Veisani Yousef, Delpisheh Ali, Sayehmiri Kourosh, Rezaeian Shahab
Student Research Committee, Ilam University of Medical Sciences, P.O. Box 69311-57793, Ilam, Iran ; Department of Clinical Epidemiology, Faculty of Medicine, Ilam University of Medical Sciences, P.O. Box 69315-138, Ilam, Iran.
Depress Res Treat. 2013;2013:291029. doi: 10.1155/2013/291029. Epub 2013 Jul 9.
Background. Postpartum depression (PPD) is a serious mental health disorder affecting 13% of women in developed communities. The present study reviews available epidemiological publications on PPD-related aspects in Iranian women to help policy makers and health workers to design preventative strategies and further researches. Materials and Methods. A systematic review was constructed based on the computerized literature valid database. The 95% confidence intervals were calculated by random effects models. Metaregression was introduced to explore and explain heterogeneity between studies. Data manipulation and statistical analyses were performed using Stata 11. Results. Overall, 41 studies met the inclusion criteria. The pooled prevalence of PPD in Iran was 25.3% (95% CI: 22.7%-27.9%). Amongst subgroups of unwanted delivery, illiterate, housewives, and having history of depression the prevalence was 43.4% (35.6-51.1), 31.6% (18.1-45.0), 30.7% (25.2-36.3), and 45.2% (35.4-53.1), respectively. Conclusions. Interventions that would specifically target women with a prior history of depression, illiterates, housewives, or women with unwanted pregnancies could be helpful to decrease the prevalence of postpartum depression in Iran.
背景。产后抑郁症（PPD）是一种严重的心理健康障碍，在发达社区中影响着13%的女性。本研究回顾了有关伊朗女性产后抑郁症相关方面的现有流行病学出版物，以帮助政策制定者和卫生工作者设计预防策略并开展进一步研究。材料与方法。基于计算机化的有效文献数据库进行系统综述。采用随机效应模型计算95%置信区间。引入元回归以探索和解释研究之间的异质性。使用Stata 11进行数据处理和统计分析。结果。总体而言，41项研究符合纳入标准。伊朗产后抑郁症的合并患病率为25.3%（95%置信区间：22.7%-27.9%）。在意外分娩、文盲、家庭主妇以及有抑郁症病史的亚组中，患病率分别为43.4%（35.6 - 51.1）、31.6%（18.1 - 45.0）、30.7%（25.2 - 36.3）和45.2%（35.4 - 53.1）。结论。专门针对有抑郁症病史、文盲、家庭主妇或意外怀孕女性的干预措施，可能有助于降低伊朗产后抑郁症的患病率。
