study found no association between maternal education and PND [ 71 ].…”

Section: Discussionmentioning

confidence: 99%

Predictors of postnatal depression in the slums Nairobi, Kenya: a cross-sectional study

et al. 2022

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Background Postnatal depression (PND) is a universal mental health problem that prevents mothers’ optimal existence and mothering. Although research has shown high PND prevalence rates in Africa, including Kenya, little research has been conducted to determine the contributing factors, especially in low-resource communities. Objective This study aimed to investigate the PND risk factors among mothers attending Lang’ata and Riruta Maternal and Child Health Clinics (MCH) in the slums, Nairobi. Methods This study was cross-sectional. It is part of a large study that investigated the effectiveness of a brief psychoeducational intervention on PND. Postnatal mothers (567) of 6-10 weeks postanatal formed the study population. Depression rate was measured using the original 1961 Beck’s Depression Inventory (BDI). In addition, a sociodemographic questionnaire (SDQ) was used to collect hypothesized risk variables. Multivariable logistic regression analysis was used to explore predictors of PND. Results The overall prevalence of PND in the sample of women was 27.1%. Women aged 18-24 (β = 2.04 95% C.I.[0.02; 4.05], p = 0.047), dissatisfied with body image (β = 4.33 95% C.I.[2.26; 6.41], p < 0.001), had an unplanned pregnancy (β = 2.31 95% C.I.[0.81; 3.80], p = 0.003 and felt fatigued (β = − 1.85 95% C.I.[− 3.50; 0.20], p = 0.028) had higher odds of developing PND. Participants who had no stressful life events had significantly lower depression scores as compared to those who had stressful life events (β = − 1.71 95% C.I.[− 3.30; − 0.11], p = 0.036) when depression was treated as a continuous outcome. Sensitivity analysis showed that mothers who had secondary and tertiary level of education had 51 and 73% had lower likelihood of having depression as compared to those with a primary level of education (A.O.R = 0.49 95% C.I.[0.31-0.78], p = 0.002) and (A.O.R = 0.27 95% C.I.[0.09-0.75], p = 0.013) respectively. Conclusion This study reveals key predictors/risk factors for PND in low-income settings building upon the scanty data. Identifying risk factors for PND may help in devising focused preventive and treatment strategies.

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Section: Discussionmentioning

confidence: 99%

Predictors of postnatal depression in the slums Nairobi, Kenya: a cross-sectional study

et al. 2022

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“…Most PPD was the continuation of prenatal psychological problems and emotional disorders, indicating a significant correlation between prenatal psychological status and the occurrence of PPD [ 48 ]. Since the incidence of postpartum depression increases gradually after delivery, the assessment at birth may underestimate the real magnitude of the problem [ 49 ]. Although the second phase of our study (periodical phone calls) could have been useful to detect bonding disorders or late depressive symptoms, our study did not find significant altered scores in depressive or anxiety items.…”

Section: Discussionmentioning

confidence: 99%

Maternal mental health and breastfeeding amidst the Covid-19 pandemic: cross-sectional study in Catalonia (Spain)

Nicolás-López

González-Álvarez

Concepción

et al. 2022

BMC Pregnancy Childbirth

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Background Covid-19 pandemic became an unexpected stressor for the entire population and, particularly, for pregnant women and lactating mothers. The alarming infectious risk together with the lockdown period could affect the emotional state of mothers-to-be, as well as breastfeeding rates, mother-baby bonding, or neonatal weight gain. The aim of this study is to describe the impact of this world health emergency in mother-baby pairs right after the first wave of Sars-Cov-2 pandemic (from March to May 2020). Study design A prospective observational study was carried out in mother–child dyads from those women who gave birth between June and August 2020 in a tertiary hospital. 91 mother-baby pairs were initially enrolled and 56 of them completed the follow-up. The study design had two separate steps: i) Step one: A clinical interview plus three psychometric tests (EPDS: Edinburgh Postnatal Depression Scale, PBQ: Postpartum Bonding Questionnaire and STAI-S: State-Trait Anxiety Inventory); ii) Step two: mother–child dyads were followed using a round of three brief telephone interviews (conducted at the newborn’s 7, 14 and 28 days of age) to accurately depict the newborn’s outcome in the neonatal period. Results In terms of maternal mental health, 25% of the sample screens positively in the EPDS, requiring further evaluation to rule out depressive symptoms. STAI-state and PBQ detect no abnormalities in either anxiety levels or mother–child bonding in our sample, as 100% of the mothers score below the cut-off points in each test (34 and 26 respectively). When comparing feeding practices (breast/bottle feeding) in 2020 to those practices during pre-pandemic years (2017–2019), a significant increase in breastfeeding was found in pandemic times. All newborns in the sample showed an adequate weight gain during their first month of life. Conclusion Women and newborns in our sample did not experience an increase in adverse outcomes in the neonatal period in terms of maternal mental health, breastfeeding rates, bonding and further neonatal development.

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“…62 Additionally, it is recognised that PPD is also associated with various psychological, socioeconomic and cultural factors. [63][64][65][66] It is further acknowledged that stressful events like IPV exposure can cause an imbalance between environmental demands and individual resources which may lead to decreased resistance, increased susceptibility to mental health problems and consequently the onset of depression. 67 Not only is IPV a major stressor and a traumatic event that can lead to depression, but it is also known that IPV affects the victim's trust in others, fear, coping styles and levels of isolation which additionally may increase the risk of depression.…”

Section: Open Accessmentioning

confidence: 99%

Landscaping the evidence of intimate partner violence and postpartum depression: a systematic review

et al. 2022

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ObjectiveTo assess the evidence of the association between exposure to intimate partner violence (IPV) and postpartum depression. IPV during pregnancy can have immediate and long-term physical and mental health consequences for the family. Therefore, it has been hypothesised that IPV may affect the risk of developing postpartum depression.MethodsA systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Embase, Global Health Library, Scopus and Google scholar were searched for published studies without restrictions on language, time or study design (up to May 2020). Studies were included if they assessed postpartum depression using the Edinburg Postnatal Depression Scale (cut-off≥10), among women who had been exposed to IPV (emotional, physical and/or sexual abuse). The quality of studies was judged according to the Newcastle-Ottawa scale.ResultsA total of 33 studies were included in the review (participants n=131 131). The majority of studies found an association between exposure to IPV and the development of signs of postpartum depression. Overall, studies measured both exposure and outcome in various ways and controlled for a vast number of different confounders. Thirty percent of the studies were set in low-income and lower-middle-income countries while the rest were set in upper-middle-income and high-income countries and the association did not differ across settings. Among the studies reporting adjusted OR (aOR) (n=26), the significant aOR ranged between 1.18 and 6.87 (95% CI 1.12 to 11.78). The majority of the studies were judged as ‘good quality’ (n=20/33).ConclusionWe found evidence of an association between exposure to IPV and the development of signs of postpartum depression. Meta-analysis or individual patient data meta-analysis is required to quantify the magnitude of the association between IPV and postpartum depression.PROSPERO registration numberCRD42020209435.

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Psychosocial risk factors for postpartum depression in Chinese women: a meta-analysis

Cited by 46 publications

References 27 publications

Predictors of postnatal depression in the slums Nairobi, Kenya: a cross-sectional study

Predictors of postnatal depression in the slums Nairobi, Kenya: a cross-sectional study

Maternal mental health and breastfeeding amidst the Covid-19 pandemic: cross-sectional study in Catalonia (Spain)

Landscaping the evidence of intimate partner violence and postpartum depression: a systematic review

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