TY - JOUR
T1 - Environmental risk factors, protective factors, and biomarkers for postpartum depressive symptoms
T2 - an umbrella review
AU - Kim, Jae Han
AU - Kim, Jong Yeob
AU - Lee, Seul
AU - Lee, San
AU - Stubbs, Brendon
AU - Koyanagi, Ai
AU - Dragioti, Elena
AU - Jacob, Louis
AU - Carvalho, Andre F.
AU - Radua, Joaquim
AU - Thompson, Trevor
AU - Smith, Lee
AU - Oh, Hans
AU - Yang, Lin
AU - Fornaro, Michele
AU - Stickley, Andrew
AU - de Pablo, Gonzalo Salazar
AU - Tizaoui, Kalthoum
AU - Yon, Dong Keon
AU - Lee, Seung Won
AU - Hwang, Jimin
AU - Il Shin, Jae
AU - Fusar-Poli, Paolo
N1 - Publisher Copyright:
© 2022 Elsevier Ltd
PY - 2022/9
Y1 - 2022/9
N2 - 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 (154,594 cases, 7,302,273 population) and 9 biomarkers (2018 cases, 16,757 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).
AB - 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 (154,594 cases, 7,302,273 population) and 9 biomarkers (2018 cases, 16,757 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).
KW - Biomarkers
KW - Environmental risk and protective factors
KW - Postpartum depressive symptoms
KW - Umbrella review
UR - http://www.scopus.com/inward/record.url?scp=85134297190&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85134297190&partnerID=8YFLogxK
U2 - 10.1016/j.neubiorev.2022.104761
DO - 10.1016/j.neubiorev.2022.104761
M3 - Review article
C2 - 35803397
AN - SCOPUS:85134297190
SN - 0149-7634
VL - 140
JO - Neuroscience and Biobehavioral Reviews
JF - Neuroscience and Biobehavioral Reviews
M1 - 104761
ER -
