ResumoIntrodução: O período de tratamento e recuperação de uma criança hospitalizada pode ser longo. Durante esse tempo em que precisa estar inserida no ambiente hospitalar, muitas vezes institui-se uma crise na vida da criança e da mãe. Objetivo: Avaliar a prevalência de sintomas de ansiedade e depressão materna em mulheres que tiveram seus fi lhos internados na ala pediátrica do hospital universitário da Universidade Luterana do Brasil (ULBRA). Métodos: Este foi um estudo transversal, com aplicação dos Inventários de Ansiedade e Depressão de Beck (Beck Anxiety and Depression Inventories, respectivamente BAI e BDI) em 140 mulheres que se encontravam entre 31 e 365 dias após o parto. Adotamos o ponto de corte > 20 nas escalas BAI e BDI para defi nir a presença de ansiedade e depressão. Resultados: Do total, 43 mulheres (30,7%) apresentaram escores > 20 no BDI, ou seja, foram consideradas deprimidas; 46 (32,9%) apresentaram escores > 20 no BAI, tendo sido consideradas ansiosas; 26 mulheres (18,6%) apresentaram-se ansiosas e deprimidas. Mulheres em situação de maior vulnerabilidade social apresentaram depressão e ansiedade com maior frequência, especifi camente mulheres mais jovens, com menor escolaridade e menor renda, sem plano privado de saúde e com mais fi lhos. Conclusões: A atuação preventiva de equipes multidisciplinares, nos primeiros meses após o parto, é necessária devido à alta frequência de sintomas depressivos e de ansiedade nas mães. Com isso, essas mães que se encontram em um ambiente hospitalar podem ser encaminhadas para profi ssionais de saúde mental adequados. Descritores: Ansiedade, depressão pós-parto, prevalência, hospitalização. AbstractIntroduction: The treatment and recovery of a pediatric inpatient may take a long time. During the child's stay in the hospital environment, it is not uncommon to observe the development of emotional crises affecting both child and mother. Objective: To assess the prevalence of depression and anxiety symptoms among mothers who had their children admitted to the pediatric ward of a university hospital in southern Brazil. Methods: This was a cross-sectional study in which the Beck Anxiety and Depression Inventories (BAI and BDI, respectively) were administered to 140 women between 31 and 365 days postpartum. The cut-off point of > 20 on BAI and BDI was used to defi ne the presence of anxiety and depression. Results: Of the 140 women assessed, 43 (30.7%) presented BDI scores > 20, and were therefore considered to be depressed; 46 (32.9%) showed BAI scores > 20, and were considered to be anxious; 26 women (18.6%) presented both depression and anxiety. Women living under more vulnerable social conditions more frequently presented both depression and anxiety, namely younger women, those with lower education levels and lower income, those who did not have private health insurance and women who had more children. Conclusion:The preventive action of multidisciplinary teams in the fi rst months postpartum is necessary due to the high frequency of depression and anxiety...
Multiple factors contribute to violence, and only a multidisciplinary approach can be used to deal with this situation. Strategic errors committed by governments, such as not giving priority to basic health care or education, and foreign obligations producing severe economic recession, cause the people, especially children, to be subjected to political and social violence. Poverty and its associated risks are linked to violence. However, not all people living in poverty present problems of violence. Some results of living in poverty are high rates of child mortality, illiteracy, malnutrition, excessive population growth, street children, and the disintegration of families. Weak or nonexistent family ties can lead to frustration and hopelessness. In Brazil, an integrated action program was developed for at‐risk individuals and their families, based upon the idea of building and reinforcing family ties and intergenerational togetherness. Undernourished infants, street children, the handicapped, women subjected to violence, and neglected senior citizens received special interventions as part of the program described.
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