Cited by 1,055Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcareMaternal and Perinatal Health Interventions

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Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis

Shorey, Shefaly, Chee, Cornelia Yin Ing, Ng, Esperanza Debby, Chan, Yiong Huak, Tam, Wilson Wai San, Chong, Yap Seng·2018·Journal of Psychiatric Research

DOI 10.1016/j.jpsychires.2018.08.001

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Abstract

This review aims to examine the prevalence and incidence of postpartum depression among healthy mothers without prior history of depression including postpartum depression and who gave birth to healthy full-term infants. A systematic search of ClinicalTrials.gov, CINAHL, EMBASE, PsycINFO, and PubMed was performed for English articles from the inception of the database to November 2017, as well as a manual search of the reference lists of the included articles, and an expert panel was consulted. Across 15,895 articles, 58 articles (N = 37,294 women) were included in the review. The incidence of postpartum depression was 12% [95% CI 0.04-0.20] while the overall prevalence of depression was 17% [95% CI 0.15-0.20] among healthy mothers without a prior history of depression. Prevalence was similar regardless of the type of diagnostic tool used; however, there were statistical differences in the prevalence between different geographical regions, with the Middle-East having the highest prevalence (26%, 95% CI 0.13-0.39) and Europe having the lowest (8%, 95% CI 0.05-0.11). There was no statistical difference in prevalence between different screening time points, but an increasing prevalence was observed beyond six months postpartum. Intervention studies often neglect healthy mothers. This review reports a similar prevalence rate of postpartum depression among mothers without history of depression when compared to mothers with history of depression. Thus, future studies should place equal emphasis on this neglected group of mothers so that targeted interventions and follow-ups can be introduced at appropriate time points.

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“Almost 30% of the participants in this study screened positive for postpartum depression (as defined by the EPDS), far above the estimated 12% prevalence rate established in systematic reviews (Shorey et al., 2018).”
Background
IMPLEMENTATION OF DIFFERENT CULTURES TO INFLUENCE POSTPARTUM DEPRESSION
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“, 2021), with the highest incidence in Middle Eastern and Asia countries (26%) and the lowest incidence in European countries (8%) (Shorey et al., 2018).”
Background
Towards a Dynamic Developmental and Life Course Criminology
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“[27] Studies indicate that the prevalence of PPD in poor and middle‑income countries is higher than in rich countries.”
Background
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Background
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“PPD impacts the mother’s quality of life as well as family functioning and can have consequences for offspring development and mental health (Shorey et al., 2018).”
Background
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“Regarding the postpartum period, depression has a worldwide prevalence of 10%–15%, whereas postpartum anxiety is somewhat more prevalent (Shorey et al., 2018).”
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“An estimated 12% of otherwise healthy women experience postpartum depression, however recent studies have suggested a 22% prevalence of postpartum depression in connection to the COVID-19 pandemic [8,9].”
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“This has important implications given that psychological difficulties associated with the perinatal period are now well documented (e.g., Dunkel Schetter, 2011; Schetter & Tanner, 2012; Shorey et al., 2018).”
Background
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Ahmad, M. A., Awar, S. A. A. R. A., Sallam, G. S., Alkaabi, M. S. N., Smetanina, D., Statsenko, Y. A., & Zaręba, K. T. (2024) · Healthcare · doi:10.3390/healthcare12060650 · Cited by 5
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“Perinatal mental health problems are common, with pre-and postnatal depression and anxiety affecting about 10%–15% of new parents (Dennis et al., 2017; Shorey et al., 2018).”
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“Furthermore, Shorey et al. [ 11 ] showed that social support networks and psychological well-being-focused interventions are more successful than pharmaceutical treatments alone at lowering postpartum depression symptoms.”
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“This observation holds even though the sample prevalence rates of depression in our study are higher compared with reports from other countries (Howard & Khalifeh, 2020; Shorey et al., 2018; Woody et al., ).”
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“Approximately 10% to 20% of women around the world experience anxiety or depression during the period spanning pregnancy to the ﬁ rst year postpartum (Dennis et al., 2017; Shorey et al., 2018).”
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“…mental disorders’ vary, but recent reviews report 17% (95% CI: 12, 21) prevalence of postnatal depressive disorder assessed from clinical interviews among healthy women without a history of depression [5], and 9.9% (95%CI: 6.1, 13.1) for any post-natal anxiety disorder at 1–24 weeks postpartum [6].”
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“Research typically focuses on perinatal depression and anxiety, given these are commonly experienced (Shorey et al., 2018 ; Viswasam et al., 2019 ).”
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Authors: Shorey, S., Chee, C. Y. I., Ng, E. D., Chan, Y. H., Tam, W. W. S., & Chong, Y. S.
Affiliations: National University of Singapore (SG)
National University Hospital (SG)
Corresponding author: Shorey, Shefaly
ORCID: Shorey, Shefaly
Chee, Cornelia Yin Ing
Ng, Esperanza Debby
Chan, Yiong Huak
Tam, Wilson Wai San
Chong, Yap Seng
Venue: Journal of Psychiatric Research
Publisher: Elsevier BV
Published: 2018-09
Volume: 104
Pages: 235-248
ISSN: 0022-3956 (ISSN-L)
DOI: 10.1016/j.jpsychires.2018.08.001
OpenAlex: W2885511794
Cited by: 1,055
References: 106
Citations by year: 2026: 127 · 2025: 160 · 2024: 181 · 2023: 175 · 2022: 166 · 2021: 136 · 2020: 76 · 2019: 28 · 2018: 4
FWCI: 11.06
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Psychiatric Research (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords: postpartum depression, prevalence, incidence, term infants, postpartum screening, diagnostic tools, regional variation, postpartum period
MeSH terms: Female, Humans, Mothers, Incidence, Prevalence, Databases, Factual, Depression, Postpartum

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Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis

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