YANG Zhongting, WEN Xuan, YE Qingyun, DENG Chunyan, DU Xingmei, CHEN Ying, DENG Rui, HUANG Yuan. The detection rate of depression during childbearing process among Chinese women: a Meta-analysis[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(12): 1475-1479. doi: 10.16462/j.cnki.zhjbkz.2023.12.018
Citation:
YANG Zhongting, WEN Xuan, YE Qingyun, DENG Chunyan, DU Xingmei, CHEN Ying, DENG Rui, HUANG Yuan. The detection rate of depression during childbearing process among Chinese women: a Meta-analysis[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(12): 1475-1479. doi: 10.16462/j.cnki.zhjbkz.2023.12.018
YANG Zhongting, WEN Xuan, YE Qingyun, DENG Chunyan, DU Xingmei, CHEN Ying, DENG Rui, HUANG Yuan. The detection rate of depression during childbearing process among Chinese women: a Meta-analysis[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(12): 1475-1479. doi: 10.16462/j.cnki.zhjbkz.2023.12.018
Citation:
YANG Zhongting, WEN Xuan, YE Qingyun, DENG Chunyan, DU Xingmei, CHEN Ying, DENG Rui, HUANG Yuan. The detection rate of depression during childbearing process among Chinese women: a Meta-analysis[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(12): 1475-1479. doi: 10.16462/j.cnki.zhjbkz.2023.12.018
Objective To synthesize the detection rates of perinatal depression previously reported among Chinese women for each stage of the process from the first trimester of pregnancy to six months after labor, and to provide evidence for the development and implementation of prevention and treatment measures for perinatal depression.Methods Studies on the detection rates of depression among Chinese women at all stages of childbearing process, which had been published before September 5th, 2021, were searched through PubMed, CNKI, Wanfang, and VIP databases systematically. According to the heterogeneity test results, the detection rates of depression at different stages of childbearing process were pooled by a random effects model by using software Stata 15.1. The subgroup analyses were conducted to detect the differences in detection rates of perinatal depression. The sensitivity analyses and publication bias tests were performed.Results A total of 77 articles were included, with 249 310 women. The pooled detection rate of depression during childbearing process was 17.84% (95% CI: 16.06-19.61). The antepartum depression detection rate was 20.23% (95% CI: 17.60-22.86), which was higher than the postpartum depression detection rate of 14.50% (95% CI: 12.53-16.48). The highest detection rate was 24.48% (95% CI: 17.89-31.06) in the first trimester of pregnancy, followed by those in the second trimester (20.63%, 95% CI: 15.30-25.95), the third trimester (17.76%, 95% CI: 14.91-20.60), forty-two days after labor (16.95%, 95% CI: 13.88-20.02), one hundred days after labor (7.69%, 95% CI: 4.46-10.93), and six months after labor (2.37%, 95% CI: 1.62-3.12). The results of subgroup analyses showed that the survey years, research designs, survey areas, depression detection tools, positive cutoff points, sample sizes and levels of study quality didn′t affect the heterogeneity of the original study results.Conclusions The pooled detection rates of perinatal depression among Chinese women show a decrease trend from the first trimester of pregnancy to six months after labor. The early screening and prompt intervention to identify and treat depression should be provided. Some unmeasured or unreported factors in the existing studies may lead to the heterogeneity of the original study results. The study design should be optimized and the study quality should be improved in the future.
DownLoad: