Transtornos mentais em uma amostra de gestantes da rede de atenção básica de saúde no Sul do Brasil

Abstract

Para determinar a prevalência de prováveis transtornos psiquiátricos durante a gravidez e os fatores sociodemográficos associados, utilizou-se o instrumento PRIME-MD, em 712 gestantes (16º a 36º semanas), de 18 unidades básicas de saúde no sul do Brasil. A prevalência de um provável transtorno mental foi de 41,7%. O transtorno depressivo maior (21,6%) foi o mais prevalente, seguido pelo Transtorno de Ansiedade Generalizada (19,8%). Os fatores que mostraram significância com um provável transtorno mental foram: não trabalhar nem estudar RP = 1,25 (IC95%: 1,04-1,51), não morar com o companheiro RP = 1,24 (IC95%: 1,01-1,52), e ter dois ou mais filhos RP = 1,21 (IC95%: 1,01-1,46). Houve uma alta prevalência de provável transtorno mental. No período de pré-natal ocorre uma maior frequência de consultas que pode propiciar o rastreamento, o diagnóstico e as abordagens terapêuticas adequadas dos transtornos mentais na rede básica de saúde.

Transtornos mentais na gravidez e condições do recém-nascido: estudo longitudinal com gestantes assistidas na atenção básica

“…The high frequency of MD during pregnancy is supported by the literature in national studies with populations of low socioeconomic status 2,5 and attended by PHC 14 . In international research, the prevalence of psychiatric symptoms, particularly anxiety and depression, varies from 11.8% to 34.9% [15][16][17][18][19] , depending not only on the socioeconomic aspects of the period of time investigated, but also on the tool used in the detection.…”

“…Psychiatric symptoms: The Primary Care Evaluation of Mental Disorders (PRIME-MD) tool 12,13 . In this study, PRIME-MD was considered a screening tool for probable diagnoses, similar to the study by Almeida et al 14 , and applied by the same interviewer. From the collected data, we could identify five probable diagnostic categories: major depressive disorder, dysthymia, panic disorder, generalized anxiety disorder and bulimia nervosa, using diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders -DSM III.…”

Mental health and physical inactivity during pregnancy: a cross-sectional study nested in the BRISA cohort study

“…Women are more vulnerable to mental health problems during pregnancy due to the intense psychological and biological changes that occur during this period 19,21 . The prevalence of symptoms of depression, stress and 12-month prevalence rate of anxiety in women who are not pregnant is 5.9% 22 , 79.3% 23 and 11% 24 , respectively, while prevalence rates of symptoms of depression, anxiety and perceived stress in pregnant women vary between 12.8 and 25% 25,26 , 19.8 27 and 64.9% 28 , and 78% 29,30 and 93% 31 , respectively. Such changes in mental health can result in adverse health outcomes for mother and child, including preterm birth and low birth weight 32 .…”

Brazilian multicentre study of common mental disorders in primary care: rates and related social and demographic factors

“…A significant proportion of the global health burden is attributable to mental health 9 . Severe mental health problems account for 21.5% of all disability-adjusted life years (DALYs) in Brazil 10,11 . Recent epidemiological research among adults in the megacity of São Paulo showed a one-year prevalence of 19.9% for anxiety disorders, 11% for mood disorders, 4.3% for impulse-control disorders and 3.6% for substance abuse.…”

“…Some studies have taken place in large cities, but in traditional primary health centers 15,18,19,20,21 . In Petrópolis (Rio de Janeiro State) 22 and Santa Cruz do Sul (Rio Grande do Sul State) 16 a range of between 51 and 56 common mental disorders were found among people in family health units.…”