Evidence map›Paper›PMID 39135561›Full record

ReviewHealth psychology and behavioral medicine2024

Prevalence and risk factors of perinatal depression among mothers and fathers in Pakistan: a systematic review and meta-analysis.

Zahra Ali Padhani, Rehana A Salam, Komal Abdul Rahim, Samra Naz, Asma Zulfiqar, Zahid Ali Memon, Salima Meherali, Maria Atif, Zohra S Lassi

Abstract readReview
In one paragraph

Review in Health psychology and behavioral medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Zahra Ali PadhaniSchool of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.ORCID https://orcid.org/0000-0003-4777-7565
Rehana A SalamCentre of Research Excellence, Melanoma Institute Australia, University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0001-5423-7343
Komal Abdul RahimInternal Medicine, Aga Khan University, Karachi, Pakistan.ORCID https://orcid.org/0000-0002-0790-6644
Samra NazAustralian Institute for Machine Learning, University of Adelaide, Adelaide, Australia.ORCID https://orcid.org/0009-0005-8526-0497
Asma ZulfiqarInstitute for Social Science Research, University of Queensland, Queensland, Australia.ORCID https://orcid.org/0000-0003-1133-0542
Zahid Ali MemonInstitute for Global Health and Development, Aga Khan University, Karachi, Pakistan.ORCID https://orcid.org/0000-0002-5321-8885
Salima MeheraliCollege of Health Sciences, Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, Canada.ORCID https://orcid.org/0000-0002-8132-8600
Maria AtifSchool of Public Health, Dow University of Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0000-0002-9377-1781
Zohra S LassiSchool of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.ORCID https://orcid.org/0000-0002-5350-6334

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Perinatal mental health issues affect approximately 10% of women in high-income countries and 30% in low- or middle-income countries. This review aims to determine the prevalence of perinatal depression among mothers and fathers in Pakistan and identify associated risk factors. Methods: We conducted a systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. We included quantitative studies on the prevalence or incidence of maternal and paternal perinatal depression, including antenatal or postnatal depression in Pakistan, with or without associated risk factors. We performed an electronic search, dual-title/abstract and full-text screening, and data extraction. Analysis was conducted on Revman and JBI SUMARI software. The quality of the included studies was assessed with the NHLBI tool. This review updated a previously published review that included 43 studies, with the last search date of 31st May 2019, now extended to literature published up to June 30, 2023. Results: Consistent with the previous review, our analysis of 61 studies indicated a pooled prevalence of 37% (95% confidence interval (CI): 30.6-43.6) for maternal antenatal depression. Postnatal depression at different time points, revealed rates of 34.2% (95% CI: 22.7-46.7), 40.9% (95% CI: 0-97.4), and 43.1% (95% CI: 24.4-62.9) at 3, 6 and 12 months, respectively. Paternal postnatal depression was observed at 40.5% (95% CI: 14.9-69) based on two studies. Risk factors for maternal perinatal depression include multiparity, contraceptive failure, inadequate antenatal care, pregnancy-induced hypertension, previous psychiatric illness, passive smoking, drug abuse, low socio-economic status, marital problems, family hardships, recent bereavement, housing difficulties, food insecurity, husband's illiteracy, his unemployment, and being blamed for child disability. Conclusion: The findings reveal a high prevalence of perinatal depression among mothers with very limited evidence of fathers residing in Pakistan, emphasising the need for prospective studies addressing mental health challenges. Registration: This review is registered on PROSPERO (CRD42023442581).

Indexed as

antenatal depressionmaternal depressionpaternal depressionPerinatal depressionpostnatal depression

Identifiers

PMID39135561
PMCPMC11318492

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.