Falcone Vanda Mafra, Mäder Custódia Virginia de Nóbrega, Nascimento Christianne Freitas Lima, Santos Joacira Mota Matos, de Nóbrega Fernando José
Centro de Promoção e Atenção à Saúde, Instituto de Ensino e Pesquisa, Hospital Albert Einstein, São Paulo, SP, Brasil.
Rev Saude Publica. 2005 Aug;39(4):612-8. doi: 10.1590/s0034-89102005000400015. Epub 2005 Aug 16.
To identify non-psychotic affective disorders in pregnant women, to intervene by means of psychoprophylactic groups, and to evaluate possible alterations following intervention.
One-hundred and three pregnant women (71 adults and 32 adolescents) were seen at a community program in the Paraisópolis neighborhood in the city of Sao Paulo, southeastern Brazil. We used the following instruments: Self Reporting Questionnaire and Beck Depression Inventory. Ten weekly two-hour meetings were held, addressing the link between mother and fetus and subjects related to mother and child, and answering mother's doubts. We used the chi-squared test (chi2) to compare mental health before and after the intervention, with a significance level of p<0.05.
Affective disorders were found in 45 pregnant women (43.7%) before the intervention and in 23 (22.3%) after the intervention. The impact of the intervention on affective disorders was statistically significant (p=0.001). Twenty-one women (20.4%) showed depression before the intervention, and 13 (12.6%) after the intervention, a non-significant difference (p=0.133).
Multiprofessional care can prevent, detect, and treat affective disorders during pregnancy in both adults and adolescents.
识别孕妇中的非精神病性情感障碍,通过心理预防小组进行干预,并评估干预后可能出现的变化。
在巴西东南部圣保罗市帕拉伊索波利斯社区项目中,对103名孕妇(71名成年人和32名青少年)进行了观察。我们使用了以下工具:自陈问卷和贝克抑郁量表。每周举行10次两小时的会议,讨论母婴之间的联系以及与母婴相关的主题,并解答母亲们的疑问。我们使用卡方检验(chi2)比较干预前后的心理健康状况,显著性水平为p<0.05。
干预前45名孕妇(43.7%)存在情感障碍,干预后23名(22.3%)存在情感障碍。干预对情感障碍的影响具有统计学意义(p=0.001)。21名女性(20.4%)在干预前表现出抑郁,干预后13名(12.6%)表现出抑郁,差异无统计学意义(p=0.133)。
多专业护理可以预防、检测和治疗成年人及青少年孕期的情感障碍。