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Multicenter Study
. 2016 Jun;38(6):293-300.
doi: 10.1055/s-0036-1585072. Epub 2016 Jul 11.

Depressive Symptoms in Pregnancy: The Influence of Social, Psychological and Obstetric Aspects

Eleomar Vilela de Moraes  1 , Rodolfo Nunes Campos  2 , Mariza Martins Avelino  3
Affiliations
Multicenter Study

Depressive Symptoms in Pregnancy: The Influence of Social, Psychological and Obstetric Aspects

Eleomar Vilela de Moraes et al. Rev Bras Ginecol Obstet. 2016 Jun.

Abstract
in English, Undetermined language

Purpose To assess the prevalence of depressive symptoms and their association with social, psychological, behavioral and obstetric characteristics in pregnant women. Methods This is a cross-sectional study. The sample consisted of 375 pregnant women who attended prenatal clinics in two public maternity hospitals located in the city of Goiania, Brazil. To testify the depressive symptoms, we used the Hospital Anxiety and Depression Scale (HADS). A descriptive statistical analysis was performed using programs such as CDC EPI-INFO™, version 7.1.5, and Statistical Package for Social Sciences (IBM SPSS), version 21.0. Results the patients had probable depressive symptoms (15.47%) and possible depressive symptoms (25.33%). The bivariate analysis showed a significant association among "depressive symptoms" and the following variables: "single or divorced" (prevalence ratio, PR = 2.08; 95% confidence interval, CI = 1.26 to 3.44); "physical activity during pregnancy" (PR = 3.96; 95%CI = 1.28 to 12.31); exposure to "psychological/emotional" violence (PR = 4.74; 95%CI = 2.94 to 7.64); "prior mental problem" (PR = 2.66; 95%CI =1.49 to 4.73) and "obstetric complications during pregnancy" (PR = 2.53; 95%CI = 1.55 to 4.13). The multivariate analysis confirmed the association of these depressive symptoms with the variables "suffered psychological/emotional violence" (odds ratio, OR = 5.821; 95%CI = 2.939 to 11.528); "physical activity during pregnancy" (OR = 3.885; 95%CI = 1.060 to 14.231); "obstetric complications during pregnancy" (OR = 2.442; 95%CI = 1.233 to 4.834) and "single or divorced" (OR = 2.943; 95%CI = 1.326 to 6.533). Conclusions the prevalence of depressive symptoms among pregnant women is of 15.47%, and emotional violence is the main factor associated with gestational depression.

Resumo: Objetivo verificar a prevalência de sintomas depressivos e suas associações com características sociais, psicológicas, comportamentais e obstétricas em mulheres grávidas.

Métodos trata-se de estudo transversal. A amostra constou de 375 grávidas atendidas no ambulatório de pré-natal de duas maternidades públicas localizadas na cidade de Goiânia. Para a comprovação dos sintomas depressivos, empregou-se a Hospital Anxiety and Depression Scale (HADS). Foi realizada análise estatística descritiva com auxílio dos programas CDC EPI-INFO™, versão 7.1.5, e Statistical Package for Social Sciences (IBM SPSS), versão 21.0.

Resultados apresentaram prováveis sintomas depressivos e possíveis sintomas depressivos 15,47% e 25,33% das entrevistadas, respectivamente. A análise bivariada demonstrou associação significante entre “sintomas depressivos” e as seguintes variáveis: “solteira ou separada” (razão de prevalência, RP =2,08; intervalo de confiança, IC95% = 1,26–3,44); “atividade física na gestação” (RP = 3,96; IC95% = 1,28–12,31); submissão a “violência psicológica/emocional” (RP = 4,74; IC95% = 2,94–7,64); “problema mental prévio” (RP = 2,66; IC95% = 1,49–4,73) e “complicações obstétricas na gestação atual” (RP = 2,53; IC95% = 1,55–4,13). A análise multivariada confirmou associação desses sintomas depressivos com as variáveis “sofreu violência psicológica/emocional” (odds ratio, OR = 5,821; IC95% = 2,939–11,528); “atividade física na gestação” (OR = 3,885; IC95% =1,060–14,231); “complicações obstétricas na gestação atual” (OR = 2,442; IC95% = 1,233–4,834); e “solteira ou separada” (OR = 2,943; IC95% = 1,326–6,533).

Conclusões a prevalência de sintomas depressivos entre as grávidas é de 15,47%, e a violência emocional é o principal fator associado à depressão gestacional.

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References

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