Depressão antenatal e suicidabilidade: estudo de amostra de gestantes com alto e baixo risco obstétrico

• Ano de defesa: 2013
• Autor(a) principal: Tiago Castro e Couto
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; UFMG
• Palavras-chave em Português: MINI; Depressão antenatal; BDI; Prevalência; EPDS; Fatores de risco; Suicidabilidade; Risco obstétrico; Mães/psicologia; Depressão; Depressão mental; Saúde da mulher; Saúde mental; Cuidado pré-natal; Serviços de saúde materna; Brasil; Depressão/epidemiologia; Depressão/psicologia; Complicações na gravidez; Gravidez; Suicídio/tendências
• Link de acesso: http://hdl.handle.net/1843/BUOS-9DUG9F

Major Depression is a common psychiatric disorder during the women' reproductive cycle. Such prevalence allows it to manifest while those women are pregnant, situation that has been called Antenatal Depression. This circumstance generates important consequences, since besides the "stress" in which the binomial motherbaby is subjected there are some therapeutic particularities that stand out. A cohort of one hundred and eighty women subjects that attended to the prenatal care at the Clinics Hospital of the Federal University of Minas Gerais had its data analyzed in this study. It was filled in a semi-structured interview with questions made by the researchers; a structured psychiatric interview (MINI Plus 5.0); depressive symptoms questionnaires: the Edinburgh Postpartum Depression Scale and Beck Depression Inventory. Those data were collected in the second and third gestational trimesters. The respective Antenatal Depression prevalence, for the second and third trimesters, 27,95% / 16,66% (BDI); 25,53% / 8,75% (EPDS) and 19,05% / 13,76% (MINI) were found. Antenatal Depression risk factors were: previous history of being abused (p=0,007), larger number of sons (p=0,011), Premenstrual Dysphoric Disorder (p=0,021), lower socioeconomic level (p=0,003) and previous Major Depression (p<0.001). The first three factors only at the second trimester; the fourth factor only at the third trimester; and the last one in both trimesters. As well as prenatal support was a protective factor (p=0,038) in the second trimester. The influence of the obstetric risk on the Antenatal Depression differs if it is perceived or objective. Only perceived risk has demonstrated an association with mood disorder (p=0,017), nevertheless, solely at the second trimester. Suicidality also reduces its rates thorough gestation. The rates for the second and third trimesters are: 14,29% and 5,6% (BDI'9); 21,28% and 10% (EPDS'10); 23,12% e 17,86% (C - MINI). Only the first two instruments achieved statistically significance (p<0,05) in non-paired samples. There is an association between Antenatal Depression and suicidality for all the instruments used (previous suicide attempt; items 9 of the BDI, 10 of the EPDS and C - MINI) in the second trimester and only the last two in the third trimester. Overall, suicidality invariably presents higher values when the obstetric risk, perceived or objective, is high. In conclusion, this study supports the notion that Antenatal Depression and suicidality suffer several influences and those can have a different impact depending on the variables involved. It is encouraged independent replications in larger samples and further investigation on postpartum outcomes implications.