Common mental disorders and perinatal depressive symptoms: an integrative review

Abstract

Objective: to investigate occurrence and risk factors for common mental disorders and perinatal depressive symptoms. Methods: an integrative literature review using CINAHL, Embase, PubMed, PsycINFO, and LILACS, looking for studies conducted between 2014 and 2019. Data collection took place between June and July 2019. Health Sciences Descriptors (DeCS) and Medical Subject Heading (MeSH) were used in the search strategies employed in each database. Results: thirteen articles were included. Most studies were conducted in Brazil and with a cross-sectional design. The highest prevalence of common mental disorders (63%) and depressive symptoms (30%) were found in Brazilian studies. Conclusion: high frequencies were found for perinatal mental disorder, with emphasis on studies carried out in Brazil. Low socioeconomic status, being a single mother, history of mental disorder, unplanned pregnancy and multiparity were risk factors for the investigated disorders.

Transtorno mental comum na gravidez e sintomas depressivos pós-natal no estudo MINA-Brasil: ocorrência e fatores associados

“…However, the criteria adopted to define a case of mental disorder are among those with the biggest influence on the discrepancies found. Although the most widely used instruments for screening these problems in Brazil, and in the international literature, are the SRQ-20 and the EPDS, the cutoff points adopted diverged significantly between the studies, which explains the variability between our results and the literature on the subject 5 . In addition, some studies adopt concepts of CMD that diverge from those established by WHO 2 , 5 .…”

“…No entanto, os critérios adotados para definir um caso do problema estão entre os que mais influenciam nas discrepâncias encontradas. Apesar de os instrumentos mais utilizados para rastreamento desses problemas no Brasil e na literatura internacional serem o SRQ-20 e o EPDS, os pontos de corte adotados divergiram significativamente entre os estudos, o que explica a variabilidade entre nossos resultados e a literatura sobre o tema 5 . Ademais, é possível verificar a adoção de diferentes conceitos de TMC em alguns estudos, diferentes daqueles estabelecidos pela OMS 2 , 5 .…”

“…Regarding postpartum depressive symptomatology, estimated prevalence rates vary between 24%–27% and 14%–50% in high-income and low-and middle-income countries, respectively 4 . In Brazil, studies show alarming prevalence rates of CMD in pregnancy (63%) and postpartum depressive symptoms (26%) 5 .…”

“…A respeito da sintomatologia depressiva no pós-parto, as prevalências estimadas variam entre 24%–27% e entre 14%–50% em países de alta e de baixa e média renda, respectivamente 4 . No Brasil, estudos apontam para alarmantes prevalências de TMC na gestação (63%) e de sintomas depressivos pós-parto (26%) 5 .…”

Relationship between allergic diseases and mental disorders in women: A systematic review and meta-analysis

“…The prevalence of depression and anxiety in women is 1.5–2.5 times higher than that in men ( 8 ). Additionally, gender-specific disorders are more significant in women, such as perinatal MD ( 9 ). It is reported that the disease mechanism of inflammatory dysregulation may lead to MD ( 10 , 11 ).…”