自然灾害后成人抑郁症危险因素的Meta分析

为了解自然灾害后成人抑郁症发生的危险因素,通过检索PubMed、Embase、Web of Science、中国生物医学文献数据库、中国知网、维普和万方数据库(检索时间跨度为从建库至2021年5月31日),获取关于自然灾害后抑郁症的相关文献,包括病例对照研究、横断面研究和队列研究.文献检索、研究选择和数据提取由2位研究...

A Meta-analysis of Risk Factors for Depression in Adults after Natural Disasters

To understand the risk factors for adult depression after natural disasters, literature relate to post-natural disaster depression and including case-control studies, cross-sectional studies, and cohort studies were obtained by searching PubMed, Embase, Web of Science, China Biomedical Literature Database, CNKI,Wiper and Wanfang Database(retrieval time span from library-building to May 31,2021).Literature retrieval, research selection and data extraction were conducted independently by two researchers. Data processing was performed by Revman 5.2 software, and heterogeneous data was analyzed using random effect models. I;was utilized to measure the size of heterogeneity among researches, and the appropriate model was selected for quantitative analysis. The Bgger’s test was used to evaluate publishing bias. A total of 22 articles were included, of which 20 were in English and 2 were in Chinese. The Bgger’s test showed no publishing bias in the inclusion of the literature. Meta-analysis showed that the prevalence of depression in adults after natural disasters was 5.8% to 54.0%,and the risk factors for depression included female, unmarried, religious, less-educated, having traumatized experiences, experiences of fear, injury or bereavement in a disaster, loss of work or property, or house damage. This study provides evidence-based medical evidence for the risk factors for adult depression after natural disasters. Interventions could be tailored to different risk factors in the future to improve the mental health of survivors of natural disasters.