¿SON LAS MUJERES EMBARAZADAS EN RIESGO DE SUICIDIO MÁS PROBABLES DE ABUSAR EL ALCOHOL Y EL TABACO?

2020 ◽  
Author(s):  
Carolina Coelho Scholl ◽  
◽  
Jéssica Puchalski Trettim ◽  
Gabriela Kurz da Cunha ◽  
Bárbara Borges Rubin ◽  
...  
Keyword(s):  
Postnatal Depression ◽  
Screening Test ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Mini International Neuropsychiatric Interview ◽  
Salud Mental ◽  
Las Mujeres ◽  
Uso De Sustancias ◽  
Substance Involvement

Objetivo: Verificar la relación entre el riesgo de suicidio y el abuso de alcohol y tabaco durante el embarazo. Materiales y métodos: Estudio transversal con mujeres embarazadas entre los dos primeros trimestres gestacionales. La muestra fue elegida por sorteo de 50% (n=244) de los sectores censales en el área urbana de una ciudad en el sur de Brasil. Los instrumentos utilizados fueron la Mini International Neuropsychiatric Interview 5.0.0 (M.I.N.I. Plus), la Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), la Edinburgh Postnatal Depression Scale (EPDS) y la Escala Brasileira de Insegurança Alimentar (EBIA). Esas que estaban en riesgo de suicidio y/o abuso/dependencia del alcohol fueron derivadas al servicio de salud apropiado y aquellas que demostraron abuso/dependencia del tabaco recibieron orientación sobre el daño del uso de esta sustancia durante el embarazo. El proyecto de investigación fue aprobado por el Comité de Ética de Investigación de la Universidad y todas las participantes firmaron un formulario de consentimiento. El estudio está financiado por la Fundación Bill y Melinda Gates. Los análisis univariados se realizaron con frecuencia simple y relativa, media y desviación estándar. Para los análisis bivariados y multivariados, se utilizaron las pruebas de chi-cuadrado, ANOVA y regresión logística, respectivamente. Resultados y conclusiones: Participaron en el estudio 981 mujeres embarazadas. La prevalencia del abuso de alcohol fue de 8.6% (n=84) y el abuso de tabaco fue de 16.2% (n=158). Después de la regresión logística, las mujeres embarazadas con menos educación (OR 7.85; IC95% 2.94-20.92), de clase económica baja (OR 2.80; IC95% 1.44-5.42), con inseguridad alimentaria (OR 1.72; IC95% 1.16-2.55) y con riesgo de suicidio (OR 1.95; IC95% 1.21-3.16) tenían más probabilidades de ser dependientes del tabaco. Este resultado resalta la necesidad de una buena atención prenatal, incluida la atención especial al uso de sustancias y la salud mental de la mujer embarazada.

1035325 Analisis Faktor Penyebab Terjadinya Post Partum Blues dengan Skrining Edinburgh Postnatal Depression Scale (EPDS)

2019 ◽  
Vol 9 (2) ◽  
pp. 126-136
Author(s):  
Adriani
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Post Partum ◽  
Depression Scale ◽  
Cross Sectional ◽  
Postpartum Blues

Abstrak Perubahan peran seorang wanita menjadi seorang ibu tidaklah selalu berupa hal yang menyenangkan saja bagi pasangan suami istri, kadang kala terjadi terjadi konflik baik didalam diri wanita tersebut maupun konflik dengan suami. Jika perhatian terhadap keadaan psikologis ibu post partum kurang maka dapat menyebabkan ibu akan cenderung untuk mencoba mengatasi permasalahannya atau ketidaknyamanannya tersebut sendiri, keadaan ini jika dibiarkan saja dapat menyebabkan ibu post partum mengalami postpartum blues. Di Indonesia, diperkirakan terdapat 50-70% ibu pasca melahirkan mengalami postpartum blues pada hari 4-10. Penelitian ini menggunakan survey analitik dengan desain penelitian cross sectional, dengan jumlah sampel sebanyak 160 orang. Data diambil menggunakan kuesioner yang ditampilkan dalam analisa univariat dan bivariat menggunakan sistem komputerisasi SPSS. Hasil penelitian yaitu ada hubungan antara pendidikan ibu (p 0,013), pekerjaan ibu (p 0,013), dukungan suami (p 0,021), pendapatan keluarga dengan kejadian post partum blues (p 0,000) dan tidak ada hubungan antara paritas ibu (p 0,199), umur ibu (p 0,391), dan riwayat PMS (p 0,087) dengan kejadian post partum blues. Diharapkan bagi peneliti untuk dapat melanjutkan penelitian dengan variabel yang lebih bergam dan diharapkan bagi para tenaga kesehatan agar dapat meningkatkan pelayanan terutama dalam pemberian dukungan pada ibu masa post partum, sehingga mengurangi resiko ibu mengalami postpartum blues. Kata kunci : Postpartum blues, pendidikan, pekerjaan, dukungan suami, riwayat PMS

scholarly journals A clinical study of postpartum depression and its association with postnatal factors

2018 ◽  
Vol 7 (6) ◽  
pp. 2120
Author(s):  
Poonam Mathur ◽  
Rahul Mathur ◽  
Archana Singh
Keyword(s):  
Postpartum Depression ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Physical Change ◽  
Perinatal Factors ◽  
Adverse Perinatal Outcome ◽  
Multiple Factors ◽  
Poor Concentration ◽  
Postnatal Factors

Background: The postpartum period is a time of tremendous emotional and physical change for most women as they adapt to new roles and alteration in their physiology. Postpartum depression has seen its rise lately. Multiple factors might be responsible for causation. Symptoms include depression, tearfulness, emotional liability, guilt, anorexia, sleep disorders, feeling inadequate, detachment from the baby, poor concentration, forgetfulness, fatigue, and irritability.Methods: We have conducted a study in 225 postpartum females and assessed them for depression and associated postnatal depression. The 10-question Edinburgh Postnatal Depression Scale (EPDS) was used for assessing depression.Results: Depression was evaluated as 6%. It was also found that 2% mothers with IUD babies developed postnatal depression. 1.33% cases with babies having congenital anomaly developed postnatal depression. 1.33% cases with babies having nursery admission developed postnatal depression.  This has been correlated with many other studies.Conclusions: It is found that perinatal factors do affect postnatal depression as it is found in mothers who have an adverse perinatal outcome. Further research is implicated in this field.

scholarly journals Depressão pós-parto e percepção de suporte social durante a gestação

2011 ◽  
Vol 33 (2) ◽  
pp. 76-79 ◽  
Author(s):  
Caroline Elizabeth Konradt ◽  
Ricardo Azevedo da Silva ◽  
Karen Jansen ◽  
Daniela Martins Vianna ◽  
Luciana de Avila Quevedo ◽  
...  
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale

OBJETIVO: Verificar o impacto da percepção de baixo suporte social durante a gestação como fator de risco para a depressão no período de 30 a 60 dias pós-parto. MÉTODO: Este estudo de coorte teve como população-alvo gestantes atendidas no Sistema Único de Saúde na cidade de Pelotas (RS). Para avaliar depressão pós-parto, foi utilizada a Edinburgh Postnatal Depression Scale (EPDS). Foram consideradas deprimidas as parturientes que atingiram ≥ 13 pontos na escala. RESULTADOS: Das 1.019 mulheres avaliadas, 168 (16,5%) apresentaram depressão pós-parto. Aquelas que não receberam suporte do companheiro (p = 0,000), de familiares (p = 0,000) e de amigos (p = 0,000) demonstraram maior risco de ter depressão pós-parto. CONCLUSÃO: Nossos achados sugerem que a percepção de suporte social durante a gravidez pode ser um fator protetor para a depressão pós-parto.

scholarly journals Factor Structure of the Edinburgh Postnatal Depression Scale in a Sample of Postpartum Slovak Women

2021 ◽  
Vol 18 (12) ◽  
pp. 6298
Author(s):  
Zuzana Škodová ◽  
Ľubica Bánovčinová ◽  
Eva Urbanová ◽  
Marián Grendár ◽  
Martina Bašková
Keyword(s):  
Factor Structure ◽  
Postnatal Depression ◽  
Convergent Validity ◽  
Edinburgh Postnatal Depression Scale ◽  
Negative Impact ◽  
Depression Scale ◽  
Depression Symptoms ◽  
Three Dimensional Model

Background: Postpartum depression has a negative impact on quality of life. The aim of this study was to examine the factor structure and psychometric properties of the Slovak version of the Edinburgh Postnatal Depression Scale (EPDS). Methods: A paper and pencil version of the 10-item EPDS questionnaire was administered personally to 577 women at baseline during their stay in hospital on the second to fourth day postpartum (age, 30.6 ± 4.9 years; 73.5% vaginal births vs. 26.5% operative births; 59.4% primiparas). A total of 198 women participated in the online follow-up 6–8 weeks postpartum (questionnaire sent via e-mail). Results: The Slovak version of the EPDS had Cronbach’s coefficients of 0.84 and 0.88 at baseline (T1) and follow-up, respectively. The three-dimensional model of the scale offered good fit for both the baseline (χ2(df = 28) = 1339.38, p < 0.001; CFI = 0.99, RMSEA = 0.02, and TLI = 0.99) and follow-up (χ2(df = 45) = 908.06, p < 0.001, CFI = 0.93, RMSEA = 0.09, and TL = 0.90). A risk of major depression (EPDS score ≥ 13) was identified in 6.1% in T1 and 11.6% in the follow-up. Elevated levels of depression symptoms (EPDS score ≥ 10) were identified in 16.7% and 22.7% of the respondents at baseline and follow-up, respectively. Conclusions: The Slovak translation of the EPDS showed good consistency, convergent validity, and model characteristics. The routine use of EPDS can contribute to improving the quality of postnatal health care.

Drawing the line in the Edinburgh Postnatal Depression Scale (EPDS): a vital decision

2011 ◽  
Vol 23 (1) ◽  
Author(s):  
Dagmar Lagerberg ◽  
Margaretha Magnusson ◽  
Claes Sundelin
Keyword(s):  
Positive Predictive Value ◽  
Predictive Value ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Child Interaction ◽  
Mother Child Interaction ◽  
Problem Behaviours ◽  
Low Sensitivity ◽  
Sensitivity Specificity

Abstract Background: The Edinburgh Postnatal Depression Scale (EPDS) is widely used in early child health care. This study examined the appropriateness of the recommended EPDS cut-off score 11/12. Methods: Two main analyses were performed: 1. Associations between EPDS scores and maternal health behaviour, stress, life events, perceived mother-child interaction quality and child behaviour. 2. Screening parameters of the EPDS, i.e., sensitivity, specificity and positive predictive value. EPDS scores were available for 438 mothers and maternal questionnaires for 361 mothers. Results: Already in the EPDS score intervals 6–8 and 9–11, there were notable adversities, according to maternal questionnaires, in stress, perceived quality of mother-child interaction, perceived child difficultness and child problem behaviours. Using maternal questionnaire reports about sadness/distress postpartum as standard, the recommended EPDS cut-off score 11/12 resulted in a very low sensitivity (24%). The cut-off score 6/7 yielded a sensitivity of 61%, a specificity of 82% and a positive predictive value of 61%. Conclusions: In terms of both clinical relevance and screening qualities, an EPDS cut-off score lower than 11/12 seems recommendable.

scholarly journals Validation of the Edinburgh postnatal depression scale (EPDS) for screening of major depressive episode among adults from the general population

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Alicia Matijasevich ◽  
Tiago N Munhoz ◽  
Beatriz Franck Tavares ◽  
Ana Paula Pereira Neto Barbosa ◽  
Diego Mello da Silva ◽  
...  
Keyword(s):  
General Population ◽  
Depressive Episode ◽  
Postnatal Depression ◽  
Major Depressive Episode ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Major Depressive
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