Prevalence of Postpartum Depression Based on Diagnostic Interviews: A Systematic Review and Meta-Analysis.

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Title: Prevalence of Postpartum Depression Based on Diagnostic Interviews: A Systematic Review and Meta-Analysis.
Authors: Bai, Yanping (AUTHOR), Li, Qiao (AUTHOR), Cheng, Kar Keung (AUTHOR), Caine, Eric D. (AUTHOR), Tong, Yongsheng (AUTHOR), Wu, Xia (AUTHOR), Gong, Wenjie (AUTHOR)
Source: Depression & Anxiety (1091-4269). 8/19/2023, p1-12. 12p. 2 Charts, 5 Graphs.
Subjects: Postpartum depression, Edinburgh Postnatal Depression Scale, Mental depression, Depression in women, High-income countries, Middle-income countries
Abstract: Background. Postpartum depression (PPD) is common after childbirth. Previous reviews on the prevalence of PPD have mainly included results that relied on screening instruments or a mixture of such instruments and diagnostic interviews. In this study, we aimed to assess the prevalence of PPD based exclusively on studies using diagnostic interviews, as they provide the most reliable and valid approach for defining "caseness." Methods. Using PubMed, Web of Science, Cochrane Library, Embase, CNKI, WANFANG DATA, and CBM up to September 18, 2022, we searched for original articles reporting data that could be used to calculate the prevalence of PPD based on diagnostic interviews. A random-effect meta-analysis model was then used to estimate the pooled prevalence. In addition, we assessed quality, heterogeneity, and publication bias across studies. Also, we did subgroup analyses to explore the pooled prevalence at different time points and settings. This study was registered with PROSPERO, CRD42021244539. Results. Of 17,115 articles retrieved, 54 studies were included (total sample size = 15,586 women). The pooled prevalence of all depression and major depression within one year postpartum was 12.1% (95% CI 10.3%-14.1%; I 2 = 91.0 %) and 7.0% (95% CI 5.7%-8.4%; I 2 = 83.0 %), respectively. The peaks of all depression occurred during the first 6 months postpartum, especially 2-3 weeks and 6-8 weeks. Subgroup analyses showed that the prevalence of major depression was associated with the income level of countries (higher in low- and middle-income countries (LMICs) than in high-income countries (HICs)) and diagnostic criteria (higher using ICD than using DSM and RDC). No evidence of publication bias was found. Conclusions. Approximately one in eight postpartum women experiences a depressive condition, with one in fifteen suffering major depression. The pooled prevalence based on diagnostic interviews was lower than the existing consensus, which was largely based on self-reported screening instruments. The higher prevalence in LMICs underlines the importance of strengthening research and service provision among these populations. [ABSTRACT FROM AUTHOR]
Copyright of Depression & Anxiety (1091-4269) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Prevalence of Postpartum Depression Based on Diagnostic Interviews: A Systematic Review and Meta-Analysis.
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  Data: <searchLink fieldCode="AR" term="%22Bai%2C+Yanping%22">Bai, Yanping</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Li%2C+Qiao%22">Li, Qiao</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cheng%2C+Kar+Keung%22">Cheng, Kar Keung</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Caine%2C+Eric+D%2E%22">Caine, Eric D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tong%2C+Yongsheng%22">Tong, Yongsheng</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wu%2C+Xia%22">Wu, Xia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gong%2C+Wenjie%22">Gong, Wenjie</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Depression+%26+Anxiety+%281091-4269%29%22">Depression & Anxiety (1091-4269)</searchLink>. 8/19/2023, p1-12. 12p. 2 Charts, 5 Graphs.
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  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22Postpartum+depression%22">Postpartum depression</searchLink><br /><searchLink fieldCode="DE" term="%22Edinburgh+Postnatal+Depression+Scale%22">Edinburgh Postnatal Depression Scale</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Depression+in+women%22">Depression in women</searchLink><br /><searchLink fieldCode="DE" term="%22High-income+countries%22">High-income countries</searchLink><br /><searchLink fieldCode="DE" term="%22Middle-income+countries%22">Middle-income countries</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background. Postpartum depression (PPD) is common after childbirth. Previous reviews on the prevalence of PPD have mainly included results that relied on screening instruments or a mixture of such instruments and diagnostic interviews. In this study, we aimed to assess the prevalence of PPD based exclusively on studies using diagnostic interviews, as they provide the most reliable and valid approach for defining "caseness." Methods. Using PubMed, Web of Science, Cochrane Library, Embase, CNKI, WANFANG DATA, and CBM up to September 18, 2022, we searched for original articles reporting data that could be used to calculate the prevalence of PPD based on diagnostic interviews. A random-effect meta-analysis model was then used to estimate the pooled prevalence. In addition, we assessed quality, heterogeneity, and publication bias across studies. Also, we did subgroup analyses to explore the pooled prevalence at different time points and settings. This study was registered with PROSPERO, CRD42021244539. Results. Of 17,115 articles retrieved, 54 studies were included (total sample size = 15,586 women). The pooled prevalence of all depression and major depression within one year postpartum was 12.1% (95% CI 10.3%-14.1%; I 2 = 91.0 %) and 7.0% (95% CI 5.7%-8.4%; I 2 = 83.0 %), respectively. The peaks of all depression occurred during the first 6 months postpartum, especially 2-3 weeks and 6-8 weeks. Subgroup analyses showed that the prevalence of major depression was associated with the income level of countries (higher in low- and middle-income countries (LMICs) than in high-income countries (HICs)) and diagnostic criteria (higher using ICD than using DSM and RDC). No evidence of publication bias was found. Conclusions. Approximately one in eight postpartum women experiences a depressive condition, with one in fifteen suffering major depression. The pooled prevalence based on diagnostic interviews was lower than the existing consensus, which was largely based on self-reported screening instruments. The higher prevalence in LMICs underlines the importance of strengthening research and service provision among these populations. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Depression & Anxiety (1091-4269) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1155/2023/8403222
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        Text: English
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        PageCount: 12
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    Subjects:
      – SubjectFull: Postpartum depression
        Type: general
      – SubjectFull: Edinburgh Postnatal Depression Scale
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Depression in women
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      – SubjectFull: High-income countries
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      – SubjectFull: Middle-income countries
        Type: general
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      – TitleFull: Prevalence of Postpartum Depression Based on Diagnostic Interviews: A Systematic Review and Meta-Analysis.
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            NameFull: Bai, Yanping
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            NameFull: Cheng, Kar Keung
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            – D: 19
              M: 08
              Text: 8/19/2023
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              Y: 2023
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