Relación entre depresión posparto y determinantes familiares adversos: una revisión sistemática

Abstract

Background: postpartum depression is a public health problem with a variable prevalence and various risk factors associated with family dysfunction and intrafamilial violence. Objective: To determine the association between postpartum depression and adverse family determinants. Methodology: a systematic review; 20 analytic international studies were included after reading the titles and abstracts based on the specified domains and STROBE criteria in English and Spanish from January 2015 to December 2020. The search was carried out in databases such as PubMed, Scopus, and ScienceDirect; using health sciences descriptors (DeCS) and Boolean operators (Y, AND; NO, NOT and O, OR). Data was compiled according to author, year, country, population, exposure, type of study, and analysis. Information was synthesized in personalized tables. Results: prevalence of postpartum depression ranged widely (3.30% - 35.20%) according to the geographical area; 17 out of 18 studies established an association between postpartum depression and any kind of intrafamilial violence (p≤0.05). Three studies demonstrated links between postpartum depression and family dysfunction (p≤0.05). Conclusions: the variability in the prevalence of postpartum depression concurs with other studies, family dysfunction and intrafamilial violence in its different forms of exercise may be precipitant factors of postpartum depression. Limitations: restrictions regarding access to original articles due to fees, lack of local studies with adequate methodology. Most of the reviewed studies belong to regions outside Latin America and could hardly be correlated to the local population.