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Mental Disorders of Pregnant and Postpartum Women After Earthquakes: A Systematic Review

Published online by Cambridge University Press:  07 August 2014

Jian-Hua Ren
Affiliation:
Sichuan University – The Hong Kong Polytechnic University Institute for Disaster Management and Reconstruction/IDMR, Chengdu, Sichuan, China School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong West China Second University Hospital, Chengdu, Sichuan, China.
Chung-Lim Vico Chiang*
Affiliation:
Sichuan University – The Hong Kong Polytechnic University Institute for Disaster Management and Reconstruction/IDMR, Chengdu, Sichuan, China School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
Xiao-Lian Jiang
Affiliation:
Sichuan University – The Hong Kong Polytechnic University Institute for Disaster Management and Reconstruction/IDMR, Chengdu, Sichuan, China Department of Nursing, West China School of Nursing, Sichuan University, Chengdu, Sichuan, China
Bi-Ru Luo
Affiliation:
West China Second University Hospital, Chengdu, Sichuan, China.
Xing-Hui Liu
Affiliation:
West China Second University Hospital, Chengdu, Sichuan, China.
Mei-Che Pang
Affiliation:
Sichuan University – The Hong Kong Polytechnic University Institute for Disaster Management and Reconstruction/IDMR, Chengdu, Sichuan, China School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
*
Correspondence and reprint requests to Chung-Lim Vico Chiang, PhD, MHA, GDMS, RN, FHKAN (critical care), School of Nursing, The Hong Kong Polytechnic University, GH504, Hung Hom, Kowloon, HKSAR (e-mail: vico.chiang@polyu.edu.hk).

Abstract

Objective

The aim of this review was to systematically search and critique relevant literature on the potential psychological impact of earthquakes on peripartum women to synthesize existing knowledge for further action.

Methods

A search through 5 databases was conducted for relevant publications in English, and the results were screened through a set of inclusion and exclusion processes.

Results

Eight articles were included. Depression and posttraumatic stress disorder were the most often reported mental disorders. Some factors (eg, family relationships and social support) were associated with mental disorders suffered by peripartum women after earthquakes. An assessment of the quality of the studies showed that most did not have high levels of evidence because of their cross-sectional design and limitations.

Conclusions

Among the factors that influenced the mental health of pregnant and postpartum women after earthquakes, family function appears to be one of the most important and deserves further exploration. Other mental health conditions such as minor psychiatric disorders should also be studied for their relationship with disasters and pregnancy. Well-designed studies are needed to enable a better understanding of the relationship between earthquakes and the mental disorders of peripartum women so that the most appropriate interventions can be proposed. (Disaster Med Public Health Preparedness. 2014;0:1–11)

Type
Systematic Review
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2014 

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