Mental disorders in pregnant
Abstract
Introduction: Gestation is a period in the life of the woman that exposes her to various physical and psychic changes. It is at this point in her life that a woman is more likely to develop mental disorders, which may be related to low level of schooling and/or socioeconomic status, being female, being single or separated, having no job, being a smoker, and have a family history of mental illness.
Objective: to analyze the occurrence of mental illness in pregnant women and the associated factors.
Method: cross-sectional study with quantitative approach. The study population consisted of pregnant women enrolled in Family Health Units. To collect the data, a questionnaire was used with identification data of the participants and the Self-Reporting Questionnaire (SRQ-20). Absolute and relative frequency were used to analyze the data, as well as the chi-square test without correction, chi-square test with Mantel-Haenzel extension and the chi-square test with yacht correction to analyze the association between mental illness and socio-demographic, gestational and health variables. Study approved by the Research Ethics Committee of the Federal University of Pernambuco (CAAE 64945317.1.0000.5208).
Results: the proportion of suggestion of mental illness in pregnant women was 31.9% and was associated with being single, having studied until elementary school, not having planned pregnancy and having a chronic illness.
Conclusions: therefore, the mental illness identified in pregnant women participating in the study may be associated with variables marital status, schooling, pregnancy planning, and chronic illness.
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References
Nogueira SM e Mendonça JB. Fatores de risco para desenvolvimento de transtorno mentais comuns em adolescentes gestantes no município de Ceres-GO. Rev. Eletrônica da Faculdade de Ceres. 2015; 4(2):54-65.
Silva RA, Ores LC, Mondin TC, Rizzo RN, Moraes IGS, Jansen K, at al. Transtornos mentais comuns e autoestima na gestação: prevalência e fatores associados. Cad. Saúde Pública. 2010; 26(9):1832-1838.
Almeida MS, Nunes MA, Camey S, Pinheiro AP, Schmidt MI. Transtornos mentais em uma amostra de gestantes da rede de atenção básica de saúde no Sul do Brasil. Cad. Saúde Pública. 2012; 28(2):385-393.
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 entre gestantes. Cad. Saúde Coletiva. 2012; 20(4):416-426.
Rodrigues SMS, Almeida SS, Ramos EMLS. Suporte familiar e transtornos mentais comuns em adolescentes grávidas. Rev. Psicologia Argumento. 2011; 29(64):91-100.
Pinheiro KAT, Horta BL, Pinheiro RT, Horta LL, Terres NG, Silva RA. Common mental disorders in adolescents: a population based cross-sectional study. Rev Bras Psiquiátrica. 2007; 29:241-5.
Ishida K, Stupp P, Serbanescu F, Tullo E. Perinatal risk for common mental disorders and suicidal ideation among women in Paraguay. Int J Gynaecol Obstet. 2010; 110:235-40.
Ludermir AB, Araújo TV, Valongueiro SA, Lewis G. Common mental disorders in late pregnancy in women who wanted or attempted an abortion. Psychol Med. 2009; 26:1-7.
SIAB. Sistema de Informação de Atenção Básica. Disponível em: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?siab/cnv/SIABSPE.def. Acesso em: 13 fev. 2017.
Andrade FB, Bezerra AIC, Pontes ALF, Filha MOF, Vianna RPT, Dias MD, et al. Saúde mental na atenção básica: um estudo epidemiológico baseado no enfoque de risco. Rev. Brasileira de Enfermagem. 2009; 62(5):675-680.
Gonçalves DM. Self-reporting questionnaire. In: Gorenstein C; Wang Y; Hungerbuhler I. Instrumentos de avaliação em saúde mental. Artmed. 2016; 82-86.
Gonçalves DM, Stein AT, Kapezinski F. Avaliação de desempenho do self-reporting questionnaire como instrumento de rastreamento psiquiátrico: um estudo comparativo com o Structured Clinical Intervin for DSM-IV-TR. Cad Saúde Pública. 2008; 24(2):380-90.
Lucchese R, Simões ND, Monteiro LHB, Vera I, Fernandes IL, Castro PA et al. Fatores associados à probabilidade de transtorno mental comum em gestantes: estudo transversal. Esc Anna Nery. 2017; 21(3):e20160094.
Bödecs T, Szilágyi E, Cholnoky P, Sándor J, Gonda X, Rihmer Z, et al. Prevalence and psychosocial background of anxiety and depression emerging during the first trimester of pregnancy: data from a Hungarian population-based sample. Psychiatr Danub [Internet]. 2013 Dec; [cited 2016 Jan 22]; 25(4):352-8. Available from:http://www.hdbp.org/psychiatria_danubina/pdf/dnb_vol25_no4/dnb_vol25_no4_352.pdf
Silva MMJ, Leite EPRC, Nogueira DA, Clapis MJ. Depression in pregnancy. Prevalence and associated factors. Invest. Educ. Enferm. 2016; 34(2): 342-350.
Lopes CS, Faerstein E, Chor D. Eventos de vida produtores de estresse e transtornos mentais comuns: resultados de Estudo Pró-Saúde. Cad Saúde Pública. 2003; 19(6):1713-20.
Fonseca FCA, Coelho RZ, Nicolato R, Malloy-Diniz LF, Filho HCS. A influência de fatores emocionais sobre a hipertensão arterial. J Bras Pisquiatria. 2009; 58(2):128-134.
Chor D, Griep RH, Lopes CS, Faerstein E. Medidas de rede e apoio social no Estudo Pró-Saúde: pré-testes e estudo piloto. Cad Saúde Pública. 2001;17(4):887-96.
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