Antenatal depression, substance dependency and social support

Pajulo, Marjukka; Savonlahti, Elina; Sourander, André; Helenius, Hans; Piha, Jorma

doi:10.1016/s0165-0327(00)00265-2

Cited by 174 publications

(151 citation statements)

References 26 publications

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“…Para esse fim, existem entrevistas diagnósticas padronizadas, mas que não foram tão utilizadas nos estudos revisados, como a CIDI 64 , a MINI 51 , a CIS-R 50 , e a entrevista clínica diagnóstica baseada no DSM-IV 54 , SCID 52 . A maioria dos estudos revisados utilizou instrumentos que forneciam apenas a sintomatologia e não o diagnóstico de depressão 4,5,14,16,17,48,66,67,69,70,74,75,[79][80][81] . Cabe ressaltar que vários desses instrumentos são autopreenchíveis, não sendo muito apropriados para contextos em que há baixa escolaridade da população, como no caso dos países em desenvolvimento.…”

Section: Discussionunclassified

Prevalência da depressão gestacional e fatores associados

Pereira¹,

Lovisi²

2008

Rev. psiquiatr. clín.

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ResumoContexto: Depressão é um transtorno mental comum durante a gravidez, associado com diversos fatores de risco. Estudos revelaram relação entre depressão gestacional e efeitos deletérios no desenvolvimento do bebê. Objetivos: Revisar a prevalência e os fatores de risco para a depressão durante a gravidez. Métodos: A revisão bibliográfica considerou o período de 1997 a 2007 (MEDLINE, LILACS e SciELO), usando os descritores: "depression during pregnancy" OU "gestational depression" OU "antenatal depression" E "prevalence" E "risk factors". Resultados: A prevalência de depressão durante a gravidez nos países em desenvolvimento, incluindo o Brasil, foi mais alta que nos países desenvolvidos, respectivamente, 20% e 15%. Apesar de ser uma importante questão de saúde pública, há poucos estudos sobre o tema no Brasil. Os principais fatores de risco foram: história anterior de depressão, dificuldades financeiras, baixa escolaridade, desemprego, ausência de suporte social, dependência de substâncias e violência doméstica. Conclusões: As implicações da nossa revisão para a prática clínica consistem em enfatizar a necessidade de avaliação da depressão e a investigação de vários fatores de risco como parte do cuidado pré-natal por parte de obstetras e outros profissionais da saúde. Além disso, intervenções psicossociais e políticas sociais necessitam ser implementadas nessa população.Pereira PK, Lovisi GM / Rev Psiq Clín. 2008;35(4):144-53 Palavras-chave: Depressão, gravidez, prevalência, fatores de risco. AbstractBackground: Depression is a common mental disorder during pregnancy and is associated with several risk factors. Studies have reported an association between gestational depression and deleterious effects to the development of the infant. Objectives: To review the prevalence and risk factors for depression during pregnancy. Methods: The keywords: "depression during pregnancy" OR "gestational depression" OR "antenatal depression" AND "prevalence" AND "risk factors" were used to search for articles published between 1997 and 2007 in the MEDLINE, LILACS and SciELO databases. Results: The prevalence of depression during pregnancy in developing countries, including Brazil, was higher than in developed countries, respectively 20% and 15%. Despite being an important public health issue, there are few studies about this subject in Brazil. The main risk factors were: previous history of depression, financial difficulties, low level of education, unemployment, poor social support, substance dependence and domestic violence. Discussion: We emphasize the importance of the screening for depression in the context of antenatal care. Obstetricians and other related health care providers must be aware of the various risks factors for depression during pregnancy. In addition, psychosocial interventions and social policies need to be implemented in this population.

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Section: Discussionunclassified

Prevalência da depressão gestacional e fatores associados

Pereira¹,

Lovisi²

2008

Rev. psiquiatr. clín.

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“…Thus, prevalence rates of depression during pregnancy were significantly higher in low-income countries. The main risk factors associated with these differences are past history of psychiatric disorders, poor antenatal care, poor nutrition, stressful life events, economic deprivation and gender based violence, which are more prevalent in developing countries 4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29 .…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2009

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Depression is the most prevalent psychiatric disorder during pregnancy and is associated with psychosocial and clinical obstetric factors. Despite being an important public health issue, there are few studies about this issue in Brazil. A cross-sectional study was carried out, involving 331 pregnant women attending a public primary health service over a one-year period in Rio de Janeiro city, Brazil. Participants were interviewed about their socio-demographic status, obstetric/medical conditions, life events and violence during pregnancy. Depression was assessed using the Composite International Development Interview. The prevalence of depression during pregnancy was 14.2% (95%CI: 10.7-18.5) and associated factors included: previous history of depression and any psychiatric treatment, unplanned pregnancy, serious physical illness and casual jobs. These data emphasize the need for screening for depression and its risk factors during pregnancy in settings where care is available. Psychosocial interventions and social policies need to be devised for this population.

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“…2,3 Studies show that the prevalence of antenatal depression is higher than that of postnatal depression. 2,3 Low rates are reported from developed countries (4% in Hong Kong 4 and 8% in Finland 5 ), but higher rates have been found in low socio-economic settings. [6][7][8][9][10] In community-and clinic-based populations, rates of 39% have been reported from two African urban sites (Cape Town 6 and Tanzania 7 ) and 47% from an African rural site (KwaZulu-Natal 8 ).…”

mentioning

confidence: 99%

“…This may be associated with poor attendance at antenatal clinics and lack of motivation to follow physician care regimens, 5 and lead to other problems such as maternal substance abuse. 5 These factors invariably increase the risk of adverse pregnancy outcomes. 12 Depression may also amplify somatic symptoms of pregnancy.…”

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confidence: 99%

Antenatal depression and its risk factors: An urban prevalence study in KwaZulu-Natal

2012

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Objective. There has been a recent increase in interest in antenatal depression, which is associated with adverse obstetric, neonatal and maternal outcomes and has been overlooked and underdiagnosed. Local data on prevalence and risk factors are lacking. Aim. To determine the prevalence and risk factors associated with antenatal depressive symptoms in a KwaZulu-Natal population. Methods. The Edinburgh Postnatal Depression Scale and a socio-demographic questionnaire in English and isiZulu were administered to 387 antenatal outpatients at King Edward VIII Hospital in Durban. Results. Of the participants, 149 (38.5%) suffered from depression and 38.3% had thought of harming themselves in the preceding 7 days. Risk factors for depression included HIV seropositivity (p=0.02), a prior history of depression (p=0.02), recent thoughts of self-harm (p<0.000), single marital status (p=0.04) and unplanned pregnancy (p=0.01). Conclusion. The high prevalence of antenatal depressive symptoms and thoughts of deliberate self-harm supports a policy of routine screening for antenatal depression in South Africa, especially in HIV-seropositive women.

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Antenatal depression, substance dependency and social support

Cited by 174 publications

References 26 publications

Prevalência da depressão gestacional e fatores associados

Prevalência da depressão gestacional e fatores associados

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

Antenatal depression and its risk factors: An urban prevalence study in KwaZulu-Natal

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