KU Leuven, Belgium(3).
Palo Alto Medical Foundation Research Institute (PAMFRI) - Sutter Health, United States(4).
Women Birth. 2018 Oct;31(5):386-397. doi: 10.1016/j.wombi.2017.11.005. Epub 2017 Dec 1.
Women's mental health in the perinatal period is understudied worldwide and in Arab countries especially.
This systematic review explores evidence of the association between women's social resources for empowerment in the Arab World and their mental health in the prenatal and postnatal (≤1year postpartum) periods.
Guided by Kabeer's framework of empowerment, the authors applied a search string in PubMed and Web of Science databases to identify studies in countries of the Arab League (hereafter the Arab World) that address mental health and social resources for women's empowerment in the perinatal period.
Of 1865 electronically retrieved articles, 23 met the inclusion criteria. Overall, the majority of studies found a positive association between social resources for empowerment and perinatal mental health. Seven studies explored the relationship between familial or general social support and prenatal mental health in Arab women, and found a significant positive association. Sixteen of the 18 studies of women in the postnatal period found that enabling familial, extra-familial, and/or general social support was positively associated with mental health.
This review demonstrates an association between social resources and perinatal mental health, but there is a dearth of research in this area. We call for additional research on Arab women in the perinatal period using context-specific but standardized tools to assess social resources and mental health. Evidence on positive mental health, resilience, and the influence of social resources can guide the improvement of prenatal and postpartum care services.
全世界，尤其是阿拉伯国家，对围产期女性心理健康的研究都较少。
本系统综述旨在探讨阿拉伯世界女性赋权的社会资源与产前和产后（≤1 年）期间心理健康之间的关联证据。
作者以卡比尔的赋权框架为指导，在 PubMed 和 Web of Science 数据库中应用搜索词，以确定在阿拉伯国家联盟（以下简称阿拉伯世界）中研究围产期女性赋权和心理健康的研究。
在电子检索的 1865 篇文章中，有 23 篇符合纳入标准。总体而言，大多数研究发现赋权的社会资源与围产期心理健康之间存在正相关。有 7 项研究探讨了家庭或一般社会支持与阿拉伯女性产前心理健康之间的关系，发现两者之间存在显著的正相关。在 18 项关于产后女性的研究中有 16 项发现，赋权的家庭、家庭外和/或一般社会支持与心理健康呈正相关。
本综述表明社会资源与围产期心理健康之间存在关联，但该领域的研究还很匮乏。我们呼吁使用特定于背景但标准化的工具对围产期的阿拉伯女性进行更多关于社会资源和心理健康的研究。关于积极心理健康、韧性和社会资源影响的证据可以指导产前和产后护理服务的改进。
