The systematic use of these instruments in nursing and in the context of primary health care could favor the early detection of depression.

ResumoContexto: A depressão materna tem sido apontada como uma condição pouco favorecedora ao desenvolvimento infantil, mostrando-se associada a dificuldades emocionais e comportamentais. Objetivos: Identificar e analisar na literatura indexada artigos que abordem o impacto da depressão materna para as crianças em idade escolar. Métodos: Procedeuse à pesquisa nos indexadores Medline, lilacs, SciElO, Index Psi, Psyc Info, considerando a produção dos últimos cinco anos (2002)(2003)(2004)(2005)(2006)(2007). Foram identificados e analisados 30 artigos empíricos. Resultados: Observou-se distribuição semelhante quanto aos delineamentos longitudinais e transversais, características das amostras e formas de avaliação. As coletas de dados foram realizadas em contextos diversos com uma variedade de recursos e informantes. Depressão materna associou-se a dificuldades apresentadas pelas crianças, tais como problemas comportamentais, sintomas depressivos, prejuízos cognitivos e sociais, independentemente do momento de primeira exposição à depressão materna e dos delineamentos adotados, sendo o prejuízo potencializado na presença de comorbidades psiquiátricas. Conclusões: A depressão materna configurou-se como fator de risco ao desenvolvimento infantil, com impacto negativo para as crianças em idade escolar. Do ponto de vista da saúde mental, considera-se relevante maior atenção às crianças que convivem com tal condição, visando à detecção precoce das eventuais dificuldades como forma de instrumentar práticas preventivas.Mendes AV, et al. / Rev Psiq Clín. 2008;35(5):178-86 Palavras-chave: Depressão materna, crianças, comportamento, saúde mental. AbstractBackground: Maternal depression has been identified as a possibly harmful condition for child development, showing to be associated with emotional and behavioral difficulties. Objectives: To identify and analyze articles in the indexed literature addressing the impact of maternal depression for school-age children. Methods: The procedure was made via the electronic databases Medline, lilacs, SciElO, Index Psi, and Psyc Info, considering the production of the last five years (2002)(2003)(2004)(2005)(2006)(2007). Thirty empirical articles were identified and analyzed. Results: In the overall analysis, there was a similar distribution regarding the studies' design, characteristics of the samples and forms of assessment. Data collections were performed in different contexts with a variety of resources and informants. Maternal depression was linked to difficulties faced by children such as behavioral problems, depressive symptoms, and cognitive and social impairments, regardless of the time of first exposure to maternal depression and designs adopted. Such impairments were intensified by the presence of comorbidities. Discussion: Maternal depression was configured as a risk factor for child development with a negative impact on school-age children. In terms of mental health, greater attention to children living side by side with this condition seems to be relevant, aimed at the ...

Background Depression is a common and recurrent condition among older adults and is associated with poor quality of life and increased health care utilization and costs. The purpose of this pilot study was to assess the feasibility of delivering a psychosocial intervention targeting depression, and to develop the procedures to conduct a cluster randomized controlled trial among older adults registered with primary care clinics in poor neighbourhoods of São Paulo, Brazil. Methods We conducted a pilot study of a two-arm cluster, non-randomized controlled trial. Two primary care clinics adhering to the Family Health Strategy were allocated to either the intervention or the control arm. In the control arm, patients received enhanced usual care consisting of staff training for improved recognition and management of depression. In the intervention arm, alongside the enhanced usual care, patients received a 17-week psychosocial intervention delivered by health workers assisted with an application installed in a tablet. Results We randomly selected 579 of 2020 older adults registered in the intervention clinic to participate in the study. Among these individuals, 353 were assessed for depression and 40 (11.0%) scored at least 10 on the PHQ-9 and were therefore invited to participate. The consent rate was 33/40 (82%) with a resulting yield of 33/579 (5.7%). In the control arm, we randomly selected 320 older adults among 1482 registered in the clinic, 223 were assessed for depression and 28 (12.6%) scored 10 or above on the PHQ-9. The consent rate was 25/28 (89%), with a resulting yield of 25/320 (7.8%). Of the 33 who consented in the intervention arm, 19 (59.4%) completed all sessions. The mean PHQ-9 at follow-up (approximately 30 weeks after inclusion) were 12.3 ( SD = 3.7) and 3.8 ( SD = 3.9) in the control and intervention arms, respectively. Follow-up rates were 92 and 94% in control and intervention arms, respectively. Conclusions Identification and engagement of clinics, randomization, recruitment of individuals, measures, and baseline and follow-up assessments all proved to be feasible in primary care clinics in São Paulo, Brazil. Results support the development of a definitive cluster randomized controlled trial. Trial registration This study was retrospectively registered with Registro Brasileiro de Ensaios Clínicos (ReBEC), number RBR-5nf6wd . Registered 06 August 2018.

Identifying mothers with depression may be useful for prevention and early detection of school-age children's depression.