Ayoub Khubaib, Shaheen Amira, Hajat Shakoor
Faculty of Medicine and Health Sciences, An-Najah National University, Rafidia Street, P.O.Box 7, Nablus, Palestine.
Department of Social & Environmental 9 Health Research (SEHR), Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15- 17 Tavistock Place, London, WC1H 9SH, UAE.
Clin Pract Epidemiol Ment Health. 2020 Jul 30;16(Suppl-1):142-155. doi: 10.2174/1745017902016010142. eCollection 2020.
Postpartum Depression (PPD) is a major public health problem affecting mothers and their babies. However, few studies have investigated the prevalence and risk factors for postpartum depression among Arab mothers. This systematic literature review aims to determine the prevalence of PPD among mothers in Arab countries and identify the main risk factors.
A review of all peer-reviewed journal published studies on PPD and its risk factors among Arab mothers until February 2016. The following data bases were searched; PubMed, Springlink, Science direct, EBSCOhost, and Arabpsychnet.
25 studies were included in the review. PPD rates were high in general but prevalences were close to the rates observed in other low and lower-middle-income countries. Twelve studies reported PPD prevalences in the region of 15-25%, 7 studies reported prevalences< 15% and 6 studies reported prevalences<25%. The most important risk factors for PPD were: low income and socioeconomic status, obstetric complications during pregnancy, unwanted pregnancy, ill infant, formula feeding, low social and husband support, marital and in-laws conflicts, stressful life events during pregnancy and personal or family history of depression.
Prevalence of PPD is high in most Arab countries, with differences due in part to variations in methods of assessment. This review highlights the problem of PPD and advocates for the adoption of necessary changes in the Arab health systems such as routine screening and efficient referral systems in order to detect and treat this potentially debilitating condition.
产后抑郁症（PPD）是一个影响母亲及其婴儿的重大公共卫生问题。然而，很少有研究调查阿拉伯母亲中产后抑郁症的患病率和风险因素。本系统文献综述旨在确定阿拉伯国家母亲中产后抑郁症的患病率，并确定主要风险因素。
对截至2016年2月所有关于阿拉伯母亲产后抑郁症及其风险因素的同行评审期刊发表研究进行综述。检索了以下数据库：PubMed、Springlink、Science direct、EBSCOhost和Arabpsychnet。
该综述纳入了25项研究。总体而言，产后抑郁症的发生率较高，但患病率接近其他低收入和中低收入国家观察到的发生率。12项研究报告该地区产后抑郁症患病率在15%-25%之间，7项研究报告患病率<15%，6项研究报告患病率<25%。产后抑郁症最重要的风险因素包括：低收入和社会经济地位、孕期产科并发症、意外怀孕、患病婴儿、配方奶喂养、社会和丈夫支持度低、婚姻及与姻亲的冲突、孕期压力性生活事件以及个人或家族抑郁症病史。
大多数阿拉伯国家产后抑郁症的患病率较高，部分差异归因于评估方法的不同。本综述突出了产后抑郁症问题，并倡导阿拉伯卫生系统进行必要变革，如常规筛查和有效的转诊系统，以便检测和治疗这种可能使人衰弱的疾病。
