Prevalência e fatores associados a sintomas de ansiedade em uma coorte de gestantes atendidas em um centro de saúde do município do Rio de Janeiro

Abstract

Objectives: to determine the prevalence and the association between socio-demographic, obstetric and nutritional variables and anxiety symptoms in pregnant women.Methods: the study involved cohorts with five follow-up stages. A cross-sectional analysis was carried out of 151 pregnant women. The presence or absence of anxiety was treated as the dependent variable, which was measured between 19 and 21 weeks of gestation. The State-Trait Anxiety Inventory (STAIT) scale was used to evaluate the anxiety trait. The socio-demographic, obstetric and nutritional data obtained using a questionnaire were treated as independent variables. The statistical analysis was performed using a multivariate Poisson regression with robust variance.Results: the mean age was 25 years and mean level of schooling nine years. The prevalence of anxiety was 64. ). The anxiety trait was associated with age between 18 and 24.9 years (PR=1.35; 95%CI: 1.06-1.71) and 1-8 years of schooling (PR=1.39; 95%CI: 1.11-1.73).Conclusions: it was observed that the anxiety trait was highly prevalent in this sample of pregnant women whose progress was followed at a health care center. Knowledge of the factors associated with the anxiety is of fundamental importance in allowing the health team to intervene in a timely and appropriate fashion in a pregnant woman's treatment.

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

“…The anxiety rate observed by this study (16.9%) was relatively low compared to similar studies that observed prevalence rates between 19.8% 27 and 64.9% 28 . These differences may reflect methodological issues related to research design, sample size and characteristics.…”

“…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 .…”

Prevalência de dor lombar e qualidade de vida no terceiro trimestre de gestação

“…No estudo de Anthony e Scialli (1999), em pacientes com o estado de humor alterado, foi observado que a percepção de dor torna-se mais comum. Um dos fatores psicológicos que pode desencadear problema durante a gestação, parto e puerpério, bem como para o concepto, é o aumento do nível de ansiedade; quando reduzido esse nível, os efeitos das dores são minimizados (ARAÚJO et al, 2008). Pimenta (1999) afirma que todas as experiências humanas, inclusive as que causam dores crônicas, envolvem componentes físicos e emocionais (depressão e ansiedade), no entanto, o humor pode ficar comprometido interferindo na interpretação e no relato da dor.…”

Imagem corporal, atitudes alimentares, sintomas depressivos, autoestima e ansiedade em gestantes de Juiz de Fora, Minas Gerais, Brasil

“…In previous studies significant associations were identified between the negative body image in pregnant women and certain characteristics, including: high body mass index (BMI) 19 ; inappropriate food attitudes 20,21 ; depressive symptoms 14,22 ; low self-esteem 10,23 ; and high levels of anxiety 24 . Such associations are worrying because they can have negative consequences for health, both for the mother and for the fetus 15 , such as: low birth weight; delayed infantile development; premature birth; and in some cases, abortion 25 . Kamysheva et al 23 , based on the theory of Thompson et al 26 , developed a theoretical model that considered various factors related to the body during pregnancy.…”