Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Archives of Women's Mental Health
Erschienen in: Archives of Women's Mental Health 5/2009

01.10.2009 | Original Contribution

Common mental disorders during pregnancy: prevalence and associated factors among low-income women in São Paulo, Brazil

Depression and Anxiety during Pregnancy

verfasst von: Alexandre Faisal-Cury, Paulo Menezes, Ricardo Araya, Marcelo Zugaib

Erschienen in: Archives of Women's Mental Health | Ausgabe 5/2009

Einloggen, um Zugang zu erhalten

Abstract

To estimate the prevalence of common mental disorders (CMD) and factors associated with these disorders among pregnant women of low socio-economic status (SES) in São Paulo. We performed a cross-sectional study with 831 women in their 20th to 30th weeks of pregnancy, who were attending antenatal clinics in primary care in São Paulo, Brazil. CMD were assessed with the Clinical Interview Schedule-Revised. Crude and adjusted prevalence ratios and 95%CI were calculated to examine the association between CMD and exposure variables. The prevalence of CMD was 20.2% (95%CI 17.5 to 23.0). Age at current pregnancy and at first delivery, current obstetric complications, not having friends in the community, living in a crowded household, lower occupational status and history of previous psychiatric treatment were all independently associated with increased prevalence of CMD. CMD is highly prevalent among pregnant women of low SES seen in primary care settings in São Paulo. A combination of distal and proximal psychosocial factors increase the risk for CMD. Primary health care professionals need to be aware of how common CMD in such settings and properly trained to deal with CMD during pregnancy.
Literatur
Abiodun OA, Adetoro OO, Ogunbode OO (1993) Psychiatric morbidity in a pregnant population in Nigeria. Gen Hosp Psychiatry 15:125–128PubMedCrossRef
Adewuya AO, Ola BA, Aloba OO, Dada AO, Fasoto OO (2007) Prevalence and correlates of depression in late pregnancy among Nigerian women. Depress Anxiety 24:15–21PubMedCrossRef
American Academy of Pediatrics (2000) Committee on Substance Abuse and Committee on children with disability. Fetal Alcohol syndrome and alcohol-related neurodevelopmental disorders. Pediatrics 106:358–361CrossRef
Andersson L, Sundström-Poromaa I, Bixo M, Wulff M, Bondestam K, Aström M (2003) Point prevalence of psychiatric disorders during the second trimester of pregnancy: a population–based study. Am J Obstet Gynecol 189:148–154PubMedCrossRef
Araya R, Rojas G, Fritsch R, Acuña J, Lewis G (2001) Common mental disorders in Santiago, Chile: Prevalence and socio- demographic correlates. Br J Psychiatry 178:228–233PubMedCrossRef
Araya R, Gaete J, Rojas G, Fritsch R, Lewis G (2007) Smoking and common mental disorders: a population-based survey in Santiago, Chile. Soc Psychiatry Psychiatr Epidemiol 42:874–80PubMedCrossRef
Austin MP, Leader L (2000) Maternal stress and obstetric and infant outcomes: epidemiological findings and neuroendocrine mechanisms. Aust NZ J Obstet Gynaecol 40:331–337CrossRef
Barros AJ, Hirakata VN (2003) Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol 20;3:21CrossRef
Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR (2004) Prevalence of depression during pregnancy: systematic review. Obstet Gynecol 103:698–709PubMed
Birndorf CA, Madden A, Portera L, Leon AC (2001) Psychiatric symptoms, functional impairment, and receptivity toward mental health treatment among obstetrical patients. Int J Psychiat Med 31:355–65CrossRef
Botega NJ, Pereira WA, Bio MR, Garcia Junior C, Zomignani MA (1995) Psychiatric morbidity among medical in-patient: a standardized assessment (GHQ-12 and CIS-R) made by “lay” interviewers in a Brazilian hospital. Soc Psychiatry Psychiatr Epidemiol 30:127–131PubMedCrossRef
Chang G, McNamara TK, Orav EJ, Koby D, Lavigne A, Ludman B, Vincitorio NA, Wilkins-Haug L (2005) Brief intervention for prenatal alcohol use: a randomized trial. Obstet Gynecol 105:991–998PubMed
Chen H, Chan YH, Tan KH, Lee T (2004) Depressive symptomatology in pregnancy. Soc Psychiatry Psychiatr Epidemiol 39:975–979PubMedCrossRef
Chung TKH, Lau TK, Yip ASK, Chiu HFK, Lee DTS (2001) Antepartum depressive symptomatology is associated with adverse obstetric and neonatal outcomes. Psychosom Med 63:830–834PubMed
Dayan J, Creveuil C, Herlicoviez M, Herbel C, Baranger E, Savoye C, Thouin A (2002) Role of anxiety and depression in the onset of spontaneous preterm labor. Am J Epidemiol 155:293–301PubMedCrossRef
Dole N, Savitz A, Hertz-Picciotto I, Siega-Riz AM, McMahon MJ, Buekens P (2003) Maternal stress and preterm birth. Am J Epidemiol 157:14–24PubMedCrossRef
England LJ, Kendrick JS, Wilson HG, Merritt RK, Gargiullo PM, Zahniser SC (2001) Effects of smoking reduction during pregnancy on the birth weight of term infants. Am L Epidemiol 154:694–701CrossRef
Evans J, Heron J, Francomb H, Oke S, Golding J (2001) Cohort study of depressed mood during pregnancy and after childbirth. BMJ 323:257–260PubMedCrossRef
Evans J, Heron J, Patel RR, Wiles N (2007) Depressive symptoms during pregnancy and low birth weight at term: longitudinal study. Br J Psychiatry 191:84–85PubMedCrossRef
Faisal-Cury A, Menezes PR (2007) Prevalence of anxiety and depression during pregnancy in a private setting sample. Arch Women Mental Health 10:25–32CrossRef
Ferri CP, Mitsuhiro SS, Barros MC, Chalem E, Guinsburg R, Patel V, Prince M, Laranjeira R (2007) The impact of maternal experience of violence and common mental disorders on neonatal outcomes: a survey of adolescent mothers in São Paulo, Brazil. BMC Public Health 7:209–218PubMedCrossRef
Goldberg D, Huxley P (1992) Common Mental Disorders: A Biopsychosocial Approach. Routledge, London
Gureje O, Lasebikan VO (2006) Use of mental health services in a developing country. Results from the Nigerian survey of mental health and well-being. Soc Psychiatry Psychiatr Epidemiol 41:44–49PubMedCrossRef
Halbreich U (2005) The association between pregnancy processes, preterm delivery, low birth weight, and postpartum depressions. The need for interdisciplinary integration. Am J Obstet Gynecol 193:1312–22PubMedCrossRef
Heron J, O’Connor TH, Evans J, Golding J, Glover V (2004) The course of anxiety and depression through pregnancy and the postpartum in a community sample. J Affect Disord 80:65–73PubMedCrossRef
Jacob KS, Bhugra D, Mann AH (1997) The validation of the 12-item General Health Questionnaire among ethnic Indian women living in the United Kingdom. Psychol Med 27:1215–1217PubMedCrossRef
Johnson RC, Slade P (2003) Obstetric complications and anxiety during pregnancy: is there a relationship? J Psychosom Obstet Gynecol 24:1–14CrossRef
Kelly RH, Zatzick DF, Anders TF (2001) The Detection and Treatment of Psychiatric Disorders and Substance Use Among Pregnant Women Cared for in Obstetrics. Am J Psych 158:213–219CrossRef
Kroeff LC, Mengue SS, Schimdt MI, Duncan BB, Favaretto ALF, Nucci LB (2004) Fatores associados ao fumo em gestantes avaliadas em cidades brasileiras. Rev Saude Publica 38:261–267PubMedCrossRef
Kurki T, Hiilesmaa V, Raitasalo R, Mattila H, Ylikorkala O (2000) Depression and anxiety in early pregnancy and risk for preeclampsia. Obstet Gynecol 95:487–490PubMedCrossRef
Lee DT, Chan SS, Sahota DS, Yip AS, Tsui M, Chung TK (2004) A prevalence study of antenatal depression among Chinese women. J Affect Disord 82:93–99PubMedCrossRef
Lewis G, Pelosi A, Araya R, Dunn G (1992) Measuring psychiatric disorder in the community: a standardised assessment for use by lay interviewers. Psychol Med 22:465–486PubMedCrossRef
Lima MS, Hotopf M, Mari JJ, Beria JU, De Bastos AB, Mann A (1999) Psychiatric disorder and the use of benzodiazepines: an example of the inverse care law from Brazil. Soc Psychiatry Psychiatr Epidemiol 34:316–322PubMedCrossRef
Limlomwongse N, Liabsuetrakul T (2006) Cohort study of depressive moods in Thai women during late pregnancy and 6–8 weeks of postpartum using the Edinburgh Postnatal Depression Scale (EPDS). Arch Womens Ment Health 9:131–138PubMedCrossRef
Lovisi GM, López JRA, Coutinho ESF, Patel V (2005) Poverty, violence and depression during pregnancy: a survey of mothers attending a public hospital in Brazil. Psychol Med 35:1485–1492PubMedCrossRef
Matthews S, Meaney MJ (2005) Maternal adversity, vulnerability and disease. In: Riecher-Rössler A, Steiner M (eds) Perinatal Stress, Mood and Anxiety Disorders: from bench to bedside. Karger, Basel
O’Hara MW, Swain AM (1996) Rates and risks of postpartum depression: a meta analysis. Int Rev Psychiatry 8:37–45CrossRef
Orr ST, James AS, Prince CB (2002) Maternal prenatal depressive symptoms and spontaneous preterm births among African-Americans women in Baltimore, Maryland. Am J Epidemiol 156:797–802PubMedCrossRef
Patel V, Kleinman A (2003) Poverty and common mental disorders in developing countries. Bull WHO 81:609–615PubMed
Patel V, Prince M (2006) Maternal psychological morbidity and low birth weight in India. Br J Psychiatry 168:284–285CrossRef
Patel V, Araya R, Lima M, Ludemir A, Todd A (1999) Women, poverty and common mental disorders in four restructuring societies. Soc Sci Med 49:1461–1471PubMedCrossRef
Patel V, Rodrigues M, DeSouza N (2002) Gender, poverty, and postnatal depression: a study of mothers in Goa, India. Am J Psychiatry 159:43–47PubMedCrossRef
Patel V, Araya R, Chowdhary N, King M, Kirkwood B, Nayak S, Simon G, Weiis HA (2008) Detecting common mental disorders in primary care in India: a comparison of five screening questionnaires. Psychol Med 38:221–228PubMedCrossRef
Pinheiro SN, Laprega MR, Furtado EF (2005) Psychiatric morbidity and alcohol use by pregnant women in a public obstetric service. Rev Saude Publica 39:593–598PubMedCrossRef
Rahman A, Iqbal Z, Harrington R (2003) Life events, social support and depression in childbirth: perspectives from a rural community in the developing world. Psychol Med 33:1161–1167PubMedCrossRef
Rahman A, Bunn J, Lovel H, Creed F (2007) Association between antenatal depression and lowbirthweight in a developing country. Acta Psychiatr Scan 115:481–486CrossRef
Riecher-Rössler A, Rohde A (2005) Diagnostic classification of perinatal mood disorders. In: Riecher-Rössler A, Steiner M (eds) Perinatal Stress, Mood and Anxiety Disorders: from bench to bedside. Karger, Basel
Rigotti NA, Park ER, Regan S, Chang Y, Perry K, Loudin B, Quinn V (2006) Efficacy of telephone counselling for pregnant smokers: a randomized controlled trial. Obstet Gynecol 108:83–92PubMed
Seguin L, Potvin L, STDenis M, Loiselle J (1995) Chronic stressors, social support, and depression during pregnancy. Obstet Gynecol 85:583–589PubMedCrossRef
Shen YC, Zhang MY, Huang YQ, He YL, Liu ZR, Cheng H, Tsang A, Lee S, Kessler RC (2006) Twelve-month prevalence, severity, and unmet need for treatment of mental disorders in metropolitan China. Psychol Med 36:257–267PubMedCrossRef
Smith MV, Rosenheck RA, Cavaleri MA, Howell HB, Poschman K, Yonkers KA (2004) Screening for and detection of depression, panic disorder, and PTSD in public-sector obstetric clinics. Psychiatr Serv 55:407–414PubMedCrossRef
StataCorp. Stata Statistical software. Stata Corporation, 2005
Susan JA, Sterling KC, Ruth EL, Paul DS, Janet RD (1992) Analysis of facials shape in children gestationally exposed to marijuana, alcohol, and/or cocaine. Pediatrics 89:67–77
WHO (2004) Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 291:2581–2590CrossRef
Metadaten
Titel
Common mental disorders during pregnancy: prevalence and associated factors among low-income women in São Paulo, Brazil
Depression and Anxiety during Pregnancy
verfasst von
Alexandre Faisal-Cury
Paulo Menezes
Ricardo Araya
Marcelo Zugaib
Publikationsdatum
01.10.2009
Verlag
Springer Vienna
Erschienen in
Archives of Women's Mental Health / Ausgabe 5/2009
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-009-0081-6

Weitere Artikel der Ausgabe 5/2009

Archives of Women's Mental Health 5/2009 Zur Ausgabe

Original Contribution

Two types of classification in female alcoholism

Original Contribution

“One end has nothing to do with the other:” Patient attitudes regarding help seeking intention for depression in gynecologic and obstetric settings

Original Contribution

Antenatal depression and suicidal ideation among rural Bangladeshi women: a community-based study

Original Contribution

Postpartum depression, suicidality, and mother-infant interactions

Original Article

Measuring hypomania in the postpartum: a comparison of the Highs Scale and the Altman Mania Rating Scale

Book Review

Menstrual psychosis and the catamenial process

Neu in den Fachgebieten Neurologie und Psychiatrie

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Frühe Alzheimertherapie lohnt sich

25.04.2024 AAN-Jahrestagung 2024 Nachrichten

Ist die Tau-Last noch gering, scheint der Vorteil von Lecanemab besonders groß zu sein. Und beginnen Erkrankte verzögert mit der Behandlung, erreichen sie nicht mehr die kognitive Leistung wie bei einem früheren Start. Darauf deuten neue Analysen der Phase-3-Studie Clarity AD.

Viel Bewegung in der Parkinsonforschung

25.04.2024 Parkinson-Krankheit Nachrichten

Neue arznei- und zellbasierte Ansätze, Frühdiagnose mit Bewegungssensoren, Rückenmarkstimulation gegen Gehblockaden – in der Parkinsonforschung tut sich einiges. Auf dem Deutschen Parkinsonkongress ging es auch viel um technische Innovationen.

Bildnachweise