Depression during pregnancy in the Brazilian public health care system

被引:33
作者
da Silva, Ricardo Azevedo [1 ]
Jansen, Karen [1 ]
de Mattos Souza, Luciano Dias [1 ]
da Silva Moraes, Inacia Gomes [1 ]
Tomasi, Elaine [1 ]
da Silva, Giovanna Del Grande [1 ]
Dias, Michelle de Souza [1 ]
Pinheiro, Ricardo Tavares [1 ]
机构
[1] Univ Catolica Pelotas UCPel, Pelotas, RS, Brazil
关键词
Depression; Pregnancy; Health systems; Probability; Public health; POSTNATAL DEPRESSION; PERINATAL DEPRESSION; ANTENATAL DEPRESSION; UNITED-STATES; RISK-FACTORS; SCALE EPDS; WOMEN; COHORT; PREVALENCE; BIRTH;
D O I
10.1590/S1516-44462010000200008
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: To estimate the prevalence of depression and correlate clinical and demographic characteristics in pregnant women assisted by the public health system in the city of Pelotas, RS, Brazil. Method: We performed a cross-sectional study focused on pregnant women assisted by the public health service. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for depression. Results: In a sample of 1,264 pregnant women aged 12-46 years, 21.1% (n = 255) presented a depressive episode during pregnancy. The presence of depression was associated with older age, lower education, lack of a cohabiting partner, not being primiparous, planned pregnancy, abortion thoughts, psychological or psychiatric treatment, smoking and alcohol consumption during pregnancy, and stressful events. Conclusion: Pregnant women assisted by the Brazilian public health system presented a high prevalence of depression. Psychiatric history, lack of support, and stressful events increase the probability of antenatal depression.
引用
收藏
页码:139 / 144
页数:6
相关论文
共 28 条
[1]  
Associacao Brasileira de Empresas de Pesquisa (ABEP), CRIT CLASS EC BRAS
[2]   Alternatives for logistic regression in cross-sectional studies: An empirical comparison of models that directly estimate the prevalence ratio [J].
Aluísio JD Barros ;
Vânia N Hirakata .
BMC Medical Research Methodology, 3 (1) :1-13
[3]   Prevalence of depression during pregnancy: Systematic review [J].
Bennett, HA ;
Einarson, A ;
Taddio, A ;
Koren, G ;
Einarson, TR .
OBSTETRICS AND GYNECOLOGY, 2004, 103 (04) :698-709
[4]  
Camacho Renata Sciorilli, 2006, Arch. Clin. Psychiatry (São Paulo), V33, P92
[5]   Antepartum depressive symptomatology is associated with adverse obstetric and neonatal outcomes [J].
Chung, TKH ;
Lau, TK ;
Yip, ASK ;
Chiu, HFK ;
Lee, DTS .
PSYCHOSOMATIC MEDICINE, 2001, 63 (05) :830-834
[6]   Prenatal and postnatal depression among low income Brazilian women [J].
Da-Silva, VA ;
Moraes-Santos, AR ;
Carvalho, MS ;
Martins, MLP ;
Teixeira, NA .
BRAZILIAN JOURNAL OF MEDICAL AND BIOLOGICAL RESEARCH, 1998, 31 (06) :799-804
[7]   Prenatal depression, prenatal anxiety, and spontaneous preterm birth: A prospective cohort study among women with early and regular care [J].
Dayan, Jacques ;
Creveuil, Christian ;
Marks, Maureen N. ;
Conroy, Sue ;
Herlicoviez, Michel ;
Dreyfus, Michel ;
Tordjman, Sylvie .
PSYCHOSOMATIC MEDICINE, 2006, 68 (06) :938-946
[8]   Cohort study of depressed mood during pregnancy and after childbirth [J].
Evans, J ;
Heron, J ;
Francomb, H ;
Oke, S ;
Golding, O .
BRITISH MEDICAL JOURNAL, 2001, 323 (7307) :257-260
[9]   Depression during pregnancy and the postpartum period in adolescent and adult Portuguese mothers [J].
Figueiredo, B. ;
Pacheco, A. ;
Costa, R. .
ARCHIVES OF WOMENS MENTAL HEALTH, 2007, 10 (03) :103-109
[10]   Perinatal depression - A systematic review of prevalence and incidence [J].
Gavin, NI ;
Gaynes, BN ;
Lohr, KN ;
Meltzer-Brody, S ;
Gartlehner, G ;
Swinson, T .
OBSTETRICS AND GYNECOLOGY, 2005, 106 (05) :1071-1083