The detection rate of maternal postpartum depression in China: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

LIU Dingwei ¹ , MA Yan ² , YU Ganquan ² ,  KUANG Jie ^2,3

1. The Second Clinical Medical College, Nanchang University, Nanchang, 330006, P.R.China;
2. Department of Social Medicine and Health Management, School of Public Health, Nanchang University, Nanchang, 330006, P.R.China;
3. Jiangxi Province Key Laboratory of Preventive Medicine, Nanchang, 330006, P.R.China;

Corresponding?author：

KUANG Jie, Email: kuangjie@ncu.edu.cn

Keywords：

China; Maternal; Postpartum depression; Detection rate; Meta-analysis

DOI：

10.7507/1672-2531.201907068

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Objective To systematically evaluate the detection rate of postpartum depression in Chinese maternal population and to provide a scientific basis for the prevention and treatment of postpartum depression.Methods We searched CNKI, WanFang Data, VIP, PubMed, EMbase and The Cochrane Library databases to collect studies on the detection rate of postpartum depression in Chinese maternal population from January, 2001 to August, 2019. Two reviewers independently screened literature, extracted data and evaluated the risk of bias of included studies. Meta-analysis was performed using Stata15.0 software.Results A total of 24 studies involving 38 357 cases were included. Meta-analysis results showed that the total detection of postpartum depression in Chinese females was 15% (95% CI 12% to 17%). Subgroup analysis showed that the detection of postpartum depression was 12.3% (95% CI 9.3% to 15.2%) in the south and 17.3% (95%CI 12.1% to 22.5%) in the north. According to the Edinburgh postpartum depression scale, the rate was 14.5% (95%CI 11.4% to 17.5%); and for other scales, the rate was 15.0% (95% CI 8.9% to 21.2%); simple random sampling method was 14.8% (95%CI 11.0% to 18.7%), and cluster sampling was 16.3% (95%CI 12.0% to 20.5%). The rate was 15.8% (95%CI 9.3% to 22.3%) from 2001 to 2010, 13.5% (95%CI 7.7% to 19.2%) from 2011 to 2014, and 14.8% (95%CI 10.9% to 18.6%) from 2015 to 2019. Sensitivity analysis showed that the combined results were stable.Conclusions The detection rate of postpartum depression in Chinese maternal population is high, and early screening and related intervention should be paid more attention to these population.

Citation： LIU Dingwei, MA Yan, YU Ganquan, KUANG Jie. The detection rate of maternal postpartum depression in China: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2019, 19(12): 1409-1415. doi: 10.7507/1672-2531.201907068 Copy

1.	DelRosario GA, Chang AC, Lee ED. Postpartum depression: symptoms, diagnosis, and treatment approaches. JAAPA, 2013, 26(2): 50-54.
2.	World Health Organization. Maternal mental health. 2016. Available at: https://www.who.int/mental_health/maternal-child/maternal_mental_health/en/.
3.	Bennett IM, Marcus SC, Palmer SC, et al. Pregnancy-related discontinuation of antidepressants and depression care visits among Medicaid recipients. Psychiatr Serv, 2010, 61(4): 386-391.
4.	陶建青, 龔冀榮, 陸錦瀅. 我國產后抑郁患病率的 Meta 分析. 中國健康心理學雜志, 2018, 26(2): 171-174.
5.	呂亞奇, 馮國雙. 醫學研究中常見的樣本量估算方法. 慢性病學雜志, 2016, (4): 359-361.
6.	曾憲濤, 劉慧, 陳曦, 等. Meta 分析系列之四: 觀察性研究的質量評價工具. 中國循證心血管醫學雜志, 2012, 4(4): 297-299.
7.	李榮萍, 單晉平, 石英, 等. 產后抑郁癥發病情況及相關因素分析. 中國婦幼保健, 2006, 21(4): 463-465.
8.	何萍, 趙靜波, 白雅賢, 等. 廣州市社區產婦產褥期抑郁、焦慮的發生情況及其危險因素. 中國婦幼保健, 2007, 22(30): 4227-4229.
9.	趙淑新, 李淑芬, 韓艷君. 958例產婦產后抑郁癥研究. 中國婦幼保健, 2008, 23(2): 225-227.
10.	陳靜蓮, 盛曉玲, 李璐. 產后抑郁及其相關因素調查分析. 中國醫學創新, 2010, 7(19): 52-53.
11.	姜蕾, 王竹珍, 邱麗蓉, 等. 社會支持對產后抑郁的影響分析. 中國婦幼保健, 2013, 28(16): 2576-2579.
12.	蔡葉萍. 產褥期抑郁癥與社會心理因素相關關系的研究. 中國婦幼保健, 2013, 28(16): 2540-2542.
13.	張妍, 張文穎, 周玲, 等. 產后抑郁癥的相關危險因素的探討. 中國實驗診斷學, 2013, 17(1): 85-87.
14.	Deng AW, Xiong RB, Jiang TT, et al. Prevalence and risk factors of postpartum depression in a population-based sample of women in Tangxia Community, Guangzhou. Asian Pac J Trop Med, 2014, 7(3): 244-249.
15.	湯瓊瑤, 陳燕娥, 李欣. 產后抑郁癥的發病情況調查及其影響因素分析. 中國婦幼保健, 2014, 29(23): 3795-3797.
16.	侯箐嵐. 產褥期抑郁癥與社會心理因素相關性探討. 中國實用醫藥, 2014, 9(33): 273-275.
17.	馬莉, 葛文利, 杜云. 陜西地區孕期產后抑郁癥現況調查分析. 陜西醫學雜志, 2014, 43(3): 364-365.
18.	郭秀敏, 楊桂華, 楊春艷. 聊城市產婦產后抑郁狀況調查及影響因素分析. 齊魯護理雜志, 2015, 21(16): 27-29.
19.	康愛琴, 吳春玫, 楊連. 基層婦女產后抑郁癥狀發生狀況及其影響因素. 中國計劃生育學雜志, 2015, 23(10): 652-655.
20.	汪靜, 倪澤敏, 張妤, 等. 武漢市農村流入婦女和城市婦女產后抑郁現況調查研究. 中國婦幼保健, 2015, 30(18): 3043-3045.
21.	孟利平, 杜玉開, 李建梅, 等. 深圳市產婦產后抑郁流行現狀及其影響因素. 職業與健康, 2016, 32(16): 2223-2226.
22.	李淑玉. 經產婦產后抑郁癥發病情況及其影響因素分析. 中國婦幼衛生雜志, 2016, 7(3): 63-66.
23.	李德玲. 產婦產后抑郁發生的影響因素. 醫療裝備, 2016, 29(3): 159-160.
24.	Liu S, Yan Y, Gao X, et al. Risk factors for postpartum depression among Chinese women: path model analysis. BMC Pregnancy Childbirth, 2017, 17(1): 133.
25.	谷申森, 錢婭, 陳歡, 等. 二胎孕婦產后抑郁現狀及相關因素分析. 中國婦幼健康研究, 2017, 28(10): 1177-1180.
26.	馬秀華, 宋風麗, 康淑玲, 等. 愛丁堡產后抑郁量表在產后抑郁癥篩查中的應用. 中國醫刊, 2017, 52(2): 52-56, 57.
27.	胡繡華, 封紅偉, 魯娟. 產婦產后初期抑郁狀況及影響因素. 中國健康心理學雜志, 2018, 26(2): 194-197.
28.	陳麗珊, 王家驥, 楊輝. 深圳市某社區產后抑郁流行情況及危險因素. 職業與健康, 2018, 34(21): 2991-2994.
29.	吳緗琦, 馬健, 張燁, 等. 深圳市福田區產婦產后抑郁發生情況及影響因素分析. 應用預防醫學, 2019, 25(2): 95-98.
30.	周華, 秦志強, 楊曉燕, 等. 常州市女性產后抑郁現況調查及相關因素分析. 中國婦幼保健, 2019, 34(6): 1347-1351.
31.	Wilkinson A, Anderson S, Wheeler SB. Screening for and treating postpartum depression and psychosis: a cost-effectiveness analysis. Matern Child Health J, 2017, 21(4): 903-914.
32.	Kara?am Z, ?oban A, Akba? B, et al. Status of postpartum depression in Turkey: a meta-analysis. Health Care Women Int, 2018, 39(7): 821-841.
33.	Upadhyay RP, Chowdhury R, Aslyeh Salehi, et al. Postpartum depression in India: a systematic review and meta-analysis. Bull World Health Organ, 2017, 95(10): 706-717.
34.	Gavin NI, Gaynes BN, Lohr KN, et al. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol, 2005, 106(5): 1071-1083.
35.	Gelaye B, Rondon MB, Araya R, et al. Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries. Lancet Psychiatry, 2016, 3(10): 973-982.
36.	凡艷麗. 產后抑郁及其相關心理社會因素調查. 臨床心身疾病雜志, 2008, 14(4): 349-350.
37.	展穎穎, 吳棟云, 季雯潔. 產后抑郁癥相關危險因素調查. 中國婦幼保健, 2018, 33(10): 2329-2331.

1. DelRosario GA, Chang AC, Lee ED. Postpartum depression: symptoms, diagnosis, and treatment approaches. JAAPA, 2013, 26(2): 50-54.
2. World Health Organization. Maternal mental health. 2016. Available at: https://www.who.int/mental_health/maternal-child/maternal_mental_health/en/.
3. Bennett IM, Marcus SC, Palmer SC, et al. Pregnancy-related discontinuation of antidepressants and depression care visits among Medicaid recipients. Psychiatr Serv, 2010, 61(4): 386-391.
4. 陶建青, 龔冀榮, 陸錦瀅. 我國產后抑郁患病率的 Meta 分析. 中國健康心理學雜志, 2018, 26(2): 171-174.
5. 呂亞奇, 馮國雙. 醫學研究中常見的樣本量估算方法. 慢性病學雜志, 2016, (4): 359-361.
6. 曾憲濤, 劉慧, 陳曦, 等. Meta 分析系列之四: 觀察性研究的質量評價工具. 中國循證心血管醫學雜志, 2012, 4(4): 297-299.
7. 李榮萍, 單晉平, 石英, 等. 產后抑郁癥發病情況及相關因素分析. 中國婦幼保健, 2006, 21(4): 463-465.
8. 何萍, 趙靜波, 白雅賢, 等. 廣州市社區產婦產褥期抑郁、焦慮的發生情況及其危險因素. 中國婦幼保健, 2007, 22(30): 4227-4229.
9. 趙淑新, 李淑芬, 韓艷君. 958例產婦產后抑郁癥研究. 中國婦幼保健, 2008, 23(2): 225-227.
10. 陳靜蓮, 盛曉玲, 李璐. 產后抑郁及其相關因素調查分析. 中國醫學創新, 2010, 7(19): 52-53.
11. 姜蕾, 王竹珍, 邱麗蓉, 等. 社會支持對產后抑郁的影響分析. 中國婦幼保健, 2013, 28(16): 2576-2579.
12. 蔡葉萍. 產褥期抑郁癥與社會心理因素相關關系的研究. 中國婦幼保健, 2013, 28(16): 2540-2542.
13. 張妍, 張文穎, 周玲, 等. 產后抑郁癥的相關危險因素的探討. 中國實驗診斷學, 2013, 17(1): 85-87.
14. Deng AW, Xiong RB, Jiang TT, et al. Prevalence and risk factors of postpartum depression in a population-based sample of women in Tangxia Community, Guangzhou. Asian Pac J Trop Med, 2014, 7(3): 244-249.
15. 湯瓊瑤, 陳燕娥, 李欣. 產后抑郁癥的發病情況調查及其影響因素分析. 中國婦幼保健, 2014, 29(23): 3795-3797.
16. 侯箐嵐. 產褥期抑郁癥與社會心理因素相關性探討. 中國實用醫藥, 2014, 9(33): 273-275.
17. 馬莉, 葛文利, 杜云. 陜西地區孕期產后抑郁癥現況調查分析. 陜西醫學雜志, 2014, 43(3): 364-365.
18. 郭秀敏, 楊桂華, 楊春艷. 聊城市產婦產后抑郁狀況調查及影響因素分析. 齊魯護理雜志, 2015, 21(16): 27-29.
19. 康愛琴, 吳春玫, 楊連. 基層婦女產后抑郁癥狀發生狀況及其影響因素. 中國計劃生育學雜志, 2015, 23(10): 652-655.
20. 汪靜, 倪澤敏, 張妤, 等. 武漢市農村流入婦女和城市婦女產后抑郁現況調查研究. 中國婦幼保健, 2015, 30(18): 3043-3045.
21. 孟利平, 杜玉開, 李建梅, 等. 深圳市產婦產后抑郁流行現狀及其影響因素. 職業與健康, 2016, 32(16): 2223-2226.
22. 李淑玉. 經產婦產后抑郁癥發病情況及其影響因素分析. 中國婦幼衛生雜志, 2016, 7(3): 63-66.
23. 李德玲. 產婦產后抑郁發生的影響因素. 醫療裝備, 2016, 29(3): 159-160.
24. Liu S, Yan Y, Gao X, et al. Risk factors for postpartum depression among Chinese women: path model analysis. BMC Pregnancy Childbirth, 2017, 17(1): 133.
25. 谷申森, 錢婭, 陳歡, 等. 二胎孕婦產后抑郁現狀及相關因素分析. 中國婦幼健康研究, 2017, 28(10): 1177-1180.
26. 馬秀華, 宋風麗, 康淑玲, 等. 愛丁堡產后抑郁量表在產后抑郁癥篩查中的應用. 中國醫刊, 2017, 52(2): 52-56, 57.
27. 胡繡華, 封紅偉, 魯娟. 產婦產后初期抑郁狀況及影響因素. 中國健康心理學雜志, 2018, 26(2): 194-197.
28. 陳麗珊, 王家驥, 楊輝. 深圳市某社區產后抑郁流行情況及危險因素. 職業與健康, 2018, 34(21): 2991-2994.
29. 吳緗琦, 馬健, 張燁, 等. 深圳市福田區產婦產后抑郁發生情況及影響因素分析. 應用預防醫學, 2019, 25(2): 95-98.
30. 周華, 秦志強, 楊曉燕, 等. 常州市女性產后抑郁現況調查及相關因素分析. 中國婦幼保健, 2019, 34(6): 1347-1351.
31. Wilkinson A, Anderson S, Wheeler SB. Screening for and treating postpartum depression and psychosis: a cost-effectiveness analysis. Matern Child Health J, 2017, 21(4): 903-914.
32. Kara?am Z, ?oban A, Akba? B, et al. Status of postpartum depression in Turkey: a meta-analysis. Health Care Women Int, 2018, 39(7): 821-841.
33. Upadhyay RP, Chowdhury R, Aslyeh Salehi, et al. Postpartum depression in India: a systematic review and meta-analysis. Bull World Health Organ, 2017, 95(10): 706-717.
34. Gavin NI, Gaynes BN, Lohr KN, et al. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol, 2005, 106(5): 1071-1083.
35. Gelaye B, Rondon MB, Araya R, et al. Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries. Lancet Psychiatry, 2016, 3(10): 973-982.
36. 凡艷麗. 產后抑郁及其相關心理社會因素調查. 臨床心身疾病雜志, 2008, 14(4): 349-350.
37. 展穎穎, 吳棟云, 季雯潔. 產后抑郁癥相關危險因素調查. 中國婦幼保健, 2018, 33(10): 2329-2331.

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