Transtornos psiquiátricos na gestação e no puerpério: classificação, diagnóstico e tratamento

Camacho, Renata Sciorilli; Cantinelli, Fábio Scaramboni; Ribeiro, Carmen Sylvia; Cantilino, Amaury; Gonsales, Bárbara Karina; Braguittoni, Érika; Rennó, Joel

doi:10.1590/s0101-60832006000200009

Cited by 103 publications

(136 citation statements)

References 29 publications

(35 reference statements)

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“…Nesse contexto, o uso, o abuso e a dependência de substâncias psicoativas, por se tratar de comportamento capaz de provocar consequências físicas potencialmente graves tanto para a mãe quanto para a criança, representam uma grande preocupação para as diversas instituições e esferas da sociedade 1,2 .…”

Section: Introductionunclassified

“…Violência contra a mulher -seja psicológi-ca, física ou sexual; aspectos psicossociais como estresse, ansiedade, depressão; e suporte social da mulher, como rede social e apoio social, são fatores de risco já descritos associados ao uso de drogas ilícitas na gestação 1,2 .…”

Section: Introductionunclassified

Prevalência e fatores associados ao uso de drogas ilícitas em gestantes da coorte BRISA

et al. 2016

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“…There are not yet enough rigorous, well-designed, controlled studies available in the literature to confirm that antidepressants really are dangerous. 11 The Food and Drug Administration (FDA) currently assign antidepressants to Pregnancy Risk Category B (reproductive studies with animals have failed to demonstrate risk to the fetus and there are no adequate and well-controlled studies with pregnant women). 13 The most commonly used antidepressants during pregnancy are the selective serotonin reuptake inhibitors (SSRIs).…”

Section: Introductionmentioning

confidence: 99%

Transcranial magnetic stimulation for treatment of major depression during pregnancy: a review

Felipe

Ferrão

2016

Trends Psychiatry Psychother.

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Introduction: Pregnancy is characterized by a high prevalence of mental disorders. Depression is the most common of these disorders and it is a risk factor for negative maternal and child development outcomes. Psychotherapy and pharmacotherapy are conventional and well-established therapeutic options, but some clients fail to respond and the safety of using some pharmacological agents during pregnancy is unclear. Some neuromodulation techniques, such as repetitive transcranial magnetic stimulation (rTMS), have been studied in depressed pregnant women. Objective: To evaluate the safety and efficacy of rTMS for major depression in pregnant women. Methods: The LILACS and PubMed databases were reviewed using the search terms depression, pregnancy and magnetic stimulation. Texts including primary data, published in Portuguese, Spanish, or English, between 1995 and2014, that evaluated depressed pregnant women and used rTMS as the intervention were selected. Papers lacking sufficient data were excluded. Twenty-two texts were initially identified; after applying the inclusion criteria, 12 were selected and analyzed. Results: The studies reviewed reported satisfactory responses to rTMS in acute depressive episodes, as measured using depressive symptom scales. Remission of symptoms was achieved in many cases. The procedure was well tolerated and there were no reports of damage/complications to unborn children. Conclusion:The data available at this time support the efficacy and tolerability of rTMS for depression in pregnant women. Controlled studies should corroborate this conclusion. This review only included studies in three languages and the resulting sample size was not large enough to conduct a meta-analysis.

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“…The postpartum period is a risk for the development of obsessive-compulsive symptoms 125 . Several clinical and genetic studies in OCD showed different results for the two genders.…”

Section: Estrogen Receptor Alpha (Esr)mentioning

confidence: 99%

Estudos de associação genética no transtorno obsessivo-compulsivo

Sampaio¹,

Lins²,

Daltro-Oliveira³

et al. 2013

Rev. psiquiatr. clín.

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Background: Obsessive-compulsive disorder (OCD) segregates in families. It follows a complex model of genetic transmission, which involves the influence of several small effect genes interacting with the environment. Methods: A systematic review of genetic association studies in OCD was performed. Articles published until 2012 were searched in the databases PubMed, Embase and ScieLO using the terms of MeSH and its associates or synonyms for "obsessivecompulsive disorder", "gene" and "genetic association studies". Results: We selected 105 papers and described their main results grouped as genes related to: serotonin, dopamine, glutamate, GABA, white matter, immune system, hormones and other genes. Discussion: There is high variability between findings of association studies among the several candidate genes studied in OCD. Glutamate-related genes are promising candidates for OCD, but there is no conclusive association between any of the candidate genes studied and OCD. Association studies with large sample size, evaluation of more homogeneous subgroups of phenotype and meta-analyses are still needed.

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“…The postpartum is a period of the woman's life that should be evaluated with special care as it involves several physical, hormonal and psychological changes as well as social inclusion, which may reflect directly on their mental health (1) .…”

Section: Introductionmentioning

confidence: 99%

Adjustment disorders in the postpartum resulting from childbirth: a descriptive and exploratory study

Soares

Andretto

Diniz

et al. 2012

Online Brazilian Journal of Nursing

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Introduction: The experience of childbirth may result in the appearance of adjustment disorders (AD), jeopardizing maternal and newborn health. Aim: Check for signs of AD in mothers and their possible relationship with the birth experience. Method: This is a descriptive exploratory study. Data were collected at two moments in time: in the immediate postpartum period and between 90 to 180 days after delivery, in which we applied the Impact of Events Scale (IES). The study population consisted of 98 mothers at a hospital in São Paulo. Results: Of the 98 women, 9.2% reported signs of AD related to the childbirth experience. This was more common in those who have had c-sections and in those who were not accompanied by a companion. Conclusion: The use of IES allowed us to check for signs of AD, its association with the type of delivery, and with the presence of a companion.

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Transtornos psiquiátricos na gestação e no puerpério: classificação, diagnóstico e tratamento

Cited by 103 publications

References 29 publications

Prevalência e fatores associados ao uso de drogas ilícitas em gestantes da coorte BRISA

Transcranial magnetic stimulation for treatment of major depression during pregnancy: a review

Estudos de associação genética no transtorno obsessivo-compulsivo

Adjustment disorders in the postpartum resulting from childbirth: a descriptive and exploratory study

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