美国的产后抑郁症：流行病学、危险因素和当代管理的系统综述，重点是新兴的治疗和数字护理模式
Postpartum Depression in the United States: A Systematic Review of Epidemiology, Risk Factors, and Contemporary Management With Emphasis on Emerging Therapeutic and Digital Care Models.
摘要(中文译文)
产后抑郁症（PPD）在美国是一个重要的公共卫生问题，影响许多女性在分娩后的健康，并导致不良的母婴结局。本研究旨在综合关于产后抑郁症的流行病学、危险因素和管理的最新证据，特别关注新兴的治疗和数字化护理方法。对主要数据库的系统检索共纳入25项符合条件的研究，发表于2010年至2026年间。研究结果表明，产后抑郁症仍然普遍存在，其差异与种族、社会经济地位和获得护理的机会密切相关。危险因素是多方面的，包括既往精神疾病、社会支持不足、非意愿妊娠和心理社会应激源，越来越多的证据还指向遗传因素。症状可能在产后不同阶段出现，这凸显了持续筛查而非单次评估的重要性。虽然心理治疗和抗抑郁药物治疗仍是治疗的基础，但远程医疗、移动健康应用程序和可穿戴技术等新策略在改善早期发现和获得护理方面显示出前景。总体而言，应对产后抑郁症需要整合的、公平的、以患者为中心的方法，以改善母婴健康结局。
Abstract
Postpartum depression (PPD) is a significant public health concern in the United States, affecting many women after childbirth and contributing to adverse maternal and infant outcomes. This study aimed to synthesize current evidence on the epidemiology, risk factors, and management of PPD, with particular attention to emerging therapeutic and digital care approaches. A systematic search of major databases identified 25 eligible studies published between 2010 and 2026. The findings indicate that PPD remains prevalent, with disparities strongly associated with race, socioeconomic status, and access to care. Risk factors are multifactorial and include prior mental illness, low social support, unintended pregnancy, and psychosocial stressors, with growing evidence also pointing to genetic contributions. Symptoms may emerge at different stages of the postpartum period, underscoring the importance of ongoing screening rather than a single assessment. While psychotherapy and antidepressant therapy remain the foundation of treatment, newer strategies such as telehealth, mobile health applications, and wearable technologies show promise in improving early detection and access to care. Overall, addressing PPD requires integrated, equitable, and patient-centered approaches to improve maternal and child health outcomes.
如何引用
AMA
Motunrayo T Ojo-Rowland, Okelue E Okobi, Ikenna C Madubuike, Rita Kimble, Akintunde C Akinboboye, Roseline Igbadumhe, et al. Postpartum Depression in the United States: A Systematic Review of Epidemiology, Risk Factors, and Contemporary Management With Emphasis on Emerging Therapeutic and Digital Care Models.. Cureus. 2026; doi:10.7759/cureus.109962.
APA
Motunrayo T Ojo-Rowland, Okelue E Okobi, Ikenna C Madubuike, Rita Kimble, Akintunde C Akinboboye, Roseline Igbadumhe, et al (2026). Postpartum Depression in the United States: A Systematic Review of Epidemiology, Risk Factors, and Contemporary Management With Emphasis on Emerging Therapeutic and Digital Care Models.. Cureus. https://doi.org/10.7759/cureus.109962
GB/T 7714
Motunrayo T Ojo-Rowland, Okelue E Okobi, Ikenna C Madubuike, Rita Kimble, Akintunde C Akinboboye, Roseline Igbadumhe, et al. Postpartum Depression in the United States: A Systematic Review of Epidemiology, Risk Factors, and Contemporary Management With Emphasis on Emerging Therapeutic and Digital Care Models.[J]. Cureus, 2026 doi:10.7759/cureus.109962.
在 PubMed增强版 阅读全文
翻译全文 · AI 文献问答 · PDF 原文下载 · 引用导出