Common mental disorders during pregnancy: prevalence and associated factors among low-income women in São Paulo, Brazil

Faisal-Cury, Alexandre; Menezes, Paulo Rossi; Araya, Ricardo; Zugaib, Marcelo

doi:10.1007/s00737-009-0081-6

Cited by 100 publications

(116 citation statements)

References 49 publications

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“…Mudanças importantes na vida podem gerar respostas de stress nos sujeitos 2. O ciclo gravídico puerperal é marcado por alterações emocionais, frutos de fatores sociais e psicológicos, que podem influenciar o desenvolvimento da gestação, assim como o bem-estar e saúde materno-infantil. Entre os fatores psicológicos que, geralmente, implicam em complicação durante gestação, parto e pós-parto, estão os estressores vivenciados na gravidez e no puerpério 3 . O stress na gestação, em geral, está associado a eventos específicos como enjoos, gravidez não planejada, medo de ganho excessivo de peso no início da gravidez e medo do parto, em meados da gestação.…”

Section: Introductionunclassified

Stress na gestação e no puerpério: uma correlação com a depressão pós-parto

Rodrigues¹,

Schiavo²

2011

Rev. Bras. Ginecol. Obstet.

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Stress na gestação e no puerpério: uma correlação com a depressão pós-parto Stress in pregnancy and puerperium: a correlation with postpartum depressionOlga Maria Piazentin rOliM rOdrigues 1 rafaela de alMeida schiavO 2 Resumo OBJETIVO: Descrever e comparar as fases do stress de primigestas no terceiro trimestre de gestação e no pós-parto e correlacioná-las à ocorrência de depressão pós-parto (DPP). MÉTODOS: A pesquisa foi constituída de duas etapas, caracterizando-se como pesquisa longitudinal. Na Etapa 1, participaram 98 primigestas e na Etapa 2, 64 delas. Na Etapa 1, a coleta de dados aconteceu no terceiro trimestre de gestação e, na Etapa 2, no mínimo 45 dias após o parto. Na Etapa 1 aplicou-se o Inventário de Sintomas de Stress de Lipp (ISSL) e uma Entrevista Inicial para caracterização da amostra. Na Etapa 2, aplicou-se novamente o ISSL e também a EPDS (Escala de Edimburgo). Os dados foram analisados usando o programa estatístico SPSS for Windows ® , versão 17.0. As análises estatísticas efetuadas foram o Teste t de Student e p de Spearman. RESULTADOS: No terceiro trimestre, 78% das participantes apresentaram sinais significativos para stress e, no puerpério, 63% manifestaram, apresentando diferença significativa entre o stress manifestado no terceiro trimestre e no puerpério (t=2,20; p=0,03). Observou-se, também, correlação entre o stress apresentado tanto na gestação como no puerpério e a manifestação de DPP (p<0,001). CONCLUSÃO: Tanto na gestação como no puerpério mais da metade das mulheres apresentam sinais significativos para stress. Entretanto, a frequência da manifestação dos sintomas significativos de stress na gestação foi superior à frequência apresentada no puerpério. Tais resultados parecem guardar uma estreita relação com a manifestação de DPP, indicando relação entre stress e DPP. Abstract PURPOSE:To describe and compare the phases of stress of primiparae in the third trimester of pregnancy and postpartum, associating them with the occurrence of postpartum depression. METHODS: The study consisted of two stages (Stage 1 and Stage 2), characterized as longitudinal research. Ninety-eight primiparae participated in Stage 1, and 64 of them participated in Stage 2. In Stage 1, data were collected in the third trimester of pregnancy, and in Stage 2, at least 45 days after delivery. The Stress Symptoms Inventory Lipp (ISSL) was applied in Stage 1 and an interview was held to characterize the sample. In Stage 2, we applied again the ISSL and also the EPDS (Edinburgh Postnatal Depression Scale). Data were analyzed using SPSS for Windows ® , version 17.0. The statistical analyses were performed using the Student's t-test and the Spearman p. RESULTS: Seventy-eight percent of the participants showed significant signs of stress in the third quarter and 63% of them during the postpartum period, with a significant difference in the stress occurring in the third trimester and postpartum (t=2.20, p=0.03). There was also a correlation between the stress occurring during pregnancy and in the puerperium and the ...

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Section: Introductionunclassified

Stress na gestação e no puerpério: uma correlação com a depressão pós-parto

Rodrigues¹,

Schiavo²

2011

Rev. Bras. Ginecol. Obstet.

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“…It had acceptable level of reliability and validity in developing countries and is recommended by the world health organization (WHO) as a screening tool. It has previously been used to measure maternal illness in a four country study which included in Ethiopia where a cut off score of 6 or more was used to separate probable non-cases/cased of conmen mental disorder [16].…”

Section: Sqrmentioning

confidence: 99%

Prevalence of Common Mental Disorders and Factors Associated with These Disorders among Pregnant Women Attend Ante Natal Care Services at Hawassa Referral Hospital, Ethiopia, 2016

Abraham¹,

Olitaye²,

Alemie³

et al. 2017

J Health Med Inform

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Background: Common mental disorder such as depression, somatoform disorder and anxiety are increasingly recognized for their burden in low resource countries such as Ethiopia. However, the magnitude of antenatal common mental disorder in Ethiopia is not well established. Pregnancy is generally assumed to be a happy time, both for parents and society as a whole. But pregnancy can be a difficult and even a dangerous period for women living in low and middle income countries. Objective:To assess the prevalence of common mental disorders and identify factors associated with these disorders among pregnant women attend ante natal care services at Hawassa referral hospital, Ethiopia, 2016. Methodology:A cross-sectional study was employed among 232 pregnant women, from April 01-May 15. Systematic sampling technique was employed to select the study population. The self-reporting questionnaires (SRQ-20) were used to detect common mental disorders. Statistical Package of Social Science (SPSS) version 20 was used in the statistical analysis. Results:The prevalence of common mental disorder was high. Poor health status before pregnancy like, minor health problems (headache) (AOR, 95% CI 2(1.06-3.77), ongoing health concern (diabetes mellitus) (AOR, 95% CI 2.83(1.21-6.66), and serious health problem like hypertension (AOR, 95% CI 4.17(1.24-13.98) were all independently associated with common mental disorder among pregnant women. Conclusion:The prevalence of common mental disorder among pregnant women who attended antenatal care follow up at HURH was higher and previous history of health problem before current pregnancy was significantly associated with common mental disorder. Therefore health care providers responsible for ANC must be trained about the relevance and detection of CMD during pregnancy and proper counseling and emotional support should be given for women exhibiting the risk factors.

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“…3 Studies focusing on mental illnesses during both pregnancy and postpartum usually find a higher incidence in the latter. 4 Notwithstanding, the diagnosis of mental disorders during the prenatal stage is believed to be neglected, and there are few scientific studies that seek to identify psychological changes during pregnancy. 4 Although the results found in the literature are sometimes contradictory and still insufficient from an epidemiological point of view, there is documented evidence that psychological factors during pregnancy may lead to complications during labor and delivery, as well as newborn complications.…”

Section: Introductionmentioning

confidence: 99%

“…4 Notwithstanding, the diagnosis of mental disorders during the prenatal stage is believed to be neglected, and there are few scientific studies that seek to identify psychological changes during pregnancy. 4 Although the results found in the literature are sometimes contradictory and still insufficient from an epidemiological point of view, there is documented evidence that psychological factors during pregnancy may lead to complications during labor and delivery, as well as newborn complications. According to some authors, these psychological changes are the result of hormonal changes that cross the placenta and alter the fetal environment, with consequences for child development.…”

Section: Introductionmentioning

confidence: 99%

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Common mental disorders in mothers vs. infant and obstetric outcomes: a review

Borba

Zambaldi²,

Cantilino³

et al. 2012

Trends Psychiatry Psychother.

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Transtornos mentais comuns em mães versus desfechos infantis e obstétricos: uma revisãoCommon mental disorders in mothers vs. infant and obstetric outcomes: a review Abstract Introduction: Pregnancy has been shown to increase women's vulnerability to mental disorders. Common mental disorders (CMDs) have been studied both in the general population and in pregnant vs. non-pregnant women. During pregnancy, CMDs have been considered a potential predictor of obstetric and infant outcomes. Methods: A search was conducted on the PubMed/MEDLINE, LILACS, and SciELO databases to find relevant articles written in English, Spanish, and Portuguese. No limit was established for year of publication, but only studies involving human beings were included. Results: A total of 25 articles were selected. There was a consensus among studies that the mean prevalence of CMD during pregnancy is 20%. There was also agreement that the occurrence of CMDs during pregnancy is a predictor of postpartum depression and anxiety disorders and that the disorder remains underdiagnosed and undertreated. As for the positive association between CMDs and obstetric and infant complications, results are still conflicting. In lower-income countries, frequently there is an association between CMD and perinatal changes. It is argued that some confounding factors, such as sociodemographic and cultural differences, health and maternal conditions, and type of instruments used, probably contribute to this lack of consensus. Conclusion: We believe that the conflicting results found in the literature are caused by differences in methodology and sociodemographic factors that influence the development of CMDs. Despite these differences, our findings underscore the need for depression and anxiety disorders during pregnancy to be studied and better identified by all professionals who provide antenatal care.

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Common mental disorders during pregnancy: prevalence and associated factors among low-income women in São Paulo, Brazil

Cited by 100 publications

References 49 publications

Stress na gestação e no puerpério: uma correlação com a depressão pós-parto

Stress na gestação e no puerpério: uma correlação com a depressão pós-parto

Prevalence of Common Mental Disorders and Factors Associated with These Disorders among Pregnant Women Attend Ante Natal Care Services at Hawassa Referral Hospital, Ethiopia, 2016

Common mental disorders in mothers vs. infant and obstetric outcomes: a review

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