Prevalence and Associated Factors of Common Mental Disorders in Women: A Systematic Review

Bezerra, Héllyda de Souza; Alves, Roberta Machado; Nunes, Aryelly Dayanne d.; Barbosa, Isabelle Ribeiro

doi:10.3389/phrs.2021.1604234

Cited by 21 publications

(20 citation statements)

References 108 publications

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“…This is inconsistent with the nding from study done in Kenya (9). In this study, having previous history of mental illness not signi cantly associated with CMD among pregnant women, which is contradicted with study conducted Bangladesh (11).…”

Section: Discussioncontrasting

confidence: 99%

“…Globally, around 450 million people are living with mental illness, Accounts for about one-third of mental illness globally (11). Perinatal mental health disorders have been studied in 90% of high-income countries and only in 10% of middle and low-income country (12).…”

Section: Introductionmentioning

confidence: 99%

“…In Brazil, 9.3% of the population have symptoms related to anxiety and 5.8% have depression (11) Low and lower-middle-income countries the non-psychotic perinatal common mental disorder (CMD) is common primarily among poorer women with gender-based risks or psychiatric history (9). 10% of pregnant women experience a mental disorder during pregnancy, and those in low-and mid-lowincome countries (LMICs) are disproportionately impacted due to higher prevalence of mental health in sub-Sahara country(6).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Common Mental Disorder And Associated Factors Among Pregnant Women Attending Abebebch Gobena Mother And Child Hospital Addis Ababa Ethiopia in 2022: Cross sectional study

Mohammed¹,

Hussein²,

Ali

et al. 2023

Preprint

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Introduction: Common mental disorders (CMDs) are nonpsychotic mental health conditions like depression, anxiety, adjustment, and somatoform disorders that compromise daytoday functioning. Pregnancy and the transition to motherhood involve major physical and psychological changes in the expecting mothers. Objective To assess the prevalence of common mental disorders and associated factors among pregnant women in Abebech Gobena Hospital in 2022. Method Crosse sectional study was conducted from May to June 2022 at Abebech Gobena hospital. Systematic random sampling method was employed to select 421 study participants. The data were collected using structured questionnaire and face- to -face interview method. Data was entered in to Epi info 7.1 and export to (SPSS) version 20 for analysis. The association between dependent and independent variables was analyzed by using logistic regression. In bi-variable logistic regression (at p value < 0.25) was entered in to multivariable logistic regression. Adjusted odds ratio with 95% confidence interval was computed. Statistical significance was declared at p value of < 0 .05. Results From the total of 415 participant 85(20.5%) had common mental disorder. As of this result, participants were unplanned 2.9 times [AOR = 2.9, CI95%( 1.3, 6.7)] developed common mental disorder than planed pregnant. Pregnant women who reported history of chronic medical illness have 2.8 CMD than who didn’t (AOR = 2.8; 95%CI: 1.08—7.1). The odds of having CMD among participants who were lifetime alcohol use was 5.3 times (AOR = 5.304, 95% CI = 3.1, 7.1) than participants who did not use. Participants who had no husband support continuity of pregnant were 1.97 times more develop CMD (AOR = 1.97, 95% CI = 0.96, 4.04) as compared with who had husband support. Conclusion and Recommendation: In this study the prevalence of Common Mental Disorder in pregnant women was high. Chronic illness, alcohol use in lifetime, husband support and status of pregnancy were found to be significantly associated with common mental disorder. Therefore all stake holders would involve in providing special psycho-social support during pregnancy than ever at the time of ANC follow up.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence of Common Mental Disorder And Associated Factors Among Pregnant Women Attending Abebebch Gobena Mother And Child Hospital Addis Ababa Ethiopia in 2022: Cross sectional study

Mohammed¹,

Hussein²,

Ali

et al. 2023

Preprint

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“…The increased prevalence of stress-related psychiatric disorders among women in their reproductive years is well documented (Barth, Villringer, & Sacher, 2015; Bezerra, Alves, Nunes, & Barbosa, 2021) and, while we cannot rule out contributing roles of other ovarian hormones such as progesterone, accumulating evidence from both clinical (Hlavacova, Wawruch, Tisonova, & Jezova, 2008; Newhouse et al, 2010) and preclinical (Figueiredo, Ulrich-Lai, Choi, & Herman, 2007; Flores et al, 2020; Hokenson et al, 2021; Kokane & Perrotti, 2020; Shansky et al, 2004) studies demonstrate that, in the context of stress, central estrogen signaling plays a critical role in this heightened susceptibility. It is reasonable, then, to consider estrogen signaling through ERβ within the CeA resulting in increased CRF expression as a promising mechanism by which estrogen facilitates this enhanced stress response among females.…”

Section: Discussionmentioning

confidence: 81%

Estrogen receptor beta in the central amygdala regulates the deleterious behavioral and neuronal consequences of repeated social stress in female rats

Smiley

Pate

Bouknight

et al. 2022

Preprint

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While over 95% of the population has reported experiencing extreme stress or trauma, females of reproductive age develop stress-induced neuropsychiatric disorders at twice the rate of males. This suggests that ovarian hormones may facilitate neural processes that increase stress susceptibility and underlie the heightened rates of these disorders, like depression and anxiety, that result from stress exposure in females. However, there is contradicting evidence in the literature regarding estrogen's role in stress-related behavioral outcomes. Estrogen signaling through estrogen receptor beta (ERb) has been traditionally thought of as anxiolytic, but recent studies suggest estrogen exhibits distinct effects in the context of stress. Furthermore, ERb is found abundantly in many stress-sensitive brain loci, including the central amygdala (CeA), in which transcription of the vital stress hormone, corticotropin releasing factor (CRF), can be regulated by an estrogen response element. Therefore, these experiments sought to identify the role of CeA ERb activity during stress on behavioral outcomes in naturally cycling, adult, female Sprague-Dawley rats. Rats were exposed to an ethological model of vicarious social stress, witness stress (WS), in which they experienced the sensory and psychological aspects of an aggressive social defeat encounter between two males. Following stress, rats exhibited stress-induced anxiety-like behaviors in the marble burying task, and, finally, brain analysis revealed increased ERb and CRF specifically within the CeA following exposure to stress cues. Subsequent experiments were designed to target this receptor in the CeA using microinjections of the ERb antagonist, PHTPP, prior to each stress session. Sucrose preference, acoustic startle, and marble burying tasks determined that blocking ERb in the CeA during WS prevented the development of depressive-,anxiety-like, and hypervigilant behaviors. Additionally, brain analysis revealed a long-term decrease of intra-CeA CRF expression in PHTPP-treated rats. These experiments indicate that ERb signaling in the CeA, through its effects on CRF, contributes to the development of negative valence behaviors that result from exposure to repeated social stress in female rats.

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“…As with chronic diseases, such as diabetes, hypertension or other endocrinological disorders, mental health is a relevant aspect of obstetric care. The prevalence of psychiatric illness in the population is high; however, in women of reproductive age, the prevalence can be up to 70% as evidenced in the systematic review by Bezerra et al [ 51 ], which includes 19 articles including 45,400 women from different countries [ 51 ]. In this line, different authors such as Lassi et al [ 52 ] have shown in a systematic review that even though early interventions in endocrinological diseases are accompanied by a lower rate of complications during pregnancy in psychiatric diseases, there is no optimal preventive management [ 52 ].…”

Section: Preventionmentioning

confidence: 99%

A Review: Integrative Perspectives on the Features and Clinical Management of Psychotic Episodes in Pregnancy

Ortega

Pekarek

Fraile-Martínez

et al. 2023

JCM

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Psychotic episodes represent one of the most complex manifestations of various mental illnesses, and these encompass a wide variety of clinical manifestations that together lead to high morbidity in the general population. Various mental illnesses are associated with psychotic episodes; in addition, although their incidence and prevalence rates have been widely described in the general population, their correct identification and treatment is a challenge for health professionals in relation to pregnancy. In pregnant women, psychotic episodes can be the consequence of the manifestation of a previous psychiatric illness or may begin during the pregnancy itself, placing not only the mother, but also the fetus at risk during the psychotic episode. In addition, we cannot forget that both pharmacological and nonpharmacological management are complex given the different teratogenic effects of various neuroleptic drugs or mood stabilizers; moreover, the recommendation is that patients should be followed together with different specialists to maintain close contact during puerperium given the high incidence of recurrence of psychotic episodes. In addition, we cannot forget that a large portion of these patients for whom the onset times of such episodes are during pregnancy have a greater probability of an unpredictable psychiatric illness that requires a postpartum follow up, in addition to the postpartum psychotic episodes, at some point in their lives. Therefore, the purpose of this review is to summarize the epidemiology of psychotic breaks during pregnancy related to the main mental illnesses that affect this population and to summarize the main pharmacological treatments available for their clinical management.

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Prevalence and Associated Factors of Common Mental Disorders in Women: A Systematic Review

Cited by 21 publications

References 108 publications

Prevalence of Common Mental Disorder And Associated Factors Among Pregnant Women Attending Abebebch Gobena Mother And Child Hospital Addis Ababa Ethiopia in 2022: Cross sectional study

Prevalence of Common Mental Disorder And Associated Factors Among Pregnant Women Attending Abebebch Gobena Mother And Child Hospital Addis Ababa Ethiopia in 2022: Cross sectional study

Estrogen receptor beta in the central amygdala regulates the deleterious behavioral and neuronal consequences of repeated social stress in female rats

A Review: Integrative Perspectives on the Features and Clinical Management of Psychotic Episodes in Pregnancy

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