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, 龚冀荣, 陆锦滢. 我国产后抑郁患病率的 Meta 分析. 中国健康心理学杂志, 2018, 26(2): 171-174.
5.	吕亚奇, 冯国双. 医学研究中常见的样本量估算方法. 慢性病学杂志, 2016, (4): 359-361.
6.	曾宪涛, 刘慧, 陈曦, 等. Meta 分析系列之四: 观察性研究的质量评价工具. 中国循证心血管医学杂志, 2012, 4(4): 297-299.
7.	李荣萍, 单晋平, 石英, 等. 产后抑郁症发病情况及相关因素分析. 中国妇幼保健, 2006, 21(4): 463-465.
8.	何萍, 赵静波, 白雅贤, 等. 广州市社区产妇产褥期抑郁、焦虑的发生情况及其危险因素. 中国妇幼保健, 2007, 22(30): 4227-4229.
9.	赵淑新, 李淑芬, 韩艳君. 958例产妇产后抑郁症研究. 中国妇幼保健, 2008, 23(2): 225-227.
10.	陈静莲, 盛晓玲, 李璐. 产后抑郁及其相关因素调查分析. 中国医学创新, 2010, 7(19): 52-53.
11.	姜蕾, 王竹珍, 邱丽蓉, 等. 社会支持对产后抑郁的影响分析. 中国妇幼保健, 2013, 28(16): 2576-2579.
12.	蔡叶萍. 产褥期抑郁症与社会心理因素相关关系的研究. 中国妇幼保健, 2013, 28(16): 2540-2542.
13.	张妍, 张文颖, 周玲, 等. 产后抑郁症的相关危险因素的探讨. 中国实验诊断学, 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.	汤琼瑶, 陈燕娥, 李欣. 产后抑郁症的发病情况调查及其影响因素分析. 中国妇幼保健, 2014, 29(23): 3795-3797.
16.	侯箐岚. 产褥期抑郁症与社会心理因素相关性探讨. 中国实用医药, 2014, 9(33): 273-275.
17.	马莉, 葛文利, 杜云. 陕西地区孕期产后抑郁症现况调查分析. 陕西医学杂志, 2014, 43(3): 364-365.
18.	郭秀敏, 杨桂华, 杨春艳. 聊城市产妇产后抑郁状况调查及影响因素分析. 齐鲁护理杂志, 2015, 21(16): 27-29.
19.	康爱琴, 吴春玫, 杨连. 基层妇女产后抑郁症状发生状况及其影响因素. 中国计划生育学杂志, 2015, 23(10): 652-655.
20.	汪静, 倪泽敏, 张妤, 等. 武汉市农村流入妇女和城市妇女产后抑郁现况调查研究. 中国妇幼保健, 2015, 30(18): 3043-3045.
21.	孟利平, 杜玉开, 李建梅, 等. 深圳市产妇产后抑郁流行现状及其影响因素. 职业与健康, 2016, 32(16): 2223-2226.
22.	李淑玉. 经产妇产后抑郁症发病情况及其影响因素分析. 中国妇幼卫生杂志, 2016, 7(3): 63-66.
23.	李德玲. 产妇产后抑郁发生的影响因素. 医疗装备, 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, 钱娅, 陈欢, 等. 二胎孕妇产后抑郁现状及相关因素分析. 中国妇幼健康研究, 2017, 28(10): 1177-1180.
26.	马秀华, 宋风丽, 康淑玲, 等. 爱丁堡产后抑郁量表在产后抑郁症筛查中的应用. 中国医刊, 2017, 52(2): 52-56, 57.
27.	胡绣华, 封红伟, 鲁娟. 产妇产后初期抑郁状况及影响因素. 中国健康心理学杂志, 2018, 26(2): 194-197.
28.	陈丽珊, 王家骥, 杨辉. 深圳市某社区产后抑郁流行情况及危险因素. 职业与健康, 2018, 34(21): 2991-2994.
29.	吴缃琦, 马健, 张烨, 等. 深圳市福田区产妇产后抑郁发生情况及影响因素分析. 应用预防医学, 2019, 25(2): 95-98.
30.	周华, 秦志强, 杨晓燕, 等. 常州市女性产后抑郁现况调查及相关因素分析. 中国妇幼保健, 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.	Karaçam Z, Çoban A, Akbaş 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.	凡艳丽. 产后抑郁及其相关心理社会因素调查. 临床心身疾病杂志, 2008, 14(4): 349-350.
37.	展颖颖, 吴栋云, 季雯洁. 产后抑郁症相关危险因素调查. 中国妇幼保健, 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, 龚冀荣, 陆锦滢. 我国产后抑郁患病率的 Meta 分析. 中国健康心理学杂志, 2018, 26(2): 171-174.
5. 吕亚奇, 冯国双. 医学研究中常见的样本量估算方法. 慢性病学杂志, 2016, (4): 359-361.
6. 曾宪涛, 刘慧, 陈曦, 等. Meta 分析系列之四: 观察性研究的质量评价工具. 中国循证心血管医学杂志, 2012, 4(4): 297-299.
7. 李荣萍, 单晋平, 石英, 等. 产后抑郁症发病情况及相关因素分析. 中国妇幼保健, 2006, 21(4): 463-465.
8. 何萍, 赵静波, 白雅贤, 等. 广州市社区产妇产褥期抑郁、焦虑的发生情况及其危险因素. 中国妇幼保健, 2007, 22(30): 4227-4229.
9. 赵淑新, 李淑芬, 韩艳君. 958例产妇产后抑郁症研究. 中国妇幼保健, 2008, 23(2): 225-227.
10. 陈静莲, 盛晓玲, 李璐. 产后抑郁及其相关因素调查分析. 中国医学创新, 2010, 7(19): 52-53.
11. 姜蕾, 王竹珍, 邱丽蓉, 等. 社会支持对产后抑郁的影响分析. 中国妇幼保健, 2013, 28(16): 2576-2579.
12. 蔡叶萍. 产褥期抑郁症与社会心理因素相关关系的研究. 中国妇幼保健, 2013, 28(16): 2540-2542.
13. 张妍, 张文颖, 周玲, 等. 产后抑郁症的相关危险因素的探讨. 中国实验诊断学, 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. 汤琼瑶, 陈燕娥, 李欣. 产后抑郁症的发病情况调查及其影响因素分析. 中国妇幼保健, 2014, 29(23): 3795-3797.
16. 侯箐岚. 产褥期抑郁症与社会心理因素相关性探讨. 中国实用医药, 2014, 9(33): 273-275.
17. 马莉, 葛文利, 杜云. 陕西地区孕期产后抑郁症现况调查分析. 陕西医学杂志, 2014, 43(3): 364-365.
18. 郭秀敏, 杨桂华, 杨春艳. 聊城市产妇产后抑郁状况调查及影响因素分析. 齐鲁护理杂志, 2015, 21(16): 27-29.
19. 康爱琴, 吴春玫, 杨连. 基层妇女产后抑郁症状发生状况及其影响因素. 中国计划生育学杂志, 2015, 23(10): 652-655.
20. 汪静, 倪泽敏, 张妤, 等. 武汉市农村流入妇女和城市妇女产后抑郁现况调查研究. 中国妇幼保健, 2015, 30(18): 3043-3045.
21. 孟利平, 杜玉开, 李建梅, 等. 深圳市产妇产后抑郁流行现状及其影响因素. 职业与健康, 2016, 32(16): 2223-2226.
22. 李淑玉. 经产妇产后抑郁症发病情况及其影响因素分析. 中国妇幼卫生杂志, 2016, 7(3): 63-66.
23. 李德玲. 产妇产后抑郁发生的影响因素. 医疗装备, 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, 钱娅, 陈欢, 等. 二胎孕妇产后抑郁现状及相关因素分析. 中国妇幼健康研究, 2017, 28(10): 1177-1180.
26. 马秀华, 宋风丽, 康淑玲, 等. 爱丁堡产后抑郁量表在产后抑郁症筛查中的应用. 中国医刊, 2017, 52(2): 52-56, 57.
27. 胡绣华, 封红伟, 鲁娟. 产妇产后初期抑郁状况及影响因素. 中国健康心理学杂志, 2018, 26(2): 194-197.
28. 陈丽珊, 王家骥, 杨辉. 深圳市某社区产后抑郁流行情况及危险因素. 职业与健康, 2018, 34(21): 2991-2994.
29. 吴缃琦, 马健, 张烨, 等. 深圳市福田区产妇产后抑郁发生情况及影响因素分析. 应用预防医学, 2019, 25(2): 95-98.
30. 周华, 秦志强, 杨晓燕, 等. 常州市女性产后抑郁现况调查及相关因素分析. 中国妇幼保健, 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. Karaçam Z, Çoban A, Akbaş 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. 凡艳丽. 产后抑郁及其相关心理社会因素调查. 临床心身疾病杂志, 2008, 14(4): 349-350.
37. 展颖颖, 吴栋云, 季雯洁. 产后抑郁症相关危险因素调查. 中国妇幼保健, 2018, 33(10): 2329-2331.

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