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非洲母亲产后抑郁症的严重程度:文献综述。

The magnitude of postpartum depression among mothers in Africa: a literature review.

机构信息

Faculty of Medicine, Department of Nursing, Mbarara University of Science and Technology, Mbarara, Uganda.

Nova Southeastern University College of Nursing, Fort Myers Campus, 3650 Colonial Court, Fort Myers, Florida, United State of America.

出版信息

Pan Afr Med J. 2020 Sep 25;37:89. doi: 10.11604/pamj.2020.37.89.23572. eCollection 2020.

Abstract

INTRODUCTION

postpartum depression (PPD) continues to become one of the major maternal health challenges across the globe but there is a paucity of recent data on its magnitude in Africa. This study was motivated by the need to update the current magnitude of PPD in Africa based on various assessment tools.

METHODS

a total of 21 articles met the study criteria. Fifteen articles used the EPDS and six used other assessment tools. Postpartum depression among studies that used EPDS tool ranged from 6.9% in Morocco to 43% in Uganda and 6.1% in Uganda to 44% in Burkina Faso among studies that used other depression assessment tools. Sensitivity and specificity results of the EPDS ranged from 75%-100% and 87%-98% respectively.

RESULTS

a total of 21 articles met the study criteria. Fifteen articles used the EPDS and six used other assessment tools. Postpartum depression among studies that used EPDS tool ranged from 6.9% in Morocco to 43% in Uganda and 6.1% in Uganda to 44% in Burkina Faso among studies that used other depression assessment tools. Sensitivity and specificity results of the EPDS ranged from 75%-100% and 87%-98% respectively.

CONCLUSION

despite the limited dearth of literature, the magnitude of PPD in Africa remains high which suggests that PPD is still a neglected illness and calls for immediate interventions. EPDS is an effective tool with high sensitivity and specify in varying study contexts.

摘要

简介

产后抑郁症(PPD)仍然是全球主要的产妇健康挑战之一,但关于其在非洲严重程度的最新数据却很少。这项研究的动机是需要根据各种评估工具更新非洲目前 PPD 的严重程度。

方法

共有 21 篇文章符合研究标准。15 篇文章使用 EPDS,6 篇文章使用其他评估工具。使用 EPDS 工具的研究中,PPD 的发生率从摩洛哥的 6.9%到乌干达的 43%不等,而使用其他抑郁评估工具的研究中,PPD 的发生率从乌干达的 6.1%到布基纳法索的 44%不等。EPDS 的灵敏度和特异性结果分别为 75%-100%和 87%-98%。

结果

共有 21 篇文章符合研究标准。15 篇文章使用 EPDS,6 篇文章使用其他评估工具。使用 EPDS 工具的研究中,PPD 的发生率从摩洛哥的 6.9%到乌干达的 43%不等,而使用其他抑郁评估工具的研究中,PPD 的发生率从乌干达的 6.1%到布基纳法索的 44%不等。EPDS 的灵敏度和特异性结果分别为 75%-100%和 87%-98%。

结论

尽管文献有限,但非洲 PPD 的严重程度仍然很高,这表明 PPD 仍然是一种被忽视的疾病,需要立即采取干预措施。EPDS 是一种在不同研究环境中具有高灵敏度和特异性的有效工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cebe/7680231/bb4e54ff880e/PAMJ-37-89-g001.jpg

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