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Environmental Risk Factors, Protective Factors, and Biomarkers for Postpartum Depressive Symptoms: An Umbrella Review
Yonsei University College of Medicine, Seoul, Republic of Korea..
Yonsei University College of Medicine, Seoul, Republic of Korea..
Yonsei University College of Medicine, Seoul, Republic of Korea..
Department of Psychiatry, Yonsei University College of Medicine, Seoul, Republic of Korea..
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2022 (English)In: Neuroscience and Biobehavioral Reviews, ISSN 0149-7634, E-ISSN 1873-7528, Vol. 140, article id 104761Article, review/survey (Refereed) Published
Abstract [en]

We performed an umbrella review on environmental risk/protective factors and biomarkers for postpartum depressive symptoms to establish a hierarchy of evidence. We systematically searched PubMed, Embase, and the Cochrane Database of Systematic Reviews from inception until 12 January 2021. We included systematic reviews providing meta-analyses related to our research objectives. Methodological quality was assessed by AMSTAR 2, and the certainty of evidence was evaluated by GRADE. This review was registered in PROSPERO (CRD42021230784). We identified 30 articles, which included 45 environmental risk/protective factors (154594 cases, 7302273 population) and 9 biomarkers (2018 cases, 16757 population). The credibility of evidence was convincing (class I) for antenatal anxiety (OR 2.49, 1.91-3.25) and psychological violence (OR 1.93, 1.54-2.42); and highly suggestive (class II) for intimate partner violence experience (OR 2.86, 2.12-3.87), intimate partner violence during pregnancy (RR 2.81, 2.11-3.74), smoking during pregnancy (OR 2.39, 1.78-3.2), history of premenstrual syndrome (OR 2.2, 1.81-2.68), any type of violence experience (OR 2.04, 1.72-2.41), primiparity compared to multiparity (RR 1.76, 1.59-1.96), and unintended pregnancy (OR 1.53, 1.35-1.75).

Place, publisher, year, edition, pages
Elsevier, 2022. Vol. 140, article id 104761
Keywords [en]
Biomarkers, Environmental risk and protective factors, Postpartum depressive symptoms, Umbrella review
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:sh:diva-49597DOI: 10.1016/j.neubiorev.2022.104761ISI: 000839089800010PubMedID: 35803397Scopus ID: 2-s2.0-85134297190OAI: oai:DiVA.org:sh-49597DiVA, id: diva2:1683360
Available from: 2022-07-15 Created: 2022-07-15 Last updated: 2025-02-20Bibliographically approved

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Stickley, Andrew

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