Depression during pregnancy: prevalence and risk factors among women attending a public health clinic in Rio de Janeiro, Brazil

Pereira, Paulo; Lovisi, Giovanni Marcos; Pilowsky, Daniel L.; Lima, Luiz Costa; Legay, Letícia Fortes

doi:10.1590/s0102-311x2009001200019

Cited by 97 publications

(130 citation statements)

References 68 publications

(115 reference statements)

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“…One previous study 6 has found that approximately one in eight (12.7%) of children or adolescents has a psychiatric disorder 6 . A study of pregnant adolescents 7 points out that this figure could be even higher, about 14.7% 8 .…”

Section: Introductionmentioning

confidence: 96%

Escalas psicométricas como instrumentos de rastreamento para depressão em estudantes do ensino médio

Salle¹,

Rocha²,

Rocha³

et al. 2012

Rev. psiquiatr. clín.

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Background: Depression is a major cause of suicide among adolescents. Therefore, it is crucial to find suitable depression screening tools for this population. Objective: To evaluate the use of depression rating scales as screening tools for depression in a sample of Brazilian high school students. Methods: A cross--sectional study. Three scales (BDI, CES-D, and CRS) and a screening test for general psychiatric symptoms (SRQ) were administered to a sample of 503 high school students aged between 15 to 17 years. The results were compared to those obtained with the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Results: The prevalence of major depression using DSM-IV criteria was 10.9%. Adolescents with major depression had significantly higher (p = 0.001) scores in the SRQ and in the three scales analyzed compared to the group without depression. The sensitivity and specificity of BDI, CES-D, and CRS were 0.77 and 0.70, 0.75 and 0.73, and 0.82 and 0.71, respectively, to screen for major depression (ROC curve). The best cutoff values to suggest depression were 9 for BDI, 10 for CSR, and 14 for CES-D. The frequency of depressive symptoms was higher in girls (approximately 2:1). Discussion: The present findings support the use of the BDI, the CES-D and the CRS only for screening or as an additional symptomatic evaluation of depression in high school student. The difference in scale scores between boys and girls warns against the use of the same cutoff values for both sexes.

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Section: Introductionmentioning

confidence: 96%

Escalas psicométricas como instrumentos de rastreamento para depressão em estudantes do ensino médio

Salle¹,

Rocha²,

Rocha³

et al. 2012

Rev. psiquiatr. clín.

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“…2 Women are twice more likely to develop depression than men. One in five women will have at least one depressive episode throughout life, with the greatest risk during the reproductive Depression is the most prevalent psychiatric disorder that occurs during pregnancy 2,4 and its deleterious effects bring severe consequences for maternal and fetal health. These effects include low birth weight, decreased Apgar score, prematurity, 5 decreased head circumference, poor development in the first year of life and suicidal ideation by the mother with attempts to self-extermination.…”

Section: Introductionmentioning

confidence: 99%

“…These effects include low birth weight, decreased Apgar score, prematurity, 5 decreased head circumference, poor development in the first year of life and suicidal ideation by the mother with attempts to self-extermination. 2,4,6 Despite of this, the occurrence of depression during prenatal care is not well known, since most research on maternal depression focus on the post-partum period. For this reason, the aim of this study was to evaluate the occurrence of depression during pregnancy and its associated factors.…”

Section: Introductionmentioning

confidence: 99%

Depression in pregnancy. Prevalence and associated factors

Silva¹,

Leite

Nogueira³

et al. 2016

Invest Educ Enferm

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Article linked to the investigation: Assessment of anxiety and depression during pregnancy. Subventions: Federal University of Alfenas (UNIFAL-MG). Conflicts of interest: none.Received on: August 18, 2015. Objetivo. Evaluar la incidencia de la depresión en el embarazo y cuáles con los factores asociados. Métodos. Estudio epidemiológico, cuantitativo, descriptivo, transversal, correlacional, realizado de enero a mayo de 2013, con 209 mujeres embarazadas en la ciudad de Alfenas, Minas Gerais, Brasil. La recolección de datos utilizó la subescala de depresión del instrumento a Escala Hospitalaria de Ansiedad y Depresión (HADS) creado por Zigmond y Snaith, y una forma de caracterización de los participantes. Resultados. La depresión estaba presente en el 14.8% de las mujeres embarazadas, siendo más frecuente en el segundo trimestre. La depresión en el embarazo se asoció significativamente con el número de nacimientos, así como con el número de niños. A su vez, la depresión también se relacionó con otros factores como el apoyo familiar, la cantidad de cigarrillos fumados por día, el consumo de alcohol, el uso de medicamentos diarios, antecedentes de trastorno mental, la presencia de eventos marcantes en los últimos 12 meses y la historia de la violencia doméstica. Conclusión. La evaluación de la depresión mostró que este trastorno es común en el embarazo y el riesgo es mayor entre las mujeres embarazadas por primera vez, que consumen alcohol, usan diariamente medicamentos, tienen una historial de trastorno mental, y han experimentado eventos marcantes en los últimos 12 meses y han sufrido violencia doméstica. El conocimiento de los factores asociados a su aparición permite la adopción temprana de intervenciones para controlar la salud mental de las mujeres durante el embarazo al impedir que éste y otros trastornos puedan afectar su desarrollo normal y el posterior parto.

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“…The association between socioeconomic status, stressful events and depression before and after childbirth has been well explored [43], in addition, the loss of social support resulting from death of loved ones or marital conflict, low material support due to economic hardship or living in poverty favors stress [44], a situation that affected the participants in present study. In any case, we find that the decrease in preterm deliveries and the adherence is high, so that, somehow, the results are encouraging.…”

Section: Discussionmentioning

confidence: 99%

Comparing a Novel Antenatal Program with a Standard in Disadvantaged Women at Psychosocial Risk: A Randomized Controlled Study

Assumpta¹

2014

Clinics Mother Child Health

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Purpose: To evaluate participant's satisfaction with two models of antenatal childbirth preparation program and effects in women at psychosocial risk. The risk variables included depressive symptoms, stressful events, lack of social support and, low economic level.Design, setting and participants: A blinded randomized controlled and multi-centre trial comparing a novel program intervention to standard program. Women found to be at psychosocial risk were distributed in two groups: an experimental group (EG) or a control group (CG) and evaluated in two times measurement: 1) during pregnancy (<20 weeks) before the routine ultrasound visit and, 2) four weeks after delivery by parcel post. The sample was 184 pregnant women and their partners.Intervention: 10 group sessions in experimental group, focusing on body awareness sensations with humanistic mind-body approach (like mindfulness) in direction to constructing of an individualized childbirth model. Sessions lasted two hours and 15 minutes each during pregnancy, with one individual telephone conversation between sessions. In the control group intervention, the participants were free to choose the standard model of antenatal education: 10 two-hour sessions focused on childbirth preparation and breast feeding, including obstetrical prophylaxis and relaxation.Results: Satisfaction was higher in the experimental group for questions about understanding symptoms of pregnancy: 4 in the CG and 38 in the EG (p=0.05 Pearson Chi-Square and p=0.05 Fisher's Test); understanding all information received: 3 in the CG and 37 in the EG (p=0.02 Pearson Chi-Square and p=0.02 Fisher's Test); expressing feelings: 0 in the CG and 18 in the EG (p=0.04 Pearson Chi Square and p=0.03 Fisher's Test); and communicating with the baby: 3 in the CG and 38 in the EG (p=0.05 in Pearson Chi-Square and p=0.05 Fisher's Test). The difference in preterm births between groups is significant (P=0.003) with only three premature baby in the experimental group and thirteen in the control group. The weight of the babies was lower in the control group compared to the experimental group (p=0.01). Conclusions:A novel antenatal program that included a psychosomatic approach about all pregnancy sensations (mother and baby) produces higher satisfaction in participants. Program can help to preventing the risk of prematurity in women at psychosocial risk but needs to be studied with a larger sample. Early detection realized on the occasion of the routine ultrasound visit, before 20 weeks pregnancy was an advantage, and suggests effectiveness in the selection of cases at risk.

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Depression during pregnancy: prevalence and risk factors among women attending a public health clinic in Rio de Janeiro, Brazil

Cited by 97 publications

References 68 publications

Escalas psicométricas como instrumentos de rastreamento para depressão em estudantes do ensino médio

Escalas psicométricas como instrumentos de rastreamento para depressão em estudantes do ensino médio

Depression in pregnancy. Prevalence and associated factors

Comparing a Novel Antenatal Program with a Standard in Disadvantaged Women at Psychosocial Risk: A Randomized Controlled Study

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