Prevalence and factors influencing postpartum depression and its culture-specific cutoffs for women in Asia: a scoping review
The prevalence of postpartum depression (PPD) in Asia is reported to range from 13.53% to 22.31%. However, there remains a gap in the identification of PPD, particularly regarding cultural cutoff points. Therefore, the purpose of this scoping review was to determine the prevalence and associated fac...
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Ewha Womans University College of Medicine
2025-01-01
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| Series: | The Ewha Medical Journal |
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| Online Access: | http://www.e-emj.org/upload/pdf/emj-48-1-15.pdf |
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| author | Bora Moon Hyun Kyoung Kim Ju-Hee Nho Hyunkyung Choi ChaeWeon Chung Sook Jung Kang Ju Hee Kim Ju-Young Lee Sihyun Park Gisoo Shin Ju-Eun Song Min Hee Lee Sue Kim |
| author_facet | Bora Moon Hyun Kyoung Kim Ju-Hee Nho Hyunkyung Choi ChaeWeon Chung Sook Jung Kang Ju Hee Kim Ju-Young Lee Sihyun Park Gisoo Shin Ju-Eun Song Min Hee Lee Sue Kim |
| author_sort | Bora Moon |
| collection | DOAJ |
| description | The prevalence of postpartum depression (PPD) in Asia is reported to range from 13.53% to 22.31%. However, there remains a gap in the identification of PPD, particularly regarding cultural cutoff points. Therefore, the purpose of this scoping review was to determine the prevalence and associated factors of PPD in Eastern, South-eastern, Western, and Southern Asian countries and analyze the cutoff points of the Edinburgh Postnatal Depression Scale (EPDS) used across these countries. Following Arksey and O'Malley’s five-step scoping review framework, the population was defined as mothers, the concept as the EPDS, and the context as the Asian region. A literature search was conducted using PubMed, Embase, CINAHL, PsycINFO, and Web of Science. The data analysis focused on demographic characteristics, EPDS cutoffs and features, PPD prevalence, and its associated factors. Nineteen studies were selected. Most countries used translated versions of the EPDS with demonstrated reliability and validity. The cutoff scores varied, with most using scores of 10 or higher. The prevalence of PPD ranged from 5.1% to 78.7%. Key associated factors for PPD included cultural factors such as relationships with in-laws and preferences for the newborn’s sex. To improve the accuracy of PPD screening in Asia, the EPDS should be used consistently, and appropriate cutoff criteria must be established. In addition, prevention strategies and programs that reflect the cultural characteristics and social context of Asia need to be developed for the early detection and prevention of PPD. |
| format | Article |
| id | doaj-art-5f0946a8222447849e7df6e696d15f4c |
| institution | Kabale University |
| issn | 2234-2591 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Ewha Womans University College of Medicine |
| record_format | Article |
| series | The Ewha Medical Journal |
| spelling | doaj-art-5f0946a8222447849e7df6e696d15f4c2025-08-21T04:41:08ZengEwha Womans University College of MedicineThe Ewha Medical Journal2234-25912025-01-0148110.12771/emj.2025.e151589Prevalence and factors influencing postpartum depression and its culture-specific cutoffs for women in Asia: a scoping reviewBora Moon0Hyun Kyoung Kim1Ju-Hee Nho2Hyunkyung Choi3ChaeWeon Chung4Sook Jung Kang5Ju Hee Kim6Ju-Young Lee7Sihyun Park8Gisoo Shin9Ju-Eun Song10Min Hee Lee11Sue Kim12College of Nursing , Yonsei University, Seoul, KoreaCollege of Nursing, Kongju National University, Gongju, KoreaCollege of Nursing, Jeonbuk National University, Jeonju, KoreaCollege of Nursing & Research Institute of Nursing Innovation, Kyungpook National University, Daegu, KoreaResearch Institute of Nursing Science, College of Nursing, Seoul National University, Seoul, KoreaCollege of Nursing, Ewha Womans University, Seoul, KoreaCollege of Nursing Science, Kyung Hee University, Seoul, KoreaCollege of Nursing, The Catholic University of Korea, Seoul, KoreaRed Cross College of Nursing, Chung-Ang University, Seoul, KoreaRed Cross College of Nursing, Chung-Ang University, Seoul, KoreaCollege of Nursing, Ajou University, Suwon, KoreaCollege of Nursing , Yonsei University, Seoul, KoreaMo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, KoreaThe prevalence of postpartum depression (PPD) in Asia is reported to range from 13.53% to 22.31%. However, there remains a gap in the identification of PPD, particularly regarding cultural cutoff points. Therefore, the purpose of this scoping review was to determine the prevalence and associated factors of PPD in Eastern, South-eastern, Western, and Southern Asian countries and analyze the cutoff points of the Edinburgh Postnatal Depression Scale (EPDS) used across these countries. Following Arksey and O'Malley’s five-step scoping review framework, the population was defined as mothers, the concept as the EPDS, and the context as the Asian region. A literature search was conducted using PubMed, Embase, CINAHL, PsycINFO, and Web of Science. The data analysis focused on demographic characteristics, EPDS cutoffs and features, PPD prevalence, and its associated factors. Nineteen studies were selected. Most countries used translated versions of the EPDS with demonstrated reliability and validity. The cutoff scores varied, with most using scores of 10 or higher. The prevalence of PPD ranged from 5.1% to 78.7%. Key associated factors for PPD included cultural factors such as relationships with in-laws and preferences for the newborn’s sex. To improve the accuracy of PPD screening in Asia, the EPDS should be used consistently, and appropriate cutoff criteria must be established. In addition, prevention strategies and programs that reflect the cultural characteristics and social context of Asia need to be developed for the early detection and prevention of PPD.http://www.e-emj.org/upload/pdf/emj-48-1-15.pdfasiacultural characteristicsmotherspostpartum depression |
| spellingShingle | Bora Moon Hyun Kyoung Kim Ju-Hee Nho Hyunkyung Choi ChaeWeon Chung Sook Jung Kang Ju Hee Kim Ju-Young Lee Sihyun Park Gisoo Shin Ju-Eun Song Min Hee Lee Sue Kim Prevalence and factors influencing postpartum depression and its culture-specific cutoffs for women in Asia: a scoping review The Ewha Medical Journal asia cultural characteristics mothers postpartum depression |
| title | Prevalence and factors influencing postpartum depression and its culture-specific cutoffs for women in Asia: a scoping review |
| title_full | Prevalence and factors influencing postpartum depression and its culture-specific cutoffs for women in Asia: a scoping review |
| title_fullStr | Prevalence and factors influencing postpartum depression and its culture-specific cutoffs for women in Asia: a scoping review |
| title_full_unstemmed | Prevalence and factors influencing postpartum depression and its culture-specific cutoffs for women in Asia: a scoping review |
| title_short | Prevalence and factors influencing postpartum depression and its culture-specific cutoffs for women in Asia: a scoping review |
| title_sort | prevalence and factors influencing postpartum depression and its culture specific cutoffs for women in asia a scoping review |
| topic | asia cultural characteristics mothers postpartum depression |
| url | http://www.e-emj.org/upload/pdf/emj-48-1-15.pdf |
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