Professional Master's Program in Perinatal Health, Maternidade Escola da UFRJ (ME-UFRJ), Rio de Janeiro, RJ, Brazil.
Professional Master's Program in Perinatal Health, ME-UFRJ; Postgraduate Program in Psychology, Instituto de Psicologia da UFRJ, Rio de Janeiro, RJ, Brazil.
Rev Bras Ginecol Obstet. 2022 Feb;44(2):109-117. doi: 10.1055/s-0042-1742682. Epub 2022 Feb 25.
To analyze the prevalence and factors associated with depressive symptoms among Brazilian pregnant women with history of bariatric surgery (BS).
This is a cohort study with 247 women who got pregnant after BS. Based on data collection via Google Form, the recruitment of participants occurred in Facebook groups for 13 months. All of them answered a form with Informed Consent, a general data protocol and the Brazilian version of the Depression, Anxiety and Stress Scale-21. Descriptive and inferential analysis were performed, and a binary logistic regression model was tested to predict the factors associated with depressive symptoms.
The prevalence of depressive symptoms was 32.8%, noted as being higher in the first (40.6%) and third (34.3%) gestational trimesters. Significative associations were found between depression and marital status ( = 0.000), planned pregnancy ( = 0.001), desired pregnancy ( = 0.004) and psychiatric history ( = 0.000). Women who were not married (odds ratio, OR = 3,38; = 0.002) and had a psychiatric history (OR = 2.70; = 0.102) had higher chances of showing depression symptoms; while planned and desired pregnancy showed as protective factors to the symptoms of depression.
These findings highlight the importance of psychological assistance for pregnant women with history of BS, to prevent development of mental disorders and their outcomes for maternal-child health.
分析巴西有减重手术（BS）史的孕妇抑郁症状的流行情况及相关因素。
这是一项队列研究，纳入了 247 名 BS 后怀孕的女性。通过谷歌表格收集数据，在 Facebook 群组中招募参与者，持续了 13 个月。所有参与者均回答了知情同意书、一般数据协议和巴西版抑郁、焦虑和压力量表 21 问卷。进行描述性和推断性分析，并测试二元逻辑回归模型以预测与抑郁症状相关的因素。
抑郁症状的患病率为 32.8%，在第一（40.6%）和第三（34.3%）妊娠 trimester 中更高。抑郁与婚姻状况（ = 0.000）、计划妊娠（ = 0.001）、期望妊娠（ = 0.004）和精神病史（ = 0.000）显著相关。未结婚的女性（优势比，OR = 3.38； = 0.002）和有精神病史的女性（OR = 2.70； = 0.102）出现抑郁症状的几率更高；而计划妊娠和期望妊娠是抑郁症状的保护因素。
这些发现强调了对有 BS 史的孕妇进行心理援助的重要性，以预防精神障碍及其对母婴健康的影响。
