Karaçam Zekiye, Ekin Pirozhan, Şaraldı Hilal Bal
Faculty of Health Sciences, Division of Midwifery, Aydın Adnan Menderes University, Aydın, Turkey.
Institute of Health Sciences, Division of Midwifery, Aydın Adnan Menderes University, Aydın, Turkey.
Soc Psychiatry Psychiatr Epidemiol. 2025 Apr 23. doi: 10.1007/s00127-025-02905-4.
To determine the prevalence of probably postpartum depression and the effect of COVID-19 pandemic on the prevalence of probably postpartum depression based on the results of the studies in Turkey.
Systematic review and meta-analysis of cross-sectional studies. The key words postpartum depression or postnatal depression and Turkey were searched in the electronic databases of PubMed, EbscoHost, OVID Journals, Science Direct, Web of Science, ULAKBIM Databases, DergiPARK, TR Dizin, YÖK-Natural Thesis Centre. The systematic review was performed by following PRISMA and COSMOS-E. Data were collected by using a data extraction tool developed by the researchers. The quality of the studies was evaluated by utilizing The Joanna Briggs Institute's Critical Appraisal Checklist for Analytical Cross Sectional Studies. Obtained data were synthesized with meta-analysis, narrative synthesis, subgroup analysis and meta-regression.
The total sample size of 34 studies included in this meta-analysis was 10 236. The cut-off score for the EPDS was considered as ≥ 13 in 30 studies and ≥ 12 in four studies. The pooled probably postpartum depression prevalence was 17.8% (95% CI: 0.153-0.206; 95% Prediction Interval: 0.070-0.383). It was found to be 16.3% before the pandemic (95% CI: 0.065-0.358; 95% Prediction Interval: 0.065-0.358) and increased to 20.2% during the pandemic (95% CI: 0.068-0.468; 95% Prediction Interval: 0.068-0.468), though the difference was not significant (Q = 1.77; df: 1; p = 0.184). The meta-regression analysis showed that the prevalence of probably postpartum depression did not change depending on the geographical region where the studies were performed, the time of data collection and the cut-off point of the EPDS. However, the studies reported many factors related to women, their infants and families that affected the prevalence of probably postpartum depression.
This meta-analysis revealed that the prevalence of probably postpartum depression was very high, increased during the pandemic and was affected by many risk factors. It may be recommended that healthcare professionals take protective and improving measures for the mental health of women at high risk during the perinatal period and provide early diagnosis, treatment, monitoring and care services.
根据土耳其的研究结果，确定可能的产后抑郁症患病率以及新冠疫情对可能的产后抑郁症患病率的影响。
对横断面研究进行系统评价和荟萃分析。在PubMed、EbscoHost、OVID期刊、Science Direct、科学网、ULAKBIM数据库、DergiPARK、TR Dizin、YÖK-自然论文中心等电子数据库中搜索关键词“产后抑郁症”或“产后抑郁”以及“土耳其”。按照PRISMA和COSMOS-E进行系统评价。使用研究人员开发的数据提取工具收集数据。利用乔安娜·布里格斯研究所的分析性横断面研究批判性评价清单评估研究质量。通过荟萃分析、叙述性综合分析、亚组分析和元回归对获得的数据进行综合分析。
该荟萃分析纳入的34项研究的总样本量为10236。30项研究将爱丁堡产后抑郁量表（EPDS）的临界值设定为≥13，4项研究设定为≥12。合并的可能产后抑郁症患病率为17.8%（95%置信区间：0.153 - 0.206；95%预测区间：0.070 - 0.383）。疫情前患病率为16.3%（95%置信区间：0.065 - 0.358；95%预测区间：0.065 - 0.358），疫情期间升至20.2%（95%置信区间：0.068 - 0.468；95%预测区间：0.068 - 0.468），但差异无统计学意义（Q = 1.77；自由度：1；p = 0.184）。元回归分析表明，可能的产后抑郁症患病率不会因研究开展的地理区域、数据收集时间以及EPDS的临界值而改变。然而，这些研究报告了许多与女性、其婴儿和家庭相关的影响可能产后抑郁症患病率的因素。
该荟萃分析表明，可能的产后抑郁症患病率很高，在疫情期间有所上升，且受多种风险因素影响。建议医疗保健专业人员对围产期高危女性的心理健康采取保护和改善措施，并提供早期诊断、治疗、监测和护理服务。
