Xiao Gui, Wang Hu, Hu Jiaji, Zhao Ziran, Li Qiyu, Qin Chunxiang
Health Management Medicine Center and nursing department, The Third Xiangya Hospital, Central South University, Changsha, China.
School of Xiangya Nursing, Central South University, Changsha, China.
Heliyon. 2024 Jul 24;10(15):e35089. doi: 10.1016/j.heliyon.2024.e35089. eCollection 2024 Aug 15.
Paternal antenatal depression and postpartum depression are associated with adverse health outcomes in mothers and infants; however, their prevalence among Chinese fathers remains controversial. This meta-analysis aimed to summarize the prevalence of antenatal depression and postpartum depression in Chinese fathers.
We conducted a systematic meta-analysis on the prevalence of antenatal depression and postpartum depression among Chinese fathers by searching 11 databases. Pooled estimates and 95 % confidence intervals were calculated. The choice between a random-effects model and a fixed-effects model was based on an assessment of heterogeneity among the studies as well as assumptions regarding the similarity of the studies in terms of clinical characteristics, quality, design, and conduct. Subgroup and meta-regression analyses were conducted based on the scale used to measure antenatal depression and postpartum depression, the region where the study was completed, the time of the study, the study design, the number of children, publication language, the study site, and quality assessment.
This meta-analysis included 28 studies with 8795 participants. The prevalence of antenatal depression among Chinese fathers was 11 % (95 % CI: 5%-17 %, < 0.01) using a random-effects model. Heterogeneity was I = 91 %. Publication language moderated the prevalence of paternal antenatal depression (the amount of heterogeneity accounted for was 92.13 %). The prevalence of postpartum depression among Chinese fathers was 16 % (95 % CI: 13%-18 %, < 0.01), using a random-effects model. The heterogeneity was I = 94 %. The prevalence of paternal postpartum depression was moderated by the scale used to measure postpartum depression (39.17 % heterogeneity) and the region where the study was completed (33.15 % heterogeneity). Moreover, Egger's test (t = 4.542, < 0.001) indicated publication bias in studies on postpartum depression among Chinese fathers. However, after applying the trimming correction, the pooled prevalence of postpartum depression had a value of <0.05, indicating that despite the publication bias, the results remain reliable and unaffected in terms of effect size.
The prevalence of antenatal depression and postpartum depression among Chinese fathers was similar to those reported in low- and middle-income countries. Fathers should receive regular screening, effective prevention, and appropriate treatment. However, interpreting these results requires consideration of the limitations of the study.
准爸爸的产前抑郁和产后抑郁与母婴不良健康结局相关；然而，中国父亲中这些情况的患病率仍存在争议。本荟萃分析旨在总结中国父亲产前抑郁和产后抑郁的患病率。
我们通过检索11个数据库，对中国父亲产前抑郁和产后抑郁的患病率进行了系统的荟萃分析。计算合并估计值和95%置信区间。随机效应模型和固定效应模型的选择基于对研究间异质性的评估以及关于研究在临床特征、质量、设计和实施方面相似性的假设。基于用于测量产前抑郁和产后抑郁的量表、研究完成的地区、研究时间、研究设计、子女数量、发表语言、研究地点和质量评估进行亚组分析和元回归分析。
本荟萃分析纳入了28项研究，共8795名参与者。采用随机效应模型时，中国父亲产前抑郁的患病率为11%（95%置信区间：5%-17%，P<0.01）。异质性I² = 91%。发表语言调节了准爸爸产前抑郁的患病率（异质性占比为92.13%）。采用随机效应模型时，中国父亲产后抑郁的患病率为16%（95%置信区间：13%-18%，P<0.01）。异质性I² = 94%。父亲产后抑郁的患病率受用于测量产后抑郁的量表（异质性39.17%）和研究完成地区（异质性33.15%）的调节。此外，Egger检验（t = 4.542，P<0.001）表明中国父亲产后抑郁研究中存在发表偏倚。然而，应用修剪校正后，产后抑郁的合并患病率P值<0.05，表明尽管存在发表偏倚，但结果在效应大小方面仍然可靠且未受影响。
中国父亲产前抑郁和产后抑郁的患病率与低收入和中等收入国家报告的患病率相似。父亲应接受定期筛查、有效预防和适当治疗。然而，解释这些结果需要考虑研究的局限性。
