Prevalence and incidence of postnatal depression: what can systematic reviews tell us?
- 1k Downloads
Postnatal depression (PND) has a significant impact on maternal mental health. Systematic reviews provide a useful tool to summarise research, however little is known about the quantity and quality of existing systematic reviews of prevalence and incidence of PND.
The objective of this paper is to provide a systematic overview of existing systematic reviews of prevalence and incidence of PND in the first 12 postnatal months.
Medline, Embase, Cinahl, PsychInfo and the Cochrane Library were searched for systematic reviews of prevalence and incidence of PND which met the Database of Abstracts of Reviews of Effects (DARE) criteria. Characteristics of selected reviews, completeness of reporting results and methodological quality were evaluated.
Five reviews were selected for appraisal. Only one systematic review was identified; four reviews were non-systematic. Only two reviews provided a quantitative summary estimate of prevalence of PND. Completeness of reporting results using published guidelines was not undertaken by any review. The methodological quality of four reviews revealed limitations.
Limited generalisable evidence exists in the form of high-quality systematic reviews to inform current knowledge of the prevalence and incidence of PND. The implication of this represents an important limitation for health services planning and service delivery.
KeywordsPostnatal depression Prevalence Incidence Overview Appraisal
- Becker LA, Oxman AD (2009) Overviews of reviews [Chapter 22]. In: Higgins JPT, Green S (eds) Cochrane handbook for systematic reviews of interventions, version 5.0.2 [updated Sept 2009] The Cochrane Collaboration, 2009. Available from http://www.cochrane-handbook.org
- Centre for Reviews & Dissemination (2009) York, University of York. Available from http://www.crd.york.ac.uk/crdweb/html/help.htm
- Consort (2010) Consolidated Standards of Reporting Trials Group. http://www.consort-statement.org/home/, Accessed 2nd March 2010
- Egger M, Smith GD, Altman DG (eds) (2001a) Systematic reviews in health care: meta-analysis in context. BMJ, LondonGoogle Scholar
- Gaynes BN, Gavin N, Meltzer-Brody S, Lohr K, Swinson T, Gartlehner G, Brody S, Miller W (2005) Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evidence Report/Technology Assessment No. 119. Agency for Healthcare Research and QualityGoogle Scholar
- Goodman JH (2004) Postpartum depression beyond the early postpartum period. JOGN Nursing 33:410–420Google Scholar
- Guyatt GH, Oxman AD (2009) Medicine’s methodological debt to the social sciences. James Lind Library. Available at [http://www.jameslindlibrary.org/trial_records/20th_Century/1980s/oxman-et-al/oxman-commentary.html, Accessed 17th September
- Hennekens CH, Buring JE, Mayrent SL (1987) Epidemiology in medicine. Little, Brown, BostonGoogle Scholar
- Hewitt CE, Gilbody SM, Brealey S, Paulden M, Palmer S, Mann R, Green J, Morrell J, Barkham M, Light K, Richards D (2009) Methods to identify postnatal depression in primary care: an integrated evidence synthesis and value of information analysis. Health Technology Assessment 13(36)Google Scholar
- Higgins JPT, Green S (eds) (2009) Cochrane handbook for systematic reviews of interventions, version 5.0.2 [updated Sept 2009], The Cochrane Collaboration, 2009. Available from http://www.cochrane-handbook.org
- Murray CJ, Lopez AD (eds) (1996) The global burden of disease: a comprehensive assessment of mortality and disability from disease, injuries and risk factors in 1990. Harvard School of Public Health on behalf of the World Bank, Harvard University Press, BostonGoogle Scholar
- National Institute for Health & Clinical Excellence (2007) Antenatal and post-natal mental health, the nice guideline on clinical management and service guidance. The British Psychological Society & The Royal College of Psychiatrists, LondonGoogle Scholar
- Oates M (2003) Postnatal depression and screening: too broad a sweep? B J Gen Pract 53:596–597Google Scholar
- Pope S, Watts J, Evans S, Mcdonald S, Henderson J (2000) Post-natal depression- a systematic review of published scietific literature to 1999. National Health and Medical Research CouncilGoogle Scholar
- Scottish Intercollegiate Guidelines Network (SIGN) (2002 ) Postnatal depression and puerperal psychosis (SIGN Publication No. 60). Edinburgh, http://www.sign.ac.uk/pdf/sign60.pdf
- Shea B, Dube C, Moher D (2001) Assessing the quality of reports of systematic reviews: the QUOROM statement compared to other tools. In: Egger M, Smith GD, Altman DG (eds) Systematic reviews in health care: meta-analyses in context, 2nd edn. BMJ, LondonGoogle Scholar
- Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, Moher D, Becker BJ, Sipe TA, Thacker SB, Meta-Analysis of Observational Studies in Epidemiology Group (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting. JAMA 283:2008–2012CrossRefPubMedGoogle Scholar
- World Health Organisation (2007) ICD-10: international statistical classification of diseases and related health problems: tenth revision, 2nd edn. World Health Organisation, Geneva, Available from http://apps.who.int/classifications/apps/icd/icd10online/ Google Scholar