Agius Andee, Xuereb Rita Borg, Carrick-Sen Debbie, Sultana Roberta, Rankin Judith
Department of Obstetrics and Gynaecology, Malta Mater Dei Hospital, Dun Karm Street, Msida MSD 2090, Malta.
Faculty of Health Sciences, Mater Dei Hospital, Room 34, Block A, Level 1, Msida MSD 2090, Malta.
Midwifery. 2016 May;36:70-9. doi: 10.1016/j.midw.2016.02.013. Epub 2016 Mar 4.
to identify and appraise the current international evidence regarding the presence and prevalence of the co-existence of depression, anxiety and post-traumatic stress symptoms in the antenatal and post partum period.
using a list of keywords, Medline, CINHAL, Cochrane Library, EMBASE, PsychINFO, Web of Science and the Index of Theses and Conference Proceedings (Jan 1960 - Jan 2015) were systematically searched. Experts in the field were contacted to locate papers that were in progress or in press. Reference lists from relevant review articles were searched. Inclusion criteria included full papers published in English reporting concurrent depression, anxiety and post-traumatic stress symptoms in pregnant and post partum women. A validated data extraction review tool was used.
3424 citations were identified. Three studies met the full inclusion criteria. All reported findings in the postnatal period. No antenatal studies were identified. The prevalence of triple co-morbidity was relatively low ranging from 2% to 3%.
triple co-morbidity does occur, although the prevalence appears to be low. Due to the presentation of complex symptoms, women with triple co-morbidity are likely to be difficult to identify, diagnose and treat. Clinical staff should be aware of the potential of complex symptomatology.
识别并评估当前关于产前和产后抑郁、焦虑及创伤后应激症状共存情况的国际证据。
使用关键词列表，对Medline、CINHAL、Cochrane图书馆、EMBASE、PsychINFO、科学引文索引以及论文与会议论文索引（1960年1月至2015年1月）进行系统检索。联系该领域专家以查找正在进行或即将发表的论文。检索相关综述文章的参考文献列表。纳入标准包括以英文发表的完整论文，报告孕妇和产后妇女同时存在抑郁、焦虑及创伤后应激症状。使用经过验证的数据提取综述工具。
共识别出3424条引文。三项研究符合完全纳入标准。所有研究均报告了产后的结果。未识别出产前研究。三重共病的患病率相对较低，在2%至3%之间。
三重共病确实存在，尽管患病率似乎较低。由于症状复杂，患有三重共病的女性可能难以识别、诊断和治疗。临床工作人员应意识到复杂症状的可能性。
