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一项拉丁裔女性产后抑郁症风险因素的系统评价和荟萃分析。

A Systematic Review and Meta-Analysis of Risk Factors for Postpartum Depression Among Latinas.

机构信息

Department of Counselor Education and Counseling Psychology, Marquette University, Milwaukee, USA.

Department of Psychological and Brain Sciences, The George Washington University, Washington, DC, USA.

出版信息

Matern Child Health J. 2021 Apr;25(4):554-564. doi: 10.1007/s10995-020-03104-0. Epub 2021 Jan 4.

Abstract

OBJECTIVES

The purpose of this article was to describe the findings from a systematic review, quality review, and meta-analysis of risk factors for postpartum depression among adult Latinas in the United States.

METHODS

Databases were searched from inception to May 2020 for studies published in English related to Latina/Hispanic mothers and risk factors of postpartum depression. Of 115 abstracts screened, 10 met the inclusion criteria for the review and meta-analysis. Eleven risk factors from these studies were included: acculturation, age, economic stress, education, marital status, number of children, prenatal depression, recent and remote intimate partner violence (IPV), general social support, and partner/father's social support.

RESULTS

Partner/father's social support had a large effect size. Prenatal depression and recent IPV had medium effect sizes, while education, economic stress, general social support and remote IPV had small effect sizes. Negligible effect sizes were found for age, marital status, number of children, and acculturation.

CONCLUSIONS

Prenatal depression, IPV, social support (general and from partner/father), economic stress and education are risk factors that should be screened for when working with perinatal Latinas. Future directions for clinical practice and research are discussed.

摘要

目的

本文旨在描述一项系统评价、质量评价和荟萃分析的结果,该评价和分析针对美国成年拉丁裔女性产后抑郁的风险因素。

方法

从数据库中搜索了自成立以来至 2020 年 5 月发表的与拉丁裔/西班牙裔母亲和产后抑郁风险因素相关的英文研究。在 115 篇筛选出的摘要中,有 10 篇符合综述和荟萃分析的纳入标准。这些研究中的 11 个风险因素被纳入分析:文化适应、年龄、经济压力、教育、婚姻状况、子女数量、产前抑郁、近期和远期亲密伴侣暴力(IPV)、一般社会支持以及伴侣/父亲的社会支持。

结果

伴侣/父亲的社会支持具有较大的效应量。产前抑郁和近期 IPV 的效应量为中等,而教育、经济压力、一般社会支持和远期 IPV 的效应量较小。年龄、婚姻状况、子女数量和文化适应的效应量可忽略不计。

结论

产前抑郁、IPV、社会支持(一般和来自伴侣/父亲)、经济压力和教育是与围产期拉丁裔女性一起工作时应进行筛查的风险因素。讨论了未来临床实践和研究的方向。

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