Meta-analysis of the association between gut microbiota and postpartum depression.

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Bibliographic Details
Title: Meta-analysis of the association between gut microbiota and postpartum depression.
Authors: Guo, Yan (AUTHOR), Chen, Wangxiang (AUTHOR)
Source: Journal of Psychosomatic Obstetrics & Gynecology. Dec2025, Vol. 46 Issue 1, p1-19. 19p.
Subjects: Gut microbiota, Postpartum depression, Inflammation, Disease risk factors, Aggregation (Statistics), Protective factors, Neurotransmitters
Abstract: Objective: This study aimed to explore the association between gut microbiota and postpartum depression (PPD) through meta-analysis, providing a basis for effective clinical preventive interventions.​ Methods: Systematic searches were conducted in English databases (Cochrane Library, Embase, Web of Science, PubMed) for studies published up to April 2025. Literature screening used a double-blind method, and quality assessment was performed with the AHRQ methodological tool evaluating 11 core dimensions. Meta-analysis was conducted using STATA 18.0 software on eligible studies. Results: Twelve studies were included. α-Proteobacteria was a significant risk factor for PPD (OR = 1.19, 95%CI: 1.11–1.28, p < 0.05). Protective factors included Bifidobacterium (OR = 0.82), Ruminococcaceae (OR = 0.88), Prevotellaceae (OR = 0.89), Veillonellaceae (OR = 0.83), and Clostridia (OR = 0.84). Included studies showed low heterogeneity, with robust results and low publication bias risk. Conclusion: PPD is closely linked to specific gut microbiota imbalances. α-Proteobacteria may increase PPD risk via inflammatory responses, while beneficial microbiota exert protective effects through neurotransmitter regulation, short-chain fatty acid metabolism, and gut-brain axis modulation. Gut microbiota could serve as a target for PPD intervention and prevention. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:Objective: This study aimed to explore the association between gut microbiota and postpartum depression (PPD) through meta-analysis, providing a basis for effective clinical preventive interventions.​ Methods: Systematic searches were conducted in English databases (Cochrane Library, Embase, Web of Science, PubMed) for studies published up to April 2025. Literature screening used a double-blind method, and quality assessment was performed with the AHRQ methodological tool evaluating 11 core dimensions. Meta-analysis was conducted using STATA 18.0 software on eligible studies. Results: Twelve studies were included. α-Proteobacteria was a significant risk factor for PPD (OR = 1.19, 95%CI: 1.11–1.28, p < 0.05). Protective factors included Bifidobacterium (OR = 0.82), Ruminococcaceae (OR = 0.88), Prevotellaceae (OR = 0.89), Veillonellaceae (OR = 0.83), and Clostridia (OR = 0.84). Included studies showed low heterogeneity, with robust results and low publication bias risk. Conclusion: PPD is closely linked to specific gut microbiota imbalances. α-Proteobacteria may increase PPD risk via inflammatory responses, while beneficial microbiota exert protective effects through neurotransmitter regulation, short-chain fatty acid metabolism, and gut-brain axis modulation. Gut microbiota could serve as a target for PPD intervention and prevention. [ABSTRACT FROM AUTHOR]
ISSN:0167482X
DOI:10.1080/0167482X.2025.2548567