Depressive symptoms in pregnant women and intimate partner violence: a cross-sectional study

Authors

DOI: https://doi.org/10.6018/eglobal.408841
Keywords: Depressive symptoms, Intimate Partner Violence, Pregnancy, Mental Health

Abstract

Objective: To evaluate the presence of depressive symptoms in pregnant women and their association with intimate partner violence.
Methods: This is a cross-sectional pilot study conducted with a sample of 65 pregnant women who performed prenatal care at the Basic Health Unit of the Federal University of Amapá in September and October 2018. For data collection, a socioeconomic, demographic and obstetric questionnaire was used, apart from the Edinburgh Postpartum Depression Scale, and the Multi-Country Study on Women's Health and Domestic Violence.
Results: 41.5% of the pregnant women had depressive symptoms; in the logistic regression analysis, these symptoms have a significant association in women who suffer some type of intimate partner violence (OR = 6.74; 95% CI: 2.0 - 21.7; p = 0.001). In addition, being employed, being single, having low schooling, low family income, and unwanted pregnancies were affected by depressive symptoms during pregnancy.
Conclusions: There was a high percentage of depressive symptoms during pregnancy and these were related to intimate partner violence.

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References

Antunes MSC, Patrocínio C. A malformação do bebé: Vivências psicológicas do casal. Psicologia, saúde & doenças. 2007;8(2):239-251. Disponível em: http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S1645- 00862007000200007&lng=pt.

Theme Filha MM, Ayers S, Gama SGN, Leal MC. Factors associated with postpartum depressive symptomatology in Brazil: the Birth in Brazil national research study, 2011/2012. J Affect Disord. 2016;194(1):159-167. Disponível em: https://doi.org/10.1016/j.jad.2016.01.020

Dahlberg LL, Krug EG. Violência: um problema global de saúde pública. Cien Saude Colet. 2006;11(Suppl):1163-1178. Disponível em: http://doi.org/10.1590/S1413-81232006000500007

Garcia-Moreno C, Jansen H, Ellsberg M, Heise L, Watts CH. Prevalence of intimate partner violence: findings from the WHO multi-country study on women's health and domestic violence. Lancet 2006; 368(9543): 1260-9. Disponível em: https://www.who.int/gender/violence/who_multicountry_study/media_corner/Prevalen ce_intimatepartner_WHOStudy.pdf

Departamento de Articulação Interfederativa, Secretaria de Gestão Estratégica e Participativa, Ministério da Saúde. Caderno de diretrizes, objetivos, metas e indicadores 2013-2015. Brasília: Ministério da Saúde; 2014.

Lansky S, Friche AAL, Silva AAM, Campos D, Bittencourt SDA, Carvalho ML, et al. Pesquisa Nascer no Brasil: perfil da mortalidade neonatal e avaliação da assistência à gestante e ao recém-nascido. Cad Saúde Pública 2014; 30 Suppl 1:S192-207. Disponível em: http://dx.doi.org/10.1590/0102-311X00133213

Tomasi E, Fernandes PAA, Fischer T, Siqueira FCV, Silveira DS, Thumé E et al. Qualidade da atenção pré-natal na rede básica de saúde do Brasil: indicadores e desigualdades sociais. Cad. Saúde Pública [Internet]. 2017; 33(3): e00195815. Disponível em: http://dx.doi.org/10.1590/0102-311x00195815

Rea LM, Parker RA. Metodologia de pesquisa: do planejamento à execução. São Paulo: Pioneira; 2000.

Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150(06):782–6. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/3651732

Garcia-Moreno C, Jansen HAFM, Ellsberg M, Heise L, Watts C. WHO Multicountry study on women’s health and domestic violence against women – initial results on prevalence, health outcomes and women’s responses. Geneva: World Health Organization; 2005.

Schraiber LB, Latorre MRDO, França Jr I, Segri NJ, D'Oliveira AFPL. Validade do instrumento WHO VAW STUDY para estimar violência de gênero contra a mulher. Rev Saude Publica. 2010;44(4):658-666. Disponível em: http://doi.org/10.1590/S0034-89102010000400009.

Friesen K, Peterson WE, Janet S, Fortier C. Validation of the Edinburgh Postnatal Depression Scale for use with young childbearing women. J Nurs Meas. 2017; 25(1):1-16. Disponível em: http://dx.doi.org/10.1891/1061-3749.25.1.E1.

Hair JFJ, Black WC, Babin BJ, Anderson RE. Multivariate Data Analysis – International Edition. 7. ed. New Jersey: Pearson Education; 2010.

WHO (World Health Organization. Mental health). WHO: c2018. Maternal mental health. Disponível em: https://www.who.int/mental_health/maternal- child/maternal_mental_health/en/

Hartmann JM, Mendoza-Sassi RA, Cesar JA. Depressão entre puérperas: prevalência e fatores associados. Cad Saude Publica. 2017;33(9):e00094016. Disponível em: http://doi.org/10.1590/0102-311x00094016.

Durand JG, Schraiber LB. Violência na gestação entre usuárias de serviços públicos de saúde da Grande São Paulo: prevalência e fatores associados. Rev bras epidemiol. 2007;10(3):310-322. Disponível em: http://doi.org/10.1590/S1415- 790X2007000300003

Bessa MMM, Drezett J, Rolim M, Abreu LC. Violence against women during pregnancy: sistematized revision. Reprodução & climatério. 2014;29(2):71-9. Disponível em: https://doi.org/10.1016/j.recli.2014.09.001

Oliveira LCQ, Fonseca-Machado MO, Stefanello J, Gomes-Sponholz FA. Violência por parceiro íntimo na gestação: identificação de mulheres vítimas de seus parceiros. Rev Gaucha Enferm. 2015;36(spe):233-238. Disponível em: http://doi.org/10.1590/1983-1447.2015.esp.57320

Okada MM, Hoga LA, Borges AL, Albuquerque RS, Belli MA. Violência doméstica na gravidez. Acta paulista de enfermagem. 2015;28(3):270-4. Disponível em: http://doi.org/10.1590/1982- 0194201500045

Miura A, Fujiwara T. Intimate partner violence during pregnancy and postpartum depression in Japan: a cross-sectional study. Front Public Health. 2017;5:81. Disponível em: https://doi.org/10.3389/fpubh.2017.00081

Rogathi JJ, Manongi R, Mushi D, Rasch V, Sigalla GN, Gammeltoft T, et al. Postpartum depression among women who have experienced intimate partner violence: A prospective cohort study at Moshi, Tanzania. J Affect Disord. 2017;218:238-45. Disponível em: https://doi.org/10.1016/j.jad.2017.04.063

Islam MJ, Broidy L, Baird K, Mazerolle P. Intimate partner violence around the time of pregnancy and postpartum depression: the experience of women of Bangladesh. PLoS One. 2017;12(5):e0176211. Disponível em: https://doi.org/10.1371/journal.pone.0176211

Rubertsson C, Hellström J, Cross M, Sydsjö G. Anxiety in early pregnancy: prevalence and contributing factors. Arch Womens Ment Health. 2014;17(3):221-8. Disponível em: https://doi.org/10.1007/s00737-013-0409-0

Agostini F, Neri E, Salvatori P, Dellabartola S, Bozicevic L, Monti F. Antenatal depressive symptoms associated with specific life events and sources of social support among Italian women. Matern Child Health J. 2015;19(5):1131-41. Disponível em: https://doi.org/10.1007/s10995-014-1613-x

Thiengo DL, Santos JFC, Fonseca DL, Abelha L, Lovisi GM. Depressão durante a gestação: um estudo sobre a associação entre fatores de risco e de apoio social entre gestantes. Cad Saúde Colet. 2012;20(4):416-26. Disponível em: http://doi.org/10.1590/S1414-462X2012000400003

Silva R, Jansen K, Souza LDM, Moraes IGS, Tomasi E, Silva G, et al. Depression during pregnancy in the Brazilian public health care system. Braz J Psychiatry. 2010;32(2):139-44. Disponível em: http://doi.org/10.1590/S1516- 44462010000200008

Cantilino A, Zambaldi CF, Albuquerque TL, Paes JA, Montenegro ACP, Sougey EB. Post partum depression in Recife, Brazil: prevalence and association with bio- socio-demographic factors. J Bras Psiquiatr. 2010;59(1):1-9. Disponível em: http://doi.org/10.1590/S0047-20852010000100001

Gonçalves AMC, Teixeira MTB, Gama JRA, Lopes CS, Silva GA, Gamarra CJ et al. Prevalência de depressão e fatores associados em mulheres atendidas pela Estratégia de Saúde da Família. J Bras Psiquiatr. 2018;67(2):101-9. Disponível em: http://doi.org/10.1590/0047-2085000000192

Moura VFS, Pedrão LJ, Souza ACS, Boaventura RP. A depressão em gestantes no final da gestação. SMAD revista electronica salud mental, alcohol y drogas. 2015;11(4):234-242. Disponível em: http://doi.org/10.11606/issn.1806- 6976.v11i4p234-42

Brito CNO, Alves SV, Ludermir AB, Araujo TVB. Depressão pós-parto entre mulheres com gravidez não pretendida. Rev Saude Publica 2015;49:33. Disponível em: http://doi.org/10.1590/S0034-8910.2015049005257

Published
17-09-2020
How to Cite
[1]
da Silva Lima, L. et al. 2020. Depressive symptoms in pregnant women and intimate partner violence: a cross-sectional study. Global Nursing. 19, 4 (Sep. 2020), 1–45. DOI:https://doi.org/10.6018/eglobal.408841.
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ORIGINAL RESEARCH