Management of depression during pregnancy in primary care in Brazil: a cluster ransomised trial

Scazufca, Márcia; Faisal-Cury, Alexandre; Mogadouro, Monica; Silva, Simone A. da; Ramirez, Ariete; D'Angelo, Luiz Antônio V; Fenerich, Silvia; Quayle, Julieta; Santos, Renata Nunes dos; Araya, Ricardo; Menezes, Paulo Rossi

doi:10.1016/s0140-6736(14)61884-5

Cited by 9 publications

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“…The methodology has been described elsewhere. 28 The postpartum women were 17 years of age or older and had received antenatal care through the public Unified Health System. The study excluded postpartum women whose children were over 9 months old and those who could not be reached for postpartum evaluation.…”

Section: Design and Samplementioning

confidence: 99%

Partner relationship quality predicts later postpartum depression independently of the chronicity of depressive symptoms

Faisal-Cury

Tabb

Matijasevich

2021

Braz. J. Psychiatry

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Objective: Given the lifelong implications of extended postpartum depression (PPD), research is needed to examine the social factors implicated in its development (such as relationship quality) and associated predictors. This study sought to examine the association of partner relationship quality (PRQ) and decline of sexual life (DSL) with maternal PPD at 12-15 months after childbirth. Methods: Prospective study of 294 low-income postpartum women. A structured questionnaire and the Patient Health Questionnaire-9 (PHQ-9) captured responses for the main outcome variable and covariates.Results: The prevalence of the main outcome (PPD at 12-15 months) was 19.1%. Using logistic regression models, low PRQ (risk ratio [RR] = 1.58, 95%CI 1.01-2.49) and DSL (RR = 1.97, 95%CI 1.23-3.15) were associated with PPD at 12-15 months even after controlling for perinatal depression. Conclusions: Late PPD (12 to 15 months after giving birth) is very common among low-income women, and is independently associated with different aspects of the couple's relationship. Improving PRQ may prevent late PPD. Future investigations are warranted.

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Section: Design and Samplementioning

confidence: 99%

Partner relationship quality predicts later postpartum depression independently of the chronicity of depressive symptoms

Faisal-Cury

Tabb

Matijasevich

2021

Braz. J. Psychiatry

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“…às avaliações do protocolo de pesquisa (por exemplo, por não falar português) e aquelas que se recusaram a participar. Maiores informações sobre o estudo PROGRAVIDA estão disponíveis emScazufca et al, 2014. …”

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Associação entre introdução precoce de alimentos complementares e depressão pós-parto em mulheres com histórico de depressão na gravidez

Fernandes¹

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INTRODUCTION: Adequate and healthy feeding is essential for infant and child development. Complementary feeding must occur in timing and appropriately, supplying child´s nutritional needs. Postpartum depressed (PPD) mothers show difficulties in general care and practices related to child´s feeding. The aim of this study is to verify the association between PPD and early complementary foods introduction (IPAC), at 4 months old, and to describe the frequency of early food's introduction. METHODOLOGY: Cross-sectional study, performed from August 2013 to August 2014, through data collected between 6 to 9 months after labor, from 326 puerperal women who had participated in a community trial (PROGRAVIDA). IPAC data and other information were collected via structured questionnaire. PPD was evaluated through the "Patient Health Questionnaire-9". Poisson regression models with robust variance, following a hierarchical model, were used to evaluate the association between PPD and IPAC. In the simplified model, the prevalence ratio (PR) and 95% confidence level (95%CI) between PPD and IPAC was estimated, taking into consideration the randomization of participants in the community trial. Multivariate models estimated the PR and 95%CI between PPD e IPAC, adjusted for sociodemographic and socioeconomic variables (ethnicity, education, monthly family income, employment and marital status), maternal data (age, number of children and type of delivery), perinatal data (age and birth weight) and child data (pacifier use and breastfeeding). The statistical analysis was performed with STATA 12 software and the significance level was considered equal or lower than 5%. RESULTS: The IPAC general prevalence was 75.8% (95%IC 0.71-0.80). In the simplified model no association was found between depression and IPAC (PR: 0.97; 95%CI 0.83-1.14). In the multivariate analysis, it was encountered a lower prevalence of IPAC among women who were still breastfeeding at 6 months, in those who worked out and among women with lower family income. The estimate of the simplified association between PPD and IPAC did not change significantly after adjustment for possible confounding variables. Therefore, postpartum women with severe to moderate depression did not present differences in IPAC, compared to women without depression or mild depression (PR: 0.96; 95%CI 0.81-1.12). Foods with a higher proportion of early introduction were water, tea and other milks, and the ones with the lowest proportion were meats, rice and beans and pasta, and there were no differences between the groups¸ according to maternal depression. CONCLUSION: There was a high prevalence of IPAC, independently of depression levels. Interventions to restrict IPAC should not prioritize woman's mood in the puerperium, but rather the practice of breastfeeding and social aspects, such as family income and mother's external work.

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The Relationship Between Mother–Child Bonding Impairment and Suicidal Ideation in São Paulo, Brazil

Faisal-Cury

Levy

Matijasevich

2020

Matern Child Health J

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Management of depression during pregnancy in primary care in Brazil: a cluster ransomised trial

Cited by 9 publications

References 0 publications

Partner relationship quality predicts later postpartum depression independently of the chronicity of depressive symptoms

Partner relationship quality predicts later postpartum depression independently of the chronicity of depressive symptoms

Associação entre introdução precoce de alimentos complementares e depressão pós-parto em mulheres com histórico de depressão na gravidez

The Relationship Between Mother–Child Bonding Impairment and Suicidal Ideation in São Paulo, Brazil

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