Layton Elly, Roddy Mitchell Alexandra, Kennedy Elissa, Moran Allisyn C, Palestra Francesca, Chowdhary Neerja, McNab Shanon, Homer Caroline S E
Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Department of Obstetrics, Gynaecology and Newborn Health, University of Melbourne, Melbourne, Australia.
PLoS One. 2025 Jan 27;20(1):e0317998. doi: 10.1371/journal.pone.0317998. eCollection 2025.
Perinatal mental health disorders are a significant contributor to morbidity and mortality in childbearing women. The World Health Organization recommends all women be screened for mental health disorders postnatally and have diagnostic and management services available. There are, however, currently no global indicators in use which measure the status and progress of perinatal mental health. The aim of this scoping review was to identify existing perinatal mental health indicators and propose a core set which could be used at a global level. We used the Global Perinatal Mental Health Theory of Change as the conceptual framework. We found 25 indicators for PMH aligned with the Global Perinatal Mental Health Theory of Change, which were condensed to form a core set of nine indicators These core indicators include the proportion of women with depression, anxiety, post-traumatic stress disorder, psychosis, or adjustment disorders in the perinatal period; the proportion of women screened for these services; the proportion who have access to services following a positive diagnosis; and, the proportion of healthcare providers trained to provide mental health care. This review forms part of the foundational work for the development of a global monitoring framework which would be able to monitor progress towards the provision of universal high quality perinatal mental health care.
围产期精神健康障碍是导致育龄妇女发病和死亡的一个重要因素。世界卫生组织建议对所有产后妇女进行精神健康障碍筛查，并提供诊断和管理服务。然而，目前尚无用于衡量围产期精神健康状况和进展的全球指标。本范围综述的目的是确定现有的围产期精神健康指标，并提出一套可在全球层面使用的核心指标。我们将全球围产期精神健康变革理论用作概念框架。我们发现了25个与全球围产期精神健康变革理论相符的围产期精神健康指标，这些指标经过浓缩形成了一套包含9个指标的核心指标集。这些核心指标包括围产期患有抑郁症、焦虑症、创伤后应激障碍、精神病或适应障碍的妇女比例；接受这些服务筛查的妇女比例；诊断呈阳性后能够获得服务的比例；以及接受过提供精神卫生保健培训的医疗保健提供者比例。本综述是制定全球监测框架基础工作的一部分，该框架将能够监测在提供普遍高质量围产期精神卫生保健方面取得的进展。
