Factors associated with the probability of common mental disorders in pregnant women: a cross-sectional study

Abstract

Factors associated with the probability of common mental disorders in pregnant women: a cross-sectional study AbstrActObjective: To estimate the prevalence of probability of common mental disorders in pregnant women and associated factors. Methods:A cross-sectional study with a quantitative and descriptive approach was performed with 330 pregnant women enrolled in a Women's Health Service located in Mid-West Brazil. Data were obtained through a questionnaire about socio-demographic characteristics and family or personal history. The Self-Reporting Questionnaire and Poisson regression were applied to screen for common mental disorders, aiming to identify factors associated with it. Results: The prevalence of probability of common mental disorders among pregnant women was 57.1% and it was associated with marital status, gestational age, unplanned pregnancy and bleeding. Conclusion: The prevalence of pregnant women likely to have common mental disorders and the average Self-Reporting Questionnaire score estimated in this study were higher than those found in other studies with samples from the general population.

Common mental disorders and perinatal depressive symptoms: an integrative review

“…The highest prevalence of gestational CMD was found in two studies carried out in Brazil by Alvarenga et al (16) (63%) and by Lucchese et al (22) (51.7%); the lowest prevalence (1.1%) was found in a study conducted by Usuda et al (26) in Japan. The highest occurrence of postpartum CMD was also registered in a Brazilian study (25.4%) (24) ; and the lowest prevalence was registered in Nepal (9.8%) (19) .…”

“…in PubMed/MEDLINE; and 7.6% in PsycINFO. Most studies were conducted in Brazil (30.8%) (10,16,(22)(23) , with cross-sectional design (61.5%) (10,(18)(19)(20)22,24,26) , and most of them were (23%) carried out in 2016 (10,21,26) and 2017 (16,18,22) . Concerning the perinatal period, most were performed during pregnancy and after birth (16)(17)21,23,(25)(26)(27) and the others only during pregnancy (18,20,22) or after birth (10,19,24) .…”

“…The most used screening instruments were the Self-Reporting Questionnaire-20 (SRQ-20) and the Edinburgh Postnatal Depression Scale (EPDS). The SRQ-20 was used to assess CMD in pregnancy (16,18,(22)(23) , and the EPDS was used to screen postpartum DS (10,21,26) . The cut-off point of the SRQ-20 score to classify the CMD adopted ranged between ≥6 and ≥8; and for the EPDS, it ranged between ≥4 and ≥13.…”

“…Unplanned pregnancy (18,22) , history of MD (18,26) and living without a partner (20,22) were frequently reported as risk factors associated with CMD during pregnancy. The same occurred with obstetric problems in current gestation (18) , gestational age ≥23 weeks (22) , having suffered abuse in life (intimate partner violence, sexual violence, physical or sexual abuse in childhood) (20) , experience traumatic interpersonal history, and pressure to have a child (26) .…”

Aspectos da gestação e puerpério de mulheres com transtornos mentais

“…It is noteworthy that CMDs are characterized by symptoms such as insomnia, fatigue, depressive signs, which do not meet the diagnostic requirements in the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), but cause functional incapacity in the individual. 12,23,26 It was found, a high prevalence of CMD and an important relation with female self-esteem in a sample of pregnant women. 23 The relationship between CMD and postpartum depression has been discussed in some studies, since there is a relationship between the onset of CMD during pregnancy followed by depression in the puerperal period.…”