Social Factors and the Risk of Postpartum Depression during the COVID-19 Pandemic: A Systematic Review

Background: To investigate the effects of social factors including social support and social restriction on postpartum depression (PPD) during the COVID-19 pandemic. Methods: We conducted a systematic review with PubMed and Web of Science from 1 January 2020 to 1 April 2023. Articles focusing on soc...

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Main Authors: Haohui Chen, Bo Feng, Yuting Guo, Wei Luo, Yuxin Zhao, Shuying Liao, Jitong Zhao
Format: Article
Language:English
Published: IMR Press 2023-10-01
Series:Clinical and Experimental Obstetrics & Gynecology
Subjects:
Online Access:https://www.imrpress.com/journal/CEOG/50/10/10.31083/j.ceog5010203
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author Haohui Chen
Bo Feng
Yuting Guo
Wei Luo
Yuxin Zhao
Shuying Liao
Jitong Zhao
author_facet Haohui Chen
Bo Feng
Yuting Guo
Wei Luo
Yuxin Zhao
Shuying Liao
Jitong Zhao
author_sort Haohui Chen
collection DOAJ
description Background: To investigate the effects of social factors including social support and social restriction on postpartum depression (PPD) during the COVID-19 pandemic. Methods: We conducted a systematic review with PubMed and Web of Science from 1 January 2020 to 1 April 2023. Articles focusing on social factors and PPD during COVID-19 pandemic were investigated. Newcastle-Ottawa Scale and the Agency for Healthcare Research and Quality Scale were used to evaluate quality of literatures. Results: We included 31 articles (22 cross-sectional studies and 9 cohort studies) with good quality. Edinburgh Postnatal Depression Scale (EPDS) was used as the preferred measure for defining PPD. Social support reduced the prevalence of developing PPD by 30%–40%. Social restriction increased the risk of PPD but there was lack of evidence or effective scales to define restriction. Conclusions: We found that social support acted as an important protective factor for PPD during the COVID-19 pandemic and that social restriction increased the risk of PPD. EPDS may be an optimal choice for researchers to define PPD. Obstetricians should underline social factors for both pregnancy women and their families. The study was registered on PROSPERO (https://www.crd.york.ac.uk/prospero/), registration number: CRD42023434485.
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spelling doaj.art-0d37c08668934b08a234f7d23a1248aa2023-11-01T03:27:21ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632023-10-01501020310.31083/j.ceog5010203S0390-6663(23)02166-8Social Factors and the Risk of Postpartum Depression during the COVID-19 Pandemic: A Systematic ReviewHaohui Chen0Bo Feng1Yuting Guo2Wei Luo3Yuxin Zhao4Shuying Liao5Jitong Zhao6West China School of Medicine, Sichuan University, 610041 Chengdu, Sichuan, ChinaWest China School of Medicine, Sichuan University, 610041 Chengdu, Sichuan, ChinaWest China School of Medicine, Sichuan University, 610041 Chengdu, Sichuan, ChinaWest China School of Medicine, Sichuan University, 610041 Chengdu, Sichuan, ChinaWest China School of Medicine, Sichuan University, 610041 Chengdu, Sichuan, ChinaDepartment of Gynecology and Obstetrics, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaDepartment of Gynecology and Obstetrics, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaBackground: To investigate the effects of social factors including social support and social restriction on postpartum depression (PPD) during the COVID-19 pandemic. Methods: We conducted a systematic review with PubMed and Web of Science from 1 January 2020 to 1 April 2023. Articles focusing on social factors and PPD during COVID-19 pandemic were investigated. Newcastle-Ottawa Scale and the Agency for Healthcare Research and Quality Scale were used to evaluate quality of literatures. Results: We included 31 articles (22 cross-sectional studies and 9 cohort studies) with good quality. Edinburgh Postnatal Depression Scale (EPDS) was used as the preferred measure for defining PPD. Social support reduced the prevalence of developing PPD by 30%–40%. Social restriction increased the risk of PPD but there was lack of evidence or effective scales to define restriction. Conclusions: We found that social support acted as an important protective factor for PPD during the COVID-19 pandemic and that social restriction increased the risk of PPD. EPDS may be an optimal choice for researchers to define PPD. Obstetricians should underline social factors for both pregnancy women and their families. The study was registered on PROSPERO (https://www.crd.york.ac.uk/prospero/), registration number: CRD42023434485.https://www.imrpress.com/journal/CEOG/50/10/10.31083/j.ceog5010203postpartum depressionsocial supportsocial restrictioncovid-19systematic review
spellingShingle Haohui Chen
Bo Feng
Yuting Guo
Wei Luo
Yuxin Zhao
Shuying Liao
Jitong Zhao
Social Factors and the Risk of Postpartum Depression during the COVID-19 Pandemic: A Systematic Review
Clinical and Experimental Obstetrics & Gynecology
postpartum depression
social support
social restriction
covid-19
systematic review
title Social Factors and the Risk of Postpartum Depression during the COVID-19 Pandemic: A Systematic Review
title_full Social Factors and the Risk of Postpartum Depression during the COVID-19 Pandemic: A Systematic Review
title_fullStr Social Factors and the Risk of Postpartum Depression during the COVID-19 Pandemic: A Systematic Review
title_full_unstemmed Social Factors and the Risk of Postpartum Depression during the COVID-19 Pandemic: A Systematic Review
title_short Social Factors and the Risk of Postpartum Depression during the COVID-19 Pandemic: A Systematic Review
title_sort social factors and the risk of postpartum depression during the covid 19 pandemic a systematic review
topic postpartum depression
social support
social restriction
covid-19
systematic review
url https://www.imrpress.com/journal/CEOG/50/10/10.31083/j.ceog5010203
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