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Social relationships and postpartum depression in South Asia: A systematic review

机译:南亚的社会关系和产后抑郁:系统评价

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Background: Evidence suggests a much higher prevalence of postpartum depression in South Asia than in 'western' contexts. Aim: To conduct a rapid systematic review of evidence on the association between social relationships and postpartum depression in South Asia. Methods: Five databases were searched to identify relevant studies. Studies meeting the selection and quality criteria were analysed and integrated in a narrative review. Results: Nine mostly quantitative studies were included in the review. Low support and poor relationships with the husband and parents-in-law were associated with postpartum depression, although associations were weakened in multivariate analyses.The different dimensions of support have not yet been systematically investigated and the likely complex interrelationships between social relationship risk factors are not yet well understood. Conclusions: Findings mirror those from 'western' contexts, showing the key role of social relationships in the aetiology of postpartum depression. Yet, they also reinforce the hypothesis that the social and cultural context influences the association. The importance of relationships with the extended family, as well as the husband, in South Asia is highlighted. Further research is recommended to develop an understanding of these relationships to better inform interventions.
机译:背景:有证据表明,南亚的产后抑郁症患病率比“西方”情况高得多。目的:对南亚社会关系与产后抑郁之间的关联进行快速,系统的证据回顾。方法:检索五个数据库以鉴定相关研究。对符合选择和质量标准的研究进行分析,并整合到叙述性评论中。结果:九项主要是定量研究纳入了评价。尽管多因素分析削弱了协会的支持,但支持率低,与丈夫和岳父母的关系不良与产后抑郁相关;尚未系统地研究支持的不同方面,社会关系危险因素之间可能存在复杂的相互关系。尚未完全了解。结论:研究结果反映了“西方”背景下的结果,表明社会关系在产后抑郁症病因学中的关键作用。但是,它们也强化了这样的假设:社会和文化背景会影响这种联系。强调了与大家庭以及丈夫在南亚建立关系的重要性。建议进一步研究以加深对这些关系的了解,以更好地为干预提供依据。

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