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Social relationships and postpartum depression in South Asia: a systematic review

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  • Jones, Eleri
  • Coast, Ernestina

Abstract

Background: Evidence suggests a much higher prevalence of postpartum depression in South Asia than in ‘western’ contexts. Aim: To conduct a rapid systematic review of evidence on the association between social relationships and postpartum depression in South Asia. Methods: Five databases were searched to identify relevant studies. Studies meeting the selection and quality criteria were analysed and integrated in a narrative review. Results: Nine mostly quantitative studies were included in the review. Low support and poor relationships with the husband and parents-in-law were associated with postpartum depression, although associations were weakened in multivariate analyses. The different dimensions of support have not yet been systematically investigated and the likely complex interrelationships between social relationship risk factors are not yet well understood. Conclusions: Findings mirror those from ‘western’ contexts, showing the key role of social relationships in the aetiology of postpartum depression. Yet, they also reinforce the hypothesis that the social and cultural context influences the association. The importance of relationships with the extended family, as well as the husband, in South Asia is highlighted. Further research is recommended to develop an understanding of these relationships to better inform interventions.

Suggested Citation

  • Jones, Eleri & Coast, Ernestina, 2013. "Social relationships and postpartum depression in South Asia: a systematic review," LSE Research Online Documents on Economics 45029, London School of Economics and Political Science, LSE Library.
  • Handle: RePEc:ehl:lserod:45029
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    References listed on IDEAS

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    1. Rodrigues, Merlyn & Patel, Vikram & Jaswal, Surinder & de Souza, Nandita, 2003. "Listening to mothers: qualitative studies on motherhood and depression from Goa, India," Social Science & Medicine, Elsevier, vol. 57(10), pages 1797-1806, November.
    2. Stern, Gwen & Kruckman, Laurence, 1983. "Multi-disciplinary perspectives on post-partum depression: An anthropological critique," Social Science & Medicine, Elsevier, vol. 17(15), pages 1027-1041, January.
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    4. Campbell, Rona & Pound, Pandora & Pope, Catherine & Britten, Nicky & Pill, Roisin & Morgan, Myfanwy & Donovan, Jenny, 2003. "Evaluating meta-ethnography: a synthesis of qualitative research on lay experiences of diabetes and diabetes care," Social Science & Medicine, Elsevier, vol. 56(4), pages 671-684, February.
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    Cited by:

    1. Sathyanarayanan Doraiswamy & Anupama Jithesh & Sonia Chaabane & Amit Abraham & Karima Chaabna & Sohaila Cheema, 2020. "Perinatal Mental Illness in the Middle East and North Africa Region—A Systematic Overview," IJERPH, MDPI, vol. 17(15), pages 1-20, July.

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    More about this item

    Keywords

    Asia; postpartum; postnatal; depression; maternal; relationships; support;
    All these keywords.

    JEL classification:

    • D13 - Microeconomics - - Household Behavior - - - Household Production and Intrahouse Allocation
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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