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do Amaral CC, Nedel F, Ferrúa CP, Garcia TF, Corrêa GP, Giorgi R, Longoni dos Santos A, de Assis AM, de Avila Quevedo L, Ghisleni GC, de Matos MB, Pinheiro KAT, Trettim JP, Pinheiro RT. Maternal hsa-miR-423-5p associated with the cognitive development of babies in pregnant women without mental disorders. Front Hum Neurosci 2024; 18:1322820. [PMID: 38487105 PMCID: PMC10937415 DOI: 10.3389/fnhum.2024.1322820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 02/13/2024] [Indexed: 03/17/2024] Open
Abstract
Background MicroRNAs (miRNAs) are small non-coding RNAs capable of regulating gene expression post-transcriptionally. MiRNAs are recognized as key regulators of diverse biological and developmental processes. During the pregnancy-puerperal cycle, numerous changes occur in the female body for the formation, growth, and development of the baby. After birth, there is a critical period in child development, as rapid gains in the physical, cognitive, and socio-emotional domains constitute the "building blocks" of children's later growth. Objective The aim of this study was to investigate the association between maternal expression of hsa-miR-423-5p during the first and second trimesters of pregnancy and neurocognitive development at 90 days of life in infants. Methods: This is a longitudinal study included in a population-based cohort study, carried out in a city in southern Brazil. The Bayley III was used to assess the babies' cognitive development. Blood samples from mothers were obtained for RNA extraction from serum and analysis of miRNA expression by qRT-PCR. Results In total, 87 dyads (mother-baby) were included. The average gestational age was 15.86 weeks (SD ± 5.55). An association of maternal miRNA with infant cognitive development was found; as maternal miR-423-5p increases, infants' cognitive development increases by 2.40 (95% CI 0.37; 4.43, p = 0.021) points at 3 months of age. Conclusion In this context, it is suggested to use this miRNA as a biomarker of child neurocognitive development detectable in the prenatal period, thus allowing the planning of early interventions.
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Affiliation(s)
- Cainá Corrêa do Amaral
- Post-Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil
| | - Fernanda Nedel
- Anatomy Department, Federal University of Pelotas, Pelotas, Brazil
| | - Camila Perelló Ferrúa
- Post-Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil
| | - Tiago Fernandez Garcia
- Post-Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil
| | | | - Roberta Giorgi
- Post-Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil
| | | | | | | | | | - Mariana Bonati de Matos
- Post-Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil
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Zago AC, Trettim JP, Rubin BB, Scholl CC, Coelho FT, Ulguim F, Pinheiro LMDS, de Matos MB, Pinheiro RT, Quevedo LDA. Early motor development: risk factors for delay in a population study in Southern Brazil. Rev Saude Publica 2023; 57:59. [PMID: 37878845 PMCID: PMC10519674 DOI: 10.11606/s1518-8787.2023057004991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Accepted: 11/25/2022] [Indexed: 10/27/2023] Open
Abstract
OBJECTIVE To assess risk factors associated with motor development delay at three months of age. METHODS Cross-sectional study with mothers and their three-month-old babies in Southern Brazil. The Bayley-III Scale of Infant and Toddler Development (BSID-III) and the Alberta Infant Motor Scale (AIMS) were used to assess motor development. RESULTS We evaluated 756 mothers and their three-month-old babies. The overall mean motor development assessed by the BSID-III and the AIMS was 104.7 (SD 13.5) and 55.4 (SD 25.4), respectively. When assessed by the BSID-III, the lowest motor development scores were among babies born by cesarean delivery (p = 0.002), prematurely (p < 0.001), and with low birth weight (p < 0.001). When assessed by the AIMS, babies born prematurely (p = 0.002) and with low birth weight (p=0.004) had the lowest motor development means. After a cluster analysis, we found that babies born by cesarean delivery, with low birth weight, and prematurely had more impaired motor development compared with children born without any risk factors. CONCLUSION Identifying risk factors allows the implementation of early interventions to prevent motor development delay and, therefore, reduce the probability of other future problems.
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Affiliation(s)
- Ana Carolina Zago
- Universidade Católica de PelotasPrograma de Pós-Graduação em Saúde e ComportamentoPelotasRSBrasilUniversidade Católica de Pelotas. Programa de Pós-Graduação em Saúde e Comportamento. Pelotas, RS, Brasil.
- Centro Universitário da Região da CampanhaBagéRSBrasilCentro Universitário da Região da Campanha. Bagé, RS, Brasil.
| | - Jéssica Puchalski Trettim
- Universidade Católica de PelotasPrograma de Pós-Graduação em Saúde e ComportamentoPelotasRSBrasilUniversidade Católica de Pelotas. Programa de Pós-Graduação em Saúde e Comportamento. Pelotas, RS, Brasil.
| | - Bárbara Borges Rubin
- Universidade Católica de PelotasPrograma de Pós-Graduação em Saúde e ComportamentoPelotasRSBrasilUniversidade Católica de Pelotas. Programa de Pós-Graduação em Saúde e Comportamento. Pelotas, RS, Brasil.
| | - Carolina Coelho Scholl
- Universidade Católica de PelotasPrograma de Pós-Graduação em Saúde e ComportamentoPelotasRSBrasilUniversidade Católica de Pelotas. Programa de Pós-Graduação em Saúde e Comportamento. Pelotas, RS, Brasil.
| | - Fernanda Teixeira Coelho
- Universidade Católica de PelotasPrograma de Pós-Graduação em Saúde e ComportamentoPelotasRSBrasilUniversidade Católica de Pelotas. Programa de Pós-Graduação em Saúde e Comportamento. Pelotas, RS, Brasil.
| | - Fernanda Ulguim
- Universidade Católica de PelotasPrograma de Pós-Graduação em Saúde e ComportamentoPelotasRSBrasilUniversidade Católica de Pelotas. Programa de Pós-Graduação em Saúde e Comportamento. Pelotas, RS, Brasil.
| | - Luísa Mendonça de Souza Pinheiro
- Universidade Católica de PelotasPrograma de Pós-Graduação em Saúde e ComportamentoPelotasRSBrasilUniversidade Católica de Pelotas. Programa de Pós-Graduação em Saúde e Comportamento. Pelotas, RS, Brasil.
| | - Mariana Bonati de Matos
- Universidade Católica de PelotasPrograma de Pós-Graduação em Saúde e ComportamentoPelotasRSBrasilUniversidade Católica de Pelotas. Programa de Pós-Graduação em Saúde e Comportamento. Pelotas, RS, Brasil.
| | - Ricardo Tavares Pinheiro
- Universidade Católica de PelotasPrograma de Pós-Graduação em Saúde e ComportamentoPelotasRSBrasilUniversidade Católica de Pelotas. Programa de Pós-Graduação em Saúde e Comportamento. Pelotas, RS, Brasil.
| | - Luciana de Avila Quevedo
- Universidade Católica de PelotasPrograma de Pós-Graduação em Saúde e ComportamentoPelotasRSBrasilUniversidade Católica de Pelotas. Programa de Pós-Graduação em Saúde e Comportamento. Pelotas, RS, Brasil.
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Farias CP, Soares PSM, Barros FC, Menezes AMB, Gonçalves H, Wehrmeister FC, Pinheiro RT, Quevedo LDA, Horta BL. [Birth conditions and attention deficit/hyperactivity disorders (ADHD) in adults in the Pelotas (Brazil) birth cohorts of 1982 and 1993]. CAD SAUDE PUBLICA 2023; 39:e00138122. [PMID: 37820233 PMCID: PMC10566560 DOI: 10.1590/0102-311xpt138122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 05/15/2023] [Accepted: 05/22/2023] [Indexed: 10/13/2023] Open
Abstract
This study evaluates the association of birth conditions with attention deficit/hyperactivity disorders (ADHD) in adults using data from two birth cohorts in the city of Pelotas Rio Grande do Sul State, Brazil. In 1982 and 1993 all births in the city were identified and have been prospectively monitored. In the follow-ups at 30 and 22 years of the 1982 (n = 3,574) and 1993 (n = 3,780) cohorts, respectively, participants were examined, and trained psychologists applied the Mini-International Neuropsychiatric Interview (M.I.N.I.). Those individuals who met the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnostic criteria were defined as positive for ADHD. Poisson regression with robust variance adjustment was used to estimate the prevalence ratio (PR) adjusted for sex, maternal skin color, family income, maternal age, maternal schooling during pregnancy, maternal marital status, parity, and maternal smoking during pregnancy. The prevalence of adult ADHD was 4.4% and 4.5% in the 1982 and 1993 cohorts, respectively. The prevalence of ADHD was higher in those born with lower weight, but no linear trend was observed, and those born with weight between 3,000 and 3,499 grams (PR = 1.40; 95%CI: 1.05-1.86) had the highest risk. For gestational age, we observed an inversely proportional relationship for the presence of ADHD: preterm infants had a 33% higher risk (95%CI: 0.90-1.96) of being considered as having ADHD than those born at 39 or more weeks, but as the confidence interval included nullity, this association may have occurred at random. These results indicate that birth weight and gestational age may be associated with adult ADHD.
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Gastaud LM, Trettim JP, Scholl CC, Rubin BB, Coelho FT, Krause GB, Ferreira NM, de Matos MB, Pinheiro RT, de Avila Quevedo L. Screen time: Implications for early childhood cognitive development. Early Hum Dev 2023; 183:105792. [PMID: 37352820 DOI: 10.1016/j.earlhumdev.2023.105792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 05/22/2023] [Accepted: 05/22/2023] [Indexed: 06/25/2023]
Abstract
BACKGROUND Exposure and introduction to digital media, especially in children, are a current cause for concern. The negative links associated with early screen exposure are extensive. AIMS To evaluate the association between the time of exposure to a screen in children at 18 months of age and cognitive development in a population-based sample in Southern Brazil. STUDY DESIGN This was a cross-sectional study corresponding to the fourth wave of a population-based cohort study with pregnant women and later, their children living in the city of Pelotas, Southern Brazil. SUBJECTS The sample consisted of 470 children who completed the cognitive assessment. OUTCOME MEASURES Cognitive development was assessed using the Bayley Scales of Infant Development - Third Edition (BSID-III). Exposure to screen time was assessed using a questionnaire completed by the primary caregiver. RESULTS Of the total, 58.8 % of the children had ≥1 h of screen time per day and the average on the cognitive scale of the entire sample was 96.1 (SD = 14.0). Cognitive development was lower in children whose mothers had lower levels of education (CI 95 % -4.9; -2.1), where boys (CI 95 % 3.2; 8.4) and in children exposed to 2 h or more of screen time/day (CI 95 % -3.6; -0.5). CONCLUSIONS Exposure to screens may have a significant negative association with children's cognitive development and, therefore, we seek to intervene and to give advice to parents and guardians about the true impact of digital media. Further studies are necessary to consolidate the findings and to disclose information on the topic.
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Affiliation(s)
- Luiza Morrone Gastaud
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 373/411, 96015-560 Pelotas, RS, Brazil
| | - Jéssica Puchalski Trettim
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 373/411, 96015-560 Pelotas, RS, Brazil
| | - Carolina Coelho Scholl
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 373/411, 96015-560 Pelotas, RS, Brazil
| | - Bárbara Borges Rubin
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 373/411, 96015-560 Pelotas, RS, Brazil
| | - Fernanda Teixeira Coelho
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 373/411, 96015-560 Pelotas, RS, Brazil
| | - Gabriel Blank Krause
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 373/411, 96015-560 Pelotas, RS, Brazil
| | - Natasha Mayer Ferreira
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 373/411, 96015-560 Pelotas, RS, Brazil
| | - Mariana Bonati de Matos
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 373/411, 96015-560 Pelotas, RS, Brazil
| | - Ricardo Tavares Pinheiro
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 373/411, 96015-560 Pelotas, RS, Brazil.
| | - Luciana de Avila Quevedo
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 373/411, 96015-560 Pelotas, RS, Brazil
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da Silva Schmidt PM, Trettim JP, Longoni A, Grings M, de Matos MB, de Avila Quevedo L, Ardais AP, Nedel F, Ghisleni G, Leipnitz G, Pinheiro RT, de Assis AM. Can glutathione be a biomarker for suicide risk in women 18 months postpartum? Front Psychiatry 2023; 14:1142608. [PMID: 36846227 PMCID: PMC9948031 DOI: 10.3389/fpsyt.2023.1142608] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 01/26/2023] [Indexed: 02/11/2023] Open
Abstract
BACKGROUND Suicide risk is prominent among the problems affecting populations, mainly due to the broad family, psychosocial and economic impact. Most individuals at suicidal risk have some mental disorder. There is considerable evidence that psychiatric disorders are accompanied by the activation of neuro-immune and neuro-oxidative pathways. The aim of the study is to evaluate the serum levels of oxidative stress biomarkers in women at risk of suicide after 18 months of postpartum. METHODS This is a case-control study, nested within a cohort study. From this cohort, 45 women [15 without mood disorders and 30 with mood disorders (Major depression and Bipolar disorder)] were selected at 18 months postpartum, the depression and suicide risk were assessed using the Mini-International Neuropsychiatric Interview Plus (MINI-Plus) instrument, module A and C, respectively. Blood was collected and stored for later analysis of the reactive species (DCFH), superoxide dismutase (SOD), and glutathione reduced (GSH). For data analysis, the SPSS program was used. To compare the nominal covariates with the outcome GSH levels, the Student's t-test or analysis of variance (ANOVA) was used. Spearman's correlation was performed for analysis between the quantitative covariates and the outcome. To analyze the interaction between the factors, multiple linear regression was performed. Bonferroni analysis was used as an additional/secondary result to visualize differences in glutathione levels according to risk severity. After the adjusted analysis, p-values < 0.05 were considered statistically significant. RESULTS The percentage of suicide risk observed in our sample of women at 18 months postpartum was 24.4% (n = 11). After adjusting for the independent variables, only the presence of suicide risk remained associated with the outcome (β = 0.173; p = 0.007), low levels of GSH at 18 months after postpartum. Likewise, we verified the difference in GSH levels according to the degree of suicide risk, observing a significant association between the differences in glutathione means in the group of women with moderate to high risk compared to the reference group (no suicide risk) (p = 0.009). CONCLUSION Our findings suggest that GSH may be a potential biomarker or etiologic factor in women at moderate to high risk of suicide.
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Affiliation(s)
- Paula Michele da Silva Schmidt
- Graduate Program in Health and Behavior, Center of Health Science, Universidade Católica de Pelotas - UCPel, Pelotas, Brazil
| | - Jéssica Puchalski Trettim
- Graduate Program in Health and Behavior, Center of Health Science, Universidade Católica de Pelotas - UCPel, Pelotas, Brazil
| | - Aline Longoni
- Graduate Program in Health and Behavior, Center of Health Science, Universidade Católica de Pelotas - UCPel, Pelotas, Brazil
| | - Mateus Grings
- Graduate Program in Biological Sciences: Biochemistry, ICBS, Universidade Federal do Rio Grande do Sul - UFRGS, Porto Alegre, Brazil
| | - Mariana Bonati de Matos
- Graduate Program in Health and Behavior, Center of Health Science, Universidade Católica de Pelotas - UCPel, Pelotas, Brazil
| | - Luciana de Avila Quevedo
- Graduate Program in Health and Behavior, Center of Health Science, Universidade Católica de Pelotas - UCPel, Pelotas, Brazil
| | - Ana Paula Ardais
- Graduate Program in Health and Behavior, Center of Health Science, Universidade Católica de Pelotas - UCPel, Pelotas, Brazil
| | - Fernanda Nedel
- Graduate Program in Health and Behavior, Center of Health Science, Universidade Católica de Pelotas - UCPel, Pelotas, Brazil
| | - Gabriele Ghisleni
- Graduate Program in Health and Behavior, Center of Health Science, Universidade Católica de Pelotas - UCPel, Pelotas, Brazil
| | - Guilhian Leipnitz
- Graduate Program in Biological Sciences: Biochemistry, ICBS, Universidade Federal do Rio Grande do Sul - UFRGS, Porto Alegre, Brazil.,Department of Biochemistry, Universidade Federal do Rio Grande do Sul - UFRGS, Porto Alegre, Brazil
| | - Ricardo Tavares Pinheiro
- Graduate Program in Health and Behavior, Center of Health Science, Universidade Católica de Pelotas - UCPel, Pelotas, Brazil
| | - Adriano Martimbianco de Assis
- Graduate Program in Health and Behavior, Center of Health Science, Universidade Católica de Pelotas - UCPel, Pelotas, Brazil
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Borges Rubin B, Puchalski Trettim J, Coelho Scholl C, Teixeira Coelho F, Freire Puccinelli E, Bonati de Matos M, Ghisleni G, Tavares Pinheiro R, de Avila Quevedo L. Maternal-fetal attachment and social-emotional development in infants at 3 months of age: A population-based study in southern Brazil. Interpersona 2022. [DOI: 10.5964/ijpr.6693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Studies relate Maternal-Fetal Attachment (MFA) to delays in child development, however, the relationship with the social-emotional development is still unclear. Thus, the aim of this study was to investigate the association between MFA and social-emotional development in infants at 3 months old, in a population-based sample in southern Brazil. This was a follow-up study corresponding to second and third wave of a population-based cohort study with pregnant women who were living in Pelotas (Southern Brazil). Social-emotional development was assessed using the Bayley Scales of Infant Development - Third Edition (BSID-III) and MFA was measured with the Maternal-Fetal Attachment Scale (MFAS). The sample consisted of 702 mother-infant dyads. In the adjusted analysis, MFA was a predictor of social-emotional development, even when controlled for sociodemographic, maternal mental health and infant characteristics. Thus, with each increase to one point in the MFA score, there was an increase of β = 0.14, 95% CI [0.05, 0.23] in the social-emotional development score. These findings highlight the importance of MFA in early child development. Thus, infants with positive experiences of affection since the gestational period will be able to develop positive social and emotional health.
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Scholl CC, Trettim JP, Böhm DM, Molina ML, Soares MC, Dias NDC, Reyes IDPS, de Matos MB, Justo JMRDM, Pinheiro RT, Quevedo LDA. Are adolescents more likely to have antenatal anxiety disorders than adult women? A comparison between two samples. J Affect Disord 2022; 316:50-55. [PMID: 35932938 DOI: 10.1016/j.jad.2022.07.071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 07/25/2022] [Accepted: 07/30/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND The literature reports that teenage pregnancy is considered a risk factor for anxiety disorders (ADs). However, research on this topic is limited. This study aimed to investigate if pregnant adolescents presented a greater likelihood of having ADs by comparing two samples of pregnant women in a southern city of Brazil. We also observed the prevalence rates of antenatal ADs among adolescents and adult women. METHODS In this cross-sectional study, we evaluated 1852 women from two different studies: 995 pregnant adolescents attending prenatal care in the public health system (convenience sample) and 857 pregnant women from a population-based study. We used the Mini International Neuropsychiatric Interview (MINI Plus) to assess antenatal ADs, using the Social Anxiety Disorder (SAD) and Generalized Anxiety Disorder (GAD) modules. The primary aim of this study was tested through multivariate analysis using Poisson regression. RESULTS The prevalence of ADs was 11.0 % among pregnant adolescents and 13.8 % among adult pregnant women. Both samples presented similar rates of ADs (p = 0.065). In the adjusted analysis, maternal age did not predict antenatal ADs (PR = 0.97; p = 0.853). LIMITATIONS Considering the particularities of each study where the samples came from, it was not possible to include other ADs such as panic disorder or phobias. CONCLUSIONS Our findings suggest that pregnancy in adolescence does not increase the likelihood of antenatal ADs. However, we emphasize the importance of an adequate psychological screening and care in pregnancy in order to prevent possible psychiatric disorders.
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Affiliation(s)
- Carolina Coelho Scholl
- Catholic University of Pelotas (UCPel), Rua Gonçalves Chaves, 377, 411 C, 96015-560 Pelotas, RS, Brazil
| | - Jéssica Puchalski Trettim
- Catholic University of Pelotas (UCPel), Rua Gonçalves Chaves, 377, 411 C, 96015-560 Pelotas, RS, Brazil
| | - Denise Müller Böhm
- Catholic University of Pelotas (UCPel), Rua Gonçalves Chaves, 377, 411 C, 96015-560 Pelotas, RS, Brazil
| | - Mariane Lopez Molina
- Catholic University of Pelotas (UCPel), Rua Gonçalves Chaves, 377, 411 C, 96015-560 Pelotas, RS, Brazil; Educational Anhanguera Faculties Rio Grande, Av. Rheingantz, 91, Parque Residencial Coelho, 96202-110 Rio Grande, RS, Brazil
| | - Mariana Carret Soares
- Catholic University of Pelotas (UCPel), Rua Gonçalves Chaves, 377, 411 C, 96015-560 Pelotas, RS, Brazil
| | - Natália da Costa Dias
- Catholic University of Pelotas (UCPel), Rua Gonçalves Chaves, 377, 411 C, 96015-560 Pelotas, RS, Brazil
| | | | - Mariana Bonati de Matos
- Catholic University of Pelotas (UCPel), Rua Gonçalves Chaves, 377, 411 C, 96015-560 Pelotas, RS, Brazil
| | | | - Ricardo Tavares Pinheiro
- Catholic University of Pelotas (UCPel), Rua Gonçalves Chaves, 377, 411 C, 96015-560 Pelotas, RS, Brazil
| | - Luciana de Avila Quevedo
- Catholic University of Pelotas (UCPel), Rua Gonçalves Chaves, 377, 411 C, 96015-560 Pelotas, RS, Brazil.
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Coelho FT, Scholl CC, Trettim JP, Silveira JB, Mello DBD, Santos MRD, Ferreira LA, Stigger RS, Matos MBD, Pinheiro RT, Quevedo LDA. Major depressive episode in mothers during the COVID-19 pandemic: a population-based study in the Southern Brazil. CAD SAUDE PUBLICA 2022; 38:EN281521. [PMID: 35544875 DOI: 10.1590/0102-311xen281521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Accepted: 03/18/2022] [Indexed: 11/22/2022] Open
Abstract
The COVID-19 pandemic has changed individuals and families, causing adverse psychological effects, especially in young adults, women, and parents. This study aimed to verify the prevalence of current major depressive episode (CMDE) in mothers of preschoolers (up to five years old) and its associated stressors during the COVID-19 pandemic in a municipality in the Southern Brazil. This is a cross-sectional, population-based study with mothers. All mothers were interviewed by telephone call during the COVID-19 pandemic. We used the Mini-International Neuropsychiatric Interview (M.I.N.I. Plus) to assess the presence of CMDE. Statistical analysis was conducted using the chi-square test and a multivariate logistic regression. We evaluated 666 mothers. The prevalence of CMDE was 12.3%. Mothers with financial losses had 2.1 (95%CI: 1.3-3.4) more odds of presenting CMDE than those financially stable. We observed that financial losses were determinant for the higher prevalence of depression in mothers.
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Pinheiro RT, Souza LDDM, Trettim JP, de Matos MB, Pinheiro KAT, da Cunha GK, Rubin BB, Scholl CC, Stigger RS, Motta JVDS, de Oliveira SS, Ghisleni G, Nedel F, Quevedo LDA. Antenatal depression: Efficacy of a pre-post therapy study and repercussions in motor development of children during the first 18 months postpartum. Study: "Pregnancy care, healthy baby". J Psychiatr Res 2022; 148:63-72. [PMID: 35121270 PMCID: PMC8968217 DOI: 10.1016/j.jpsychires.2022.01.061] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Revised: 11/14/2021] [Accepted: 01/26/2022] [Indexed: 11/18/2022]
Abstract
AIMS To evaluate the efficacy of brief psychotherapeutic interventions of cognitive behavioral therapy to treat antenatal depression and verify the association between interventions and motor development of infants at 3 and 18 months of age. METHODS Pre-post-intervention study nested a randomized clinical trial, both of which are extracts from a population-based cohort study of a southern Brazilian city. The major depressive episode was measured through Mini Plus, the severity of depressive symptoms by BDI-II and motor development using Bayley-III and AIMS. The follow-ups occurred during the gestational period (T2) and at 3 (T3) and 18 months (T4) after delivery. RESULTS Data were analyzed from 336 women in the control group (not intervened) and 108 from the group of depressed women who received intervention for antenatal depression. The effectiveness of the interventions for a major depressive episode was around 80% for both models in the two follow-up stages (3 and 18 months postpartum). In addition, the children whose mothers received intervention presented 3.7 (95% CI 0.7-6.6) points higher in Bayley-III at 3 months old when compared to the children in the control group (p = 0.01). There was no difference between the two psychotherapy models tested, both being equally effective (p > 0.05). CONCLUSIONS We found that the brief psychotherapeutic interventions of cognitive behavioral therapy for gestational depression were effective in causing remission of the condition both in the short and long term, besides indirectly causing benefits also to the children, with regard to their motor development.
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de Matos MB, Pires AJ, Trettim JP, Scholl CC, Tabeleão VP, Stigger RS, Rubin BB, Molina ML, Pinheiro RT, Quevedo LDA. Family perception of the symptoms of Obsessive-Compulsive Disorder patient and the family accommodation. Int J Soc Psychiatry 2022; 68:73-81. [PMID: 33295244 DOI: 10.1177/0020764020981107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Family members tend to modify their routine by assisting or participating in the patient's rituals. These behaviors have been identified as family accommodation (FA). AIMS The aim of this study was to describe the relationship between family accommodation of relatives of Obsessive-Compulsive Disorder (OCD) patients and their perceptions about the obsessions and compulsions of the patient. METHOD This was a cross-sectional study with family members of Obsessive-Compulsive Disorder in a Southern Brazilian city. The family perception of the OCD symptoms and their accommodation were assessed through the Family Accommodation Scale for Obsessive-Compulsive Disorder - Interviewer-Rated (FAS-IR). RESULTS The level of family accommodation was higher in those family members who lived with the patient when compared to those who did not live with them (p = .011). The obsessions associated with higher levels of family accommodation were: contamination (p < .001), hoarding/saving (p = .001), symmetry/exactness (p = .001), religious (p = .019), and diverse (p = .003). Regarding compulsions, the perception of all symptoms was associated with higher levels of family accommodation (p < .05). CONCLUSION The family accommodation is present in family members of Obsessive-Compulsive Disorder patients, regardless of the type of obsessive/compulsive symptom perceived.
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Affiliation(s)
- Mariana Bonati de Matos
- Postgraduate Program in Health and Behavior, Universidade Católica de Pelotas, UCPel, Pelotas, RS, Brazil
| | - Andressa Jacondino Pires
- Postgraduate Program in Health and Behavior, Universidade Católica de Pelotas, UCPel, Pelotas, RS, Brazil
| | - Jéssica Puchalski Trettim
- Postgraduate Program in Health and Behavior, Universidade Católica de Pelotas, UCPel, Pelotas, RS, Brazil
| | - Carolina Coelho Scholl
- Postgraduate Program in Health and Behavior, Universidade Católica de Pelotas, UCPel, Pelotas, RS, Brazil
| | - Viviane Porto Tabeleão
- Postgraduate Program in Health and Behavior, Universidade Católica de Pelotas, UCPel, Pelotas, RS, Brazil
| | - Rafaelle Stark Stigger
- Postgraduate Program in Health and Behavior, Universidade Católica de Pelotas, UCPel, Pelotas, RS, Brazil
| | - Bárbara Borges Rubin
- Postgraduate Program in Health and Behavior, Universidade Católica de Pelotas, UCPel, Pelotas, RS, Brazil
| | - Mariane Lopez Molina
- Postgraduate Program in Health and Behavior, Universidade Católica de Pelotas, UCPel, Pelotas, RS, Brazil
| | - Ricardo Tavares Pinheiro
- Postgraduate Program in Health and Behavior, Universidade Católica de Pelotas, UCPel, Pelotas, RS, Brazil
| | - Luciana de Avila Quevedo
- Postgraduate Program in Health and Behavior, Universidade Católica de Pelotas, UCPel, Pelotas, RS, Brazil
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Coelho FT, Trettim JP, Castelli RD, Soares MC, Dias NDC, Santo GCDE, Böhm DM, de Mello DB, Scholl CC, Rubin BB, de Matos MB, Pinheiro RT, Quevedo LDA. Cognitive and language development in preschoolers is related to maternal cognitive performance: A study of young mothers in an urban area of a city in Southern Brazil. Interpersona 2021. [DOI: 10.5964/ijpr.4709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
To evaluate the relationship between maternal cognitive performance and language and cognitive development of children between 24 and 36 months old of mothers who became pregnant in adolescence, in the city of Pelotas, Southern Brazil. This is a cross-sectional study nested in a cohort study with adolescent mothers who received prenatal care in the city’s public health system. To assess maternal cognitive performance, the Montreal Cognitive Assessment (MoCA) was used and Bayley Scales of Infant Development III (BSID-III) are used to assess children's language and cognition development. Data were analyzed using SPSS (Version 22.0) software. Pearson correlation, t-test, ANOVA and linear regression were performed. We evaluated 496 mother-child dyads. In the adjusted analysis, we found that children's language remained associated with maternal cognitive performance (p = .027, CI [0.0, 0.6]) and child’s gender (p < .001, CI [−7.2, −2.4]). Besides that children cognitive development remained associated with maternal cognitive performance (p = .008, CI [0.1, 0.6]) and child’s gender (p = .030, CI [−4.5, −0.2]). Our results suggest that poor maternal cognitive performance is associated with lower levels of children's language and cognitive development. The results contributing to early identification and intervention in children of mothers with poor cognitive performance at higher risk of negative developmental outcomes.
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Scholl CC, Soares MC, do Nascimento E, Trettim JP, de Matos MB, Stigger RS, Pires AJ, Tabeleão VP, da Silva RA, Souza LDDM, Quevedo LDA, de Figueiredo VLM. Evidence of validity of the revised Helping Alliance Questionnaire based on the internal structure in a Brazilian clinical sample. Clin Psychol Psychother 2021; 29:622-630. [PMID: 34318979 DOI: 10.1002/cpp.2654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Revised: 06/17/2021] [Accepted: 07/23/2021] [Indexed: 11/10/2022]
Abstract
The revised Helping Alliance Questionnaire (HAq-II) is among the most used instruments that measure therapeutic alliance. Despite its use in research, this instrument is not validated for the Brazilian population. The aim of this study was to explore the evidence of validity of the HAq-II based on the internal structure in a sample of Brazilian psychiatric patients. An ambulatory convenience sample of 204 patients with major depressive disorder (MDD) and 81 patients with obsessive-compulsive disorder (OCD) was randomized between two different types of treatment. The HAq-II was completed by patients (patient version) and by 33 therapists who performed the interventions (therapist version) between the second and third sessions. We used confirmatory factor analysis (CFA) to investigate two models: (1) a one-dimensional therapeutic alliance model and (2) a two-dimensional model considering the factors 'positive alliance' and 'negative alliance'. The internal consistency of the HAq-II was measured by Cronbach's alpha. To investigate discriminant validity, we used the t-test for independent samples, ANOVA and Pearson's correlation coefficient. The analysis showed that the best model of the instrument was one-dimensional. Cronbach's alpha for both versions displayed values above 0.89. The Brazilian version of the HAq-II presented properties similar to those found in the original version. However, studies related to the one-dimensional model with other samples are necessary.
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Affiliation(s)
- Carolina Coelho Scholl
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, Brazil
| | - Mariana Carret Soares
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, Brazil
| | | | - Jéssica Puchalski Trettim
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, Brazil
| | - Mariana Bonati de Matos
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, Brazil
| | - Rafaelle Stark Stigger
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, Brazil
| | - Andressa Jacondino Pires
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, Brazil
| | - Viviane Porto Tabeleão
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, Brazil
| | - Ricardo Azevedo da Silva
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, Brazil
| | | | - Luciana de Avila Quevedo
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, Brazil
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13
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Pinheiro RT, Trettim JP, de Matos MB, Pinheiro KAT, da Silva RA, Martins CR, da Cunha GK, Coelho FT, Motta JVDS, Coelho FMDC, Ghisleni G, Nedel F, Ardais AP, Stigger RS, Quevedo LDA, Souza LDDM. Brief cognitive behavioral therapy in pregnant women at risk of postpartum depression: Pre-post therapy study in a city in southern Brazil. J Affect Disord 2021; 290:15-22. [PMID: 33989925 PMCID: PMC8220301 DOI: 10.1016/j.jad.2021.04.031] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 04/14/2021] [Accepted: 04/19/2021] [Indexed: 02/04/2023]
Abstract
BACKGROUND Postpartum depression (PPD) affects a high number of women, often the first manifestation of a mood disorder that will occur later in life, bringing serious consequences for the patient and her offspring. Depression today is the leading cause of disability worldwide. The aim of this study was to evaluate the effectiveness of a preventive cognitive behavioral therapy (CBT) for PPD. METHODS Pre-post therapy study, as part of a population-based cohort study. Pregnant women without a diagnosis of depression participated, who were divided into two groups: risk of depression (CBT) and a control group (without therapy). The preventive therapy consisted of six sessions of CBT, administered weekly. The Outcome Questionnaire (OQ-45) was used in all sessions. The Mini International Neuropsychiatric Interview and Beck Depression Inventory-II were used on three occasions. The final statistical analyses were performed by Poisson regression. RESULTS The prevalence of PPD in the risk group was 5.5% and in the control group 2.2%, with no difference between the groups (PR 1.66 95% CI 0.44-6.18). The OQ-45 averages gradually reduced during the therapy sessions, indicating therapeutic progress. Schooling was an associated factor, both with the manifestation of PPD and with the greater effectiveness of the therapy. LIMITATIONS Rate of 40.5% refusal to preventive treatment and absence of a group with similar characteristics in another therapy model. CONCLUSIONS Brief cognitive behavioral therapy applied by mental health professionals with basic training was effective in preventing the manifestation of PPD.
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de Avila Quevedo L, Scholl CC, de Matos MB, da Silva RA, da Cunha Coelho FM, Pinheiro KAT, Pinheiro RT. Suicide Risk and Mood Disorders in Women in the Postpartum Period: a Longitudinal Study. Psychiatr Q 2021; 92:513-522. [PMID: 32812142 DOI: 10.1007/s11126-020-09823-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Suicide associated with severe psychiatric illnesses is considered the leading cause of maternal deaths. We aimed to assess the suicide risk in women who experienced depressive or mixed episodes of mood change during the postpartum period and to determine which disorder is more related to suicide risk in the same period. We conducted a longitudinal study with 706 women whose children were born from April 2007 to May 2008 in a southern city in Brazil, and received prenatal care by the Brazilian National System of Public Health. The first assessment occurred during the prenatal period and the second within 30 to 60 days postpartum. The incidence of suicide risk was 10.9%. The odds of postpartum suicide risk were 6.50 (95% CI: 2.73; 15.48) higher in mothers with postpartum depression and 41.50 (95% CI: 12.11; 142.16) higher in those with mixed episodes than those who did not suffer from any mood disorder. Women with chronic episodes (who had depressive or mixed episodes during pregnancy and postpartum) were at increased odds of 4.94 (95% CI: 1.46; 16.69) of a postpartum suicide risk. The postpartum seems to be a critical period in the women's mental health. The impact of mental disorders in this period, especially mixed episodes, can increase the odds of a suicide risk onset. A good psychiatric evaluation and support during the prenatal and postpartum care may prevent the subsequent risk of suicide.
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Affiliation(s)
- Luciana de Avila Quevedo
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C, Pelotas, RS, 96015-560, Brazil.
| | - Carolina Coelho Scholl
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C, Pelotas, RS, 96015-560, Brazil
| | - Mariana Bonati de Matos
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C, Pelotas, RS, 96015-560, Brazil
| | - Ricardo Azevedo da Silva
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C, Pelotas, RS, 96015-560, Brazil
| | | | | | - Ricardo Tavares Pinheiro
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C, Pelotas, RS, 96015-560, Brazil
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15
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de Mello DB, Trettim JP, da Cunha GK, Rubin BB, Scholl CC, Ardais AP, Dos Santos Motta JV, Nedel F, Ghisleni G, Pinheiro KAT, Pinheiro RT, de Avila Quevedo L, de Matos MB. Generalized Anxiety Disorder, Depressive Symptoms and the Occurrence of Stressors Events in a Probabilistic Sample of Pregnant Women. Psychiatr Q 2021; 92:123-133. [PMID: 32474679 DOI: 10.1007/s11126-020-09763-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
The aim of the study is to verify the association between GAD, the severity of depressive symptoms and stressors in pregnant women between the first and second trimester. Cross-sectional study, part of a cohort that followed 980 women during the gestational period of a city in southern Brazil. We performed bivariate analysis using the t-test and chi-square. The variables that presented p ≤ 0.20 were taken for multivariate analysis, through logistic regression, in order to control possible confounding factors. The Mini International Neuropsychiatric Interview Plus was used to evaluate GAD, the severity of depressive symptoms was investigated through the Beck Inventory of Depression II, and stress events according to the Social Readjustment Assessment Scale of Holmes e Rahe. The sample consisted of 980 women. Women with mild depression symptoms had 9.8 (IC95% 4.6;21.0) times more GAD, those with moderate symptoms had 27.5 (IC95% 12.5;60.0) times more GAD, and those with severe symptoms had 52.9 (IC95% 19.1;146.5) times more GAD when compared to pregnant women with no symptoms or minimal symptoms. Regarding the stressful events, the pregnant women who presented GAD had an increase of 1.0 (IC95% 1.0;1.1) point in the mean of occurrence of stressor events when compared to those without GAD. These findings highlight the need for prevention strategies and interventions to promote maternal mental health, which benefit the development of infants in the long term.
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Affiliation(s)
- Daniele Behling de Mello
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C - 96015-560, Pelotas, RS, Brazil
| | - Jéssica Puchalski Trettim
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C - 96015-560, Pelotas, RS, Brazil
| | - Gabriela Kurz da Cunha
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C - 96015-560, Pelotas, RS, Brazil
| | - Bárbara Borges Rubin
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C - 96015-560, Pelotas, RS, Brazil
| | - Carolina Coelho Scholl
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C - 96015-560, Pelotas, RS, Brazil
| | - Ana Paula Ardais
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C - 96015-560, Pelotas, RS, Brazil
| | - Janaína Vieira Dos Santos Motta
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C - 96015-560, Pelotas, RS, Brazil
| | - Fernanda Nedel
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C - 96015-560, Pelotas, RS, Brazil
| | - Gabriele Ghisleni
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C - 96015-560, Pelotas, RS, Brazil
| | | | - Ricardo Tavares Pinheiro
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C - 96015-560, Pelotas, RS, Brazil.
| | - Luciana de Avila Quevedo
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C - 96015-560, Pelotas, RS, Brazil
| | - Mariana Bonati de Matos
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C - 96015-560, Pelotas, RS, Brazil
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16
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Soares MC, de Matos MB, da Cunha GK, Leite CF, Caruccio HS, Trettim JP, Scholl CC, Rubin BB, Coelho FMDC, Quevedo LDA, Pinheiro RT, Pinheiro KAT. Suicide risk and prematurity: A study with pregnant adolescents. J Psychiatr Res 2021; 133:125-133. [PMID: 33340791 DOI: 10.1016/j.jpsychires.2020.12.028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 11/03/2020] [Accepted: 12/09/2020] [Indexed: 10/22/2022]
Abstract
OBJECTIVE To verify the association between mood and anxiety disorders, and suicide risk during pregnancy and their relationship with premature birth in a population of pregnant adolescents attending prenatal care in the public health system of Pelotas, a southern city in Brazil. METHODS This was a cohort study with all pregnant adolescents attending antenatal public services in the urban area of Pelotas between October 2009 and May 2011. The first assessment occurred between the 20th and 22 nd week of pregnancy and the second occurred one month after delivery. We used the Mini International Neuropsychiatric Interview (MINI) to assess mood and anxiety disorders and suicide risk. RESULTS A total of 645 pregnant women aged between 12 and 19 years old were interviewed. An anxiety disorder was present in 9.1% of the pregnant adolescent, and 28.5% had a mood disorder. The prevalence of suicide risk was 12.6%, and 15.3% of the babies were born premature. A multivariate analysis adjusted for maternal education, number of previous pregnancies and previous preterm birth indicated that adolescents who had suicide risk during pregnancy were approximately twice as likely to give birth prematurely when compared to those who were not diagnosed with suicide risk (PR 1.79; CI 1.06-3.03). CONCLUSION Our findings suggest that pregnant adolescents who were at risk of suicide during pregnancy were more likely to have premature babies. It is important to pay attention to the mental health of this specific population to prevent obstetric complications and consequently improve the health of the children.
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Affiliation(s)
- Mariana Carret Soares
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, RS, Brazil
| | - Mariana Bonati de Matos
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, RS, Brazil
| | - Gabriela Kurz da Cunha
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, RS, Brazil
| | - Ciciliane Foster Leite
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, RS, Brazil
| | - Henrique Seus Caruccio
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, RS, Brazil
| | - Jéssica Puchalski Trettim
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, RS, Brazil
| | - Carolina Coelho Scholl
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, RS, Brazil
| | - Bárbara Borges Rubin
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, RS, Brazil
| | | | - Luciana de Avila Quevedo
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, RS, Brazil
| | - Ricardo Tavares Pinheiro
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Pelotas, RS, Brazil.
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Stigger RS, Martins CDSR, de Matos MB, Trettim JP, da Cunha GK, Scholl CC, Ramos MP, Motta JVDS, Ghisleni G, Pinheiro RT, Quevedo LDA. Is maternal exposure to childhood trauma associated with maternal-fetal attachment? Interpersona 2020. [DOI: 10.5964/ijpr.v14i2.3983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Adults with childhood maltreatment history can face a difficult experience in transitioning to parenthood. Women with a history of emotional neglect in childhood tend to experience problematic attachment. The study's aim was to evaluate the relationship between childhood trauma and maternal-fetal attachment in pregnant women in a population-based study in Southern Brazil. This is a longitudinal study with pregnant women who were interviewed in two moments: before 24-weeks of pregnancy and 60 days after the first interview. We used the Childhood Trauma Questionnaire and the Maternal-Fetal Attachment Scale. The mean of maternal-fetal attachment in the general sample was 99.8 (± 10.8). The mean of emotional neglect was 8.9 (± 4.7); physical neglect 6.7 (± 2.8); sexual abuse 5.9 (± 3.0); physical abuse 6.8 (± 3.1) and emotional abuse 8.0 (± 4.1). After adjusted analysis, we found that pregnant women who suffered emotional neglect had 0.4 points less on the average on the maternal-fetal attachment, β = -0.4, CI 95% [-0.6, -0.2], and pregnant women who suffered emotional abuse had 0.2 points less on the average on the maternal-fetal attachment, β = -0.2, CI 95% [-0.5, -0.0]. Only emotional neglect and emotional abuse were associated with maternal-fetal attachment. This study showed that a history of childhood trauma can have a negative impact during the prenatal period, and can impair maternal-fetal attachment. The data found can assist health professionals in identifying factors that can protect and contribute to pregnant women who were victims of childhood trauma to face the transition to parenthood in the best possible way.
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Böhm DM, de Avila Quevedo L, da Cunha Coelho FM, de Souza LDM, de Matos MB, Trettim JP, Scholl CC, Rubin BB, Castelli R, Molina ML, Pinheiro KAT, Pinheiro RT. Maternal chronic depression affects love styles: A cohort study in Southern Brazil. Interpersona 2020. [DOI: 10.5964/ijpr.v14i2.4497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Given the importance that love has in individuals’ lives, and considering that more specific studies about the relationship between depression and the way people love are lacking, the aim of the current study was to evaluate the effect of major depressive disorder (MDD) on “love styles.” This study was nested in a cohort of adolescent mothers. Women were assessed for MDD at each point of assessment: during pregnancy (T1), at between 30 and 60 postpartum days (T2), and at approximately 30 postpartum months (T3), by using the Mini International Neuropsychiatric Interview (MINI PLUS) tool. The Love Attitudes Scale (LAS) was administered to assess the six love styles at T3. Logistic regression analyses were carried out to express the strength of depression on love styles. We found that chronic major depression had the largest effect on the love styles (low Eros, high Mania, and high Agape), followed by current major depression. However, the same association was not observed in the perinatal period. Thus, the assessment of love style is relevant as it seems that an MDD-related injury in maternal life is related to their attitudes about love and there could be possible harmful consequences of these attitudes to the mother and the whole family.
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Quevedo LDA, Loret de Mola C, Pearson R, Murray J, Hartwig FP, Gonçalves H, Pinheiro RT, Gigante DP, Motta JVDS, Quadros LDCMD, Barros FC, Horta BL. Mental disorders, comorbidities, and suicidality at 30 years of age in a Brazilian birth cohort. Compr Psychiatry 2020; 102:152194. [PMID: 32730959 DOI: 10.1016/j.comppsych.2020.152194] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2019] [Revised: 07/02/2020] [Accepted: 07/10/2020] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND Studies on mental disorders prevalence and comorbidity, including suicidality, are scarce in low and middle-income settings. We aimed to describe the pattern of comorbidity between mental disorders and their association with suicidality. METHODS In 1982, all hospital deliveries in Pelotas (Southern Brazil) were identified (n = 5914) and have been prospectively followed. Participants were evaluated for the presence of common mental disorders (CMD) at the ages of 18-19, 23 and 30 years. In 2012-13 (30 years of age), trained psychologists evaluated 3657 individuals for disorders using the Mini International Neuropsychiatric Interview. RESULTS Prevalence of suicidal wishing, suicidal planning and lifetime suicidal attempt was 4.9%, 3.8% and 6.6%, respectively. Suicidal wishing was most strongly associated with having joint major depressive episode (MD) and lifetime suicidal attempt (OR = 26.4, 95%CI:13.9-50.4) with comorbid MD with mania/hypomania (OR = 21.2, 95%CI:6.93-65.1). Suicidal planning was most strongly associated with having joint MD and lifetime suicidal attempt (OR = 44.7, 95%CI:22.6-88.4), with comorbid MD and social anxiety disorder (OR = 30.6, 95%CI:13.0-72.0), and joint social anxiety disorder with lifetime suicidal attempt (OR = 26.3, 95%CI:8.33-82.7). Independently of other disorders, prospective and cross-sectional measures of CMD were associated with higher rates of suicidality. LIMITATIONS We do not have data on suicide deaths in follow-up and the diagnostic instrument used at 30 years of age was not used in all previous follow-up. CONCLUSION MD and social anxiety have independent and combined associations with suicidality, and also with they occur with lifetime suicidal attempt and other mental disorders.
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Affiliation(s)
- Luciana de Avila Quevedo
- Health and Behavior Postgraduate Program, Catholic University of Pelotas (UCPel), Pelotas, RS, Brazil.
| | - Christian Loret de Mola
- Postgraduate Program in Epidemiology, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil
| | - Rebecca Pearson
- School of Social & Community Medicine, University of Bristol, Bristol, UK; Section of Child & Adolescent Psychiatry, Department of Psychiatry, University of Oxford, Oxford, UK
| | - Joseph Murray
- Postgraduate Program in Epidemiology, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil
| | - Fernando Pires Hartwig
- Postgraduate Program in Epidemiology, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil
| | - Helen Gonçalves
- Postgraduate Program in Epidemiology, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil
| | - Ricardo Tavares Pinheiro
- Health and Behavior Postgraduate Program, Catholic University of Pelotas (UCPel), Pelotas, RS, Brazil
| | - Denise Petrucci Gigante
- Postgraduate Program in Epidemiology, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil
| | - Janaína Vieira Dos Santos Motta
- Health and Behavior Postgraduate Program, Catholic University of Pelotas (UCPel), Pelotas, RS, Brazil; Postgraduate Program in Epidemiology, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil
| | | | - Fernando C Barros
- Health and Behavior Postgraduate Program, Catholic University of Pelotas (UCPel), Pelotas, RS, Brazil; Postgraduate Program in Epidemiology, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil
| | - Bernardo Lessa Horta
- Postgraduate Program in Epidemiology, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil
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Loret de Mola C, Carpena MX, Gonçalves H, Quevedo LDA, Pinheiro R, Dos Santos Motta JV, Horta B. How sex differences in schooling and income contribute to sex differences in depression, anxiety and common mental disorders: The mental health sex-gap in a birth cohort from Brazil. J Affect Disord 2020; 274:977-985. [PMID: 32664042 DOI: 10.1016/j.jad.2020.05.033] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 03/31/2020] [Accepted: 05/10/2020] [Indexed: 12/18/2022]
Abstract
BACKGROUND Reasons for the higher rates of depression, anxiety and common mental disorders among women are unclear. We investigated the mediating effect of schooling and personal income and the effect modification of maternal schooling and family income at baseline. METHODS In 1982, the maternity hospitals of Pelotas (Southern Brazil) were daily visits and those livebirths whose family lived in the urban area of the city were examined and their mothers interviewed. At 30 years, the presence of major depression (MD) and generalized anxiety disorder (GAD) was assessed using the Mini-International Psychiatric Interview, and common mental disorders (CMD) with the self-rated questionnaire. We used Mantel-Haenszel test to assess effect modification and a counterfactual framework using inverse probability weights (IPW) and G-computation to analyze mediation. RESULTS Income at 30 years captured part of the association of sex with MD (16.5%), GAD (14.2%), and CMD (18.0%). Schooling at 30 years was higher in women (p<0.001), and therefore inversely mediated the association with MD (-5.4%), GAD (-4.8%), and CMD (-6.7%). If we fixed the mediator to earning more than 3 minimum salaries, the effect of sex, was reduced in 64.9%, 56.7% and 31.4%, for MD, GAD and CMD, respectively, and 62.4%, 13.6% and 23.8%, if fixed to 12 or more years of schooling. LIMITATIONS We were not able to evaluate mental health and socioeconomic changes, or assess a bidirectional effect CONCLUSION: Personal income and schooling at 30 years, are important mediators and effect modifiers of the association between sex and MD, GAD, and CMD.
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Affiliation(s)
- Christian Loret de Mola
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil. Rua Marechal Deodoro, 1160 - 3° Piso, Bairro Centro - Pelotas, RS. Cep: 96020-220 - Caixa Postal 464. Phone: +55 (53) 3284 - 1300; Postgraduate Program in Public Health, Federal University of Rio Grande, Brazil. Campus Saúde: Rua Visconde de Paranaguá 102 Centro - Fone (53)3233.8800, Rio Grande CEP único: 96203-900.
| | - Marina Xavier Carpena
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil. Rua Marechal Deodoro, 1160 - 3° Piso, Bairro Centro - Pelotas, RS. Cep: 96020-220 - Caixa Postal 464. Phone: +55 (53) 3284 - 1300.
| | - Helen Gonçalves
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil. Rua Marechal Deodoro, 1160 - 3° Piso, Bairro Centro - Pelotas, RS. Cep: 96020-220 - Caixa Postal 464. Phone: +55 (53) 3284 - 1300.
| | - Luciana de Avila Quevedo
- Health and Behavior Postgraduate Program, Universidade Católica de Pelotas - UCPEL, Pelotas, RS, Brazil. Rua Gonçalves Chaves, 377 - sala 411, prédio C. CEP: 96015-560. Pelotas - RS - Brazil. Phone: +55 (53) 2128 8404. Fax: +55 (53) 2128 8229.
| | - Ricardo Pinheiro
- Health and Behavior Postgraduate Program, Universidade Católica de Pelotas - UCPEL, Pelotas, RS, Brazil. Rua Gonçalves Chaves, 377 - sala 411, prédio C. CEP: 96015-560. Pelotas - RS - Brazil. Phone: +55 (53) 2128 8404. Fax: +55 (53) 2128 8229.
| | - Janaína Vieira Dos Santos Motta
- Health and Behavior Postgraduate Program, Universidade Católica de Pelotas - UCPEL, Pelotas, RS, Brazil. Rua Gonçalves Chaves, 377 - sala 411, prédio C. CEP: 96015-560. Pelotas - RS - Brazil. Phone: +55 (53) 2128 8404. Fax: +55 (53) 2128 8229.
| | - Bernardo Horta
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil. Rua Marechal Deodoro, 1160 - 3° Piso, Bairro Centro - Pelotas, RS. Cep: 96020-220 - Caixa Postal 464. Phone: +55 (53) 3284 - 1300.
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Trettim JP, Scholl CC, de Mola CL, de Matos MB, Pires AJ, Stigger RS, Tabeleão VP, de Avila Quevedo L. The influence of therapeutic alliance in the quality of life of obsessive-compulsive disorder patients: An intervention study. Gen Hosp Psychiatry 2020; 64:112-114. [PMID: 31230863 DOI: 10.1016/j.genhosppsych.2019.06.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2019] [Revised: 06/12/2019] [Accepted: 06/13/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Jéssica Puchalski Trettim
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C, 96015-560, Pelotas, RS, Brazil.
| | - Carolina Coelho Scholl
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C, 96015-560, Pelotas, RS, Brazil
| | - Christian Loret de Mola
- Postgraduate Program in Epidemiology, Federal University of Pelotas (UFPel), Marechal Deodoro, 1160, 96020-220 Pelotas, RS, Brazil
| | - Mariana Bonati de Matos
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C, 96015-560, Pelotas, RS, Brazil
| | - Andressa Jacondino Pires
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C, 96015-560, Pelotas, RS, Brazil
| | - Rafaelle Stark Stigger
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C, 96015-560, Pelotas, RS, Brazil
| | - Viviane Porto Tabeleão
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C, 96015-560, Pelotas, RS, Brazil
| | - Luciana de Avila Quevedo
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas (UCPel), Gonçalves Chaves, 377 - 411 C, 96015-560, Pelotas, RS, Brazil
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Pires AJ, de Matos MB, Scholl CC, Trettim JP, Coelho FT, da Cunha Coelho FM, Pinheiro KAT, Pinheiro RT, de Avila Quevedo L. Prevalence of mental health problems in preschoolers and the impact of maternal depression. Eur Child Adolesc Psychiatry 2020; 29:605-616. [PMID: 31392431 DOI: 10.1007/s00787-019-01381-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Accepted: 07/23/2019] [Indexed: 11/25/2022]
Abstract
A large number of children of depressed mothers have one or more mental disorders. This study aimed to evaluate the impact of maternal depression on the mental health of 4-5-year-old children of adolescent mothers, according to the hypotheses generated from the model of accumulation. Between October 2009 and March 2011, all pregnant adolescents who received prenatal care from the public health system in Pelotas (southern Brazil) were invited to participate in the study and have been prospectively followed. Of these individuals, 413 participants were evaluated in the postpartum period and when the child was 2-3 years old and 4-5 years old (current stage). The Strengths and Difficulties Questionnaire was used to assess mental health problems in children, and the Mini International Neuropsychiatric Interview (MINI)-Plus version was used to assess maternal depression. We applied a structured modeling approach to examine the relations between three different hypothesized life course models (accumulation, critical period, and mobility) and maternal depression. After selecting the most appropriate model, we used a logistic regression analysis to assess the effect of depression on mental health problems in 4-5-year-old children of adolescent mothers. We used the Chi square test to estimate the prevalence of mental health problems in 4-5-year-old children. The longer the time of exposure to maternal depression, the greater the probability that the child would present behavioral problems. Investments in strategies to prevent mental disorders beginning in the gestational period are important.
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Affiliation(s)
- Andressa Jacondino Pires
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil
| | - Mariana Bonati de Matos
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil
| | - Carolina Coelho Scholl
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil
| | | | - Fernanda Teixeira Coelho
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil
| | | | | | - Ricardo Tavares Pinheiro
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil
| | - Luciana de Avila Quevedo
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil.
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas, Gonçalves Chaves Street, 373, Room 411, Building C, Pelotas, RS, 96015-560, Brazil.
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Quadros LDCMD, Quevedo LDA, Gonçalves HD, Horta BL, Motta JVDS, Gigante DP. Common Mental Disorders and Contemporary Factors: 1982 Birth Cohort. Rev Bras Enferm 2020; 73:e20180162. [PMID: 32049231 DOI: 10.1590/0034-7167-2018-0162] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Accepted: 07/24/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To describe the association between common mental disorders and socio-demographic variables, smoking habits and stressful events among the 30-year-old members of a 1982 cohort. METHOD Mental disorder was analyzed by the Self-Reporting Questionnaire (SRQ-20). Poisson regression was used to analyze the unadjusted and adjusted associations. RESULTS Low level of education and stressful events increased the prevalence of mental disorders for both genders. Lower income for women and unemployment for men also remained associated with CMD. CONCLUSION It was possible to describe the association between contemporary factors and mental disorders in a young population, to which prevention and control measures, through public policies proposed to the areas of Primary Care, Mental Health and Education, can represent a better quality of life and health.
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Trettim JP, De Matos MB, Da Cunha GK, Martins CRDS, Rubin BB, Scholl CC, De Mello DB, Ardais AP, Motta JVDS, Nedel F, Ghisleni GC, Pinheiro KAT, Pinheiro RT, Quevedo LDA. The pregnancy as protection for suicidal behavior: a population-based study in south Brazil. ACTA ACUST UNITED AC 2020. [DOI: 10.25248/reas.e2083.2020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Objective: To describe the incidence of suicidal attempts and the prevalence of suicidal ideation in pregnancy; verifying the factors associated with suicidal ideation in pregnant women. Methods: This analysis is a section from a population-based cohort study with pregnant women between the first and second gestational trimester, identified at their homes in the urban area from a southern Brazilian. The Mini International Neuropsychiatric Interview version Plus (MINI PLUS) was used to assess suicidal ideation and behavior. Variables with a p<0.20 value in the bivariate analysis were retained in the logistic regression-adjusted analysis using SPSS (Statistical Package for the Social Sciences) Statistics software. This study was approved by the Research Ethics Committee of the Catholic University of Pelotas. Results: In the baseline, 974 pregnancy women completed the diagnostic interview for evaluation of psychiatric symptoms, totaling 9.5% (n=93) woman had current suicidal ideation. In addition, 1.3% (n=13) of pregnant women reported a suicide attempt in the last month, and 11 of them had a history of suicidal behavior throughout their lives. Conclusion: Despite the presence of suicidal ideas in pregnancy, suicidal behavior is not very common at this time.
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de Matos MB, Scholl CC, Trettim JP, Molina ML, Soares MC, Coelho FT, Castelli RD, da Silva RA, Pinheiro KAT, da Cunha Coelho FM, Quevedo LDA, Pinheiro RT. The perception of parental bonding in pregnant adolescents and its association with generalized anxiety disorder. Eur Psychiatry 2018; 54:51-56. [PMID: 30121505 DOI: 10.1016/j.eurpsy.2018.07.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2018] [Revised: 07/30/2018] [Accepted: 07/31/2018] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND The parental bonding is influenced by two dimensions: care and control or protection over the child of both parents. The lack of care during childhood may make the individual more susceptible to the onset of psychiatric disorders when adult. These psychiatric disorders when present during pregnancy may have a negative impact on the health of pregnant women and children. The aim of this study was to assess the association between generalized anxiety disorder (GAD) in pregnant adolescents and the perception of parental bonding. METHODS This is a cross-sectional study with 871 pregnant women under the age of 19, receiving prenatal care in 47 Basic Health Units in the one city, Brazil. The generalized anxiety disorder was measured using the Mini International Neuropsychiatric Interview (MINI) and the perception of parental bonding in childhood using the Parental Bonding Instrument (PBI). RESULTS The prevalence of GAD was 8.5%. Among all the parental bonding dimensions, only a perceived lack of maternal care under 16 years was associated with GAD. CONCLUSIONS The results showed that only the perception of maternal bonding was associated with later GAD. It suggests that an adequate maternal bond is an essential component of psychological health.
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Affiliation(s)
- Mariana Bonati de Matos
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas (UCPel) - Gonçalves Chaves, 377 - 411 C - CEP: 96015-560 Pelotas, RS Brazil.
| | - Carolina Coelho Scholl
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas (UCPel) - Gonçalves Chaves, 377 - 411 C - CEP: 96015-560 Pelotas, RS Brazil
| | - Jéssica Puchalski Trettim
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas (UCPel) - Gonçalves Chaves, 377 - 411 C - CEP: 96015-560 Pelotas, RS Brazil
| | - Mariane Lopez Molina
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas (UCPel) - Gonçalves Chaves, 377 - 411 C - CEP: 96015-560 Pelotas, RS Brazil
| | - Mariana Carret Soares
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas (UCPel) - Gonçalves Chaves, 377 - 411 C - CEP: 96015-560 Pelotas, RS Brazil
| | - Fernanda Teixeira Coelho
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas (UCPel) - Gonçalves Chaves, 377 - 411 C - CEP: 96015-560 Pelotas, RS Brazil
| | - Rochele Dias Castelli
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas (UCPel) - Gonçalves Chaves, 377 - 411 C - CEP: 96015-560 Pelotas, RS Brazil
| | - Ricardo Azevedo da Silva
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas (UCPel) - Gonçalves Chaves, 377 - 411 C - CEP: 96015-560 Pelotas, RS Brazil
| | - Karen Amaral Tavares Pinheiro
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas (UCPel) - Gonçalves Chaves, 377 - 411 C - CEP: 96015-560 Pelotas, RS Brazil
| | - Fábio Monteiro da Cunha Coelho
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas (UCPel) - Gonçalves Chaves, 377 - 411 C - CEP: 96015-560 Pelotas, RS Brazil
| | - Luciana de Avila Quevedo
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas (UCPel) - Gonçalves Chaves, 377 - 411 C - CEP: 96015-560 Pelotas, RS Brazil
| | - Ricardo Tavares Pinheiro
- Postgraduate Programme in Health and Behavior, Catholic University of Pelotas (UCPel) - Gonçalves Chaves, 377 - 411 C - CEP: 96015-560 Pelotas, RS Brazil
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Scholl CC, Tabeleão VP, Stigger RS, Trettim JP, Mattos MBD, Pires AJ, Molina MAL, Silva RAD, Tomasi E, Quevedo LDA. [Quality of life with Obsessive-Compulsive Disorder: a study among Primary Care users]. Cien Saude Colet 2017; 22:1353-1360. [PMID: 28444058 DOI: 10.1590/1413-81232017224.02062015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2015] [Accepted: 10/25/2015] [Indexed: 11/21/2022] Open
Abstract
Quality of life (QOL) can be affected by the presence of mental disorders, like Obsessive-Compulsive Disorder (OCD). Thus, the evaluation and monitoring of QOL in patients with mental disorders enables the identification of priorities, making it possible to implement actions to improve QOL among health system users. The scope of this article is to measure QOL in OCD patients in primary health care. It involves a cross-sectional study with a convenience sample including all users of three Basic Health Units of Pelotas in the State of Rio Grande do Sul, Brazil. The quality of life was measured with the WHOQOL-Bref and the OCD was assessed using the Mini-International Neuropsychiatric Interview (M.I.N.I.) This study included 1081 individuals. The prevalence of OCD was 3.9%. OCD patients had a lower average in all domains of QOL when compared to individuals without OCD (p < 0.001). The findings of this study emphasize the importance of using QOL as a monitoring tool of the disorder in basic health care.
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Affiliation(s)
- Carolina Coelho Scholl
- Programa de Pós-Graduação em Saúde e Comportamento da Universidade Católica de Pelotas (UCPel). R. Gonçalves Chaves 373/prédio C/411, Centro. 96015-560 Pelotas RS Brasil.
| | - Viviane Porto Tabeleão
- Programa de Pós-Graduação em Saúde e Comportamento da Universidade Católica de Pelotas (UCPel). R. Gonçalves Chaves 373/prédio C/411, Centro. 96015-560 Pelotas RS Brasil.
| | - Rafaelle Stark Stigger
- Mestrado Profissional em Saúde da Mulher, Criança e Adolescente, UCPel. Pelotas RS Brasil
| | - Jéssica Puchalski Trettim
- Programa de Pós-Graduação em Saúde e Comportamento da Universidade Católica de Pelotas (UCPel). R. Gonçalves Chaves 373/prédio C/411, Centro. 96015-560 Pelotas RS Brasil.
| | - Mariana Bonati de Mattos
- Programa de Pós-Graduação em Saúde e Comportamento da Universidade Católica de Pelotas (UCPel). R. Gonçalves Chaves 373/prédio C/411, Centro. 96015-560 Pelotas RS Brasil.
| | - Andressa Jacondino Pires
- Programa de Pós-Graduação em Saúde e Comportamento da Universidade Católica de Pelotas (UCPel). R. Gonçalves Chaves 373/prédio C/411, Centro. 96015-560 Pelotas RS Brasil.
| | - Mariane Acosta Lopez Molina
- Programa de Pós-Graduação em Saúde e Comportamento da Universidade Católica de Pelotas (UCPel). R. Gonçalves Chaves 373/prédio C/411, Centro. 96015-560 Pelotas RS Brasil.
| | - Ricardo Azevedo da Silva
- Programa de Pós-Graduação em Saúde e Comportamento da Universidade Católica de Pelotas (UCPel). R. Gonçalves Chaves 373/prédio C/411, Centro. 96015-560 Pelotas RS Brasil.
| | - Elaine Tomasi
- Departamento de Medicina Social, UFPel. Pelotas RS Brasil
| | - Luciana de Avila Quevedo
- Programa de Pós-Graduação em Saúde e Comportamento da Universidade Católica de Pelotas (UCPel). R. Gonçalves Chaves 373/prédio C/411, Centro. 96015-560 Pelotas RS Brasil.
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Loret de Mola C, Horta BL, Gonçalves H, Quevedo LDA, Pinheiro R, Gigante DP, Dos Santos Motta JV, Barros FC. Breastfeeding and mental health in adulthood: A birth cohort study in Brazil. J Affect Disord 2016; 202:115-9. [PMID: 27261841 PMCID: PMC4957542 DOI: 10.1016/j.jad.2016.05.055] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2016] [Revised: 05/23/2016] [Accepted: 05/25/2016] [Indexed: 11/25/2022]
Abstract
BACKGROUND Breastfeeding is negatively associate with behavioral and internalization problems, psychological stress, and depressive/anxiety symptoms. However, studies evaluating specific mental health disorders are scarce. We aimed to assess the association between breastfeeding and mental health outcomes in young adults. METHODS In 1982, hospital deliveries in Pelotas (Southern Brazil) were identified; liveborns were examined and their mothers interviewed (n=5914). Information on breastfeeding was collected in early childhood. In 2012-13, at 30 years of age, we used the Mini International Neuropsychiatric Interview (MINI) for the diagnosis of major depression (MD), generalized anxiety disorder (GAD) and social anxiety disorder (SAD). In addition, we used the Beck Depression Inventory (BDI-II) and the Self-reported Questionnaire (SRQ-20), to evaluate depressive symptoms severity and common mental disorders (CMD), respectively. We used multivariable regression models to evaluate the association between breastfeeding and mental health outcomes. RESULTS We evaluated 3657 individuals. Prevalence of CMD, MD, GAD and SAD was 24.3%, 7.9%, 12.7% and 3.6%, respectively. In multivariable models the odds of having a more severe case of depression (BDI-II) was smaller among those breastfed for 6 or more months (OR=0.69 95%CI [0.53-0.89]). We observed a similar pattern for MD and CMD, however, confidence intervals included the reference. LIMITATIONS We had no information on home environment characteristics during childhood. Lack of power and a small effect size could explain why we did not detect an association between breastfeeding and MD. CONCLUSION Breastfeeding reduced the odds of having more severe depressive symptoms.
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Affiliation(s)
- Christian Loret de Mola
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil; Nursing Department, Federal University of Pelotas, Brazil.
| | | | - Helen Gonçalves
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil
| | - Luciana de Avila Quevedo
- Health and Behavior Postgraduate Program, Universidade Católica de Pelotas - UCPEL, Pelotas, RS, Brazil
| | - Ricardo Pinheiro
- Health and Behavior Postgraduate Program, Universidade Católica de Pelotas - UCPEL, Pelotas, RS, Brazil
| | | | - Janaína Vieira Dos Santos Motta
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil; Health and Behavior Postgraduate Program, Universidade Católica de Pelotas - UCPEL, Pelotas, RS, Brazil
| | - Fernando C Barros
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil; Health and Behavior Postgraduate Program, Universidade Católica de Pelotas - UCPEL, Pelotas, RS, Brazil
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Loret de Mola C, Hartwig FP, Gonçalves H, Quevedo LDA, Pinheiro R, Gigante DP, Motta JVDS, Pereira AC, Barros FC, Horta BL. Genomic ancestry and the social pathways leading to major depression in adulthood: the mediating effect of socioeconomic position and discrimination. BMC Psychiatry 2016; 16:308. [PMID: 27596337 PMCID: PMC5011949 DOI: 10.1186/s12888-016-1015-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2016] [Accepted: 08/23/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Evidence suggests that there is an association between ethnicity/skin color and depression; however, many contextual and individual variables, like sense of discrimination and socioeconomic position (SEP), might influence the direction of this association. We assessed the association between African ancestry and major depression among young adults that have been followed-up since birth in a Southern Brazilian city, and the mediating effect of SEP and discrimination. METHODS In 1982, all hospital deliveries in Pelotas (Southern Brazil) were identified; liveborns were examined and their mothers interviewed (n = 5914). In 2012-13, at 30 years of age, we used the Mini International Neuropsychiatric Interview (MINI) for major depression diagnosis. In addition, DNA samples were genotyped for approximately 2.5 million single nucleotide polymorphisms (SNPs) using Illumina (CA, USA) HumanOmni2.5-8v1 array. Genomic ancestry estimation was based on approximately 370 000 single nucleotide polymorphisms (SNPs) mutually available for the Pelotas cohort and selected samples (used as reference panels) of the HapMap and Human Genome Diversity (HGDP). We estimated prevalence ratios (PR) using Poisson regression models and evaluated the association between percentage of African ancestry and major depression. We used G-computation for mediation analysis. RESULTS At 30 years, 3576 individuals were evaluated for major depression (prevalence = 7.9 %). Only individuals in the highest SEP, who had a percentage of African ancestry between >5-30 % and >30 % had a prevalence of major depression 2.16 (PR = 2.16 95 % CI [1.05-4.45]) and 2.74 (PR = 2.74 95 % CI [1.06-7.06]) times higher, than those with 5 % or less, respectively. Among these subjects, sense of discrimination by skin color, captured 84 % of the association between African ancestry and major depression. CONCLUSION SEP is an important effect modifier of the positive association between African ancestry and major depression. In addition, this association is predominantly mediated by the sense of feeling discriminated by skin color.
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Affiliation(s)
- Christian Loret de Mola
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Rua Marechal Deodoro, 1160 - 3° Piso, Bairro Centro. Cep: 96020-220, Caixa Postal 464, Pelotas, RS Brazil
| | - Fernando Pires Hartwig
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Rua Marechal Deodoro, 1160 - 3° Piso, Bairro Centro. Cep: 96020-220, Caixa Postal 464, Pelotas, RS Brazil
| | - Helen Gonçalves
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Rua Marechal Deodoro, 1160 - 3° Piso, Bairro Centro. Cep: 96020-220, Caixa Postal 464, Pelotas, RS Brazil
| | - Luciana de Avila Quevedo
- Health and Behavior Postgraduate Program, Universidade Católica de Pelotas – UCPEL, Rua Gonçalves Chaves, 377 - sala 411, prédio C. CEP: 96015-560, Pelotas, RS Brazil
| | - Ricardo Pinheiro
- Health and Behavior Postgraduate Program, Universidade Católica de Pelotas – UCPEL, Rua Gonçalves Chaves, 377 - sala 411, prédio C. CEP: 96015-560, Pelotas, RS Brazil
| | - Denise Petrucci Gigante
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Rua Marechal Deodoro, 1160 - 3° Piso, Bairro Centro. Cep: 96020-220, Caixa Postal 464, Pelotas, RS Brazil
| | - Janaína Vieira dos Santos Motta
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Rua Marechal Deodoro, 1160 - 3° Piso, Bairro Centro. Cep: 96020-220, Caixa Postal 464, Pelotas, RS Brazil
- Health and Behavior Postgraduate Program, Universidade Católica de Pelotas – UCPEL, Rua Gonçalves Chaves, 377 - sala 411, prédio C. CEP: 96015-560, Pelotas, RS Brazil
| | - Alexandre C. Pereira
- Heart Institute, University of São Paulo Medical School, Av. Dr. Arnaldo, 455 - Cerqueira César - CEP: 01246903, São Paulo, SP Brazil
| | - Fernando C. Barros
- Health and Behavior Postgraduate Program, Universidade Católica de Pelotas – UCPEL, Rua Gonçalves Chaves, 377 - sala 411, prédio C. CEP: 96015-560, Pelotas, RS Brazil
| | - Bernardo Lessa Horta
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Rua Marechal Deodoro, 1160 - 3° Piso, Bairro Centro. Cep: 96020-220, Caixa Postal 464, Pelotas, RS Brazil
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de Quadros LDCM, Laura HC, Quevedo LDA, Gigante DP. [Effects of social mobility on adult mental health:a systematic review of the literature]. Cien Saude Colet 2016; 21:443-8. [PMID: 26910152 DOI: 10.1590/1413-81232015212.17942014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2014] [Accepted: 05/01/2015] [Indexed: 11/21/2022] Open
Abstract
The scope of this study was to identify longitudinal studies evaluating the relationship between social mobility and mental disorders in adults. An electronic review of the literature was conducted in the PubMed/Medline and PsycINFO databases. The bibliographic references of the articles selected for analysis were also examined for eligibility. Cohort studies were selected taking social mobility as exposure category and mental health-related disorders as the outcome. Seven studies were reviewed and their definition and categorization of exposure and outcome were found to be heterogeneous, thus rendering analysis and comparison of the results found in the various studies difficult. Mental health-related disorders were more common in individuals belonging to lower socio-economic classes, regardless of having upward, stable or downward social mobility. Moreover, the influence of individual socio-economic conditions, assessed in adulthood, appears to be greater than the effect of parental economic status on the mental health of individuals. This review indicates that it is possible to find a relationship between socio-economic status during the course of life and mental health in adulthood. However, the direction taken by this relationship remains unclear.
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Affiliation(s)
| | - Helen Castillo Laura
- Centro de Pesquisas Epidemiológicas, Universidade Federal de Pelotas, Pelotas, RS, Brasil,
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Abstract
Burnout syndrome (BOS) is the result of chronic stress at work, and is characterized by emotional exhaustion (EE), depersonalization (DP), and low professional accomplishment. Anesthesiologyis a stressful profession. The aim of this study was to assess the prevalence of burnout as well as the sociodemographic and working characteristics associated with this syndrome's emotional factors, in anesthesiologists from Southern Brazil. We assessed burnout severity, depressive symptoms, and self-esteem using the Maslach burnout inventory, the Beck depression inventory, and the Rosenberg self-esteem scale, respectively. Of the 198 anesthesiologists included in this study, 48.7% were positive for burnout, 26.9% for EE, 41.3% for DP and 32.7% for low personal accomplishment. Trends in BOS was associated with a younger age, difficulty to conciliate family and work demands, low self-esteem, and depressive symptoms.
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Affiliation(s)
- Patrícia Larrosa Freire
- a Postgraduate Program in Health and Behavior , Universidade Católica de Pelotas , Pelotas , Brazil
| | | | - Luciana de Avila Quevedo
- a Postgraduate Program in Health and Behavior , Universidade Católica de Pelotas , Pelotas , Brazil
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Loret de Mola C, Quevedo LDA, Pinheiro RT, Gonçalves H, Gigante DP, Motta JVDS, Barros FC, Horta BL. The Effect of Fetal and Childhood Growth over Depression in Early Adulthood in a Southern Brazilian Birth Cohort. PLoS One 2015; 10:e0140621. [PMID: 26469192 PMCID: PMC4607416 DOI: 10.1371/journal.pone.0140621] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2015] [Accepted: 09/27/2015] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Poor nutrition and growth during fetal life and childhood might be associated with depression in adulthood; however, studies evaluating these associations present controversial results, especially when comparing studies using different proxies for fetal growth. We evaluated the association of fetal and childhood growth/nutrition with depression, in adulthood, using different approaches and measurement methods. METHOD In 1982, hospital births (n = 5914) in Pelotas, southern Brazil, were examined and have been prospectively followed. At 30 years, the presence of major depression and depressive symptoms severity was evaluated using the Mini International Neuropsychiatric Interview (MINI) and Beck Depression Inventory (BDI-II). The present study assessed their association with birth weight, premature birth, small for gestational age (SGA), stunting and conditional growth during childhood. RESULTS At 30 years, 3576 individuals were evaluated and 7.9% had major depression. Low birth weight (PR = 1.01 95%CI [0.64-1.60]), having been born SGA (PR = 0.87 95%CI [0.64-1.19]) and premature birth (PR = 1.22 95%CI [0.72-2.07]) were not associated with major depression in multivariable models. However, those born SGA who were also stunted in childhood had a higher prevalence of major depression (PR = 1.87 95%CI [1.06-3.29]) and greater odds of scoring a higher level of depression in the BDI-II (OR = 2.18 95%CI [1.34-3.53]). CONCLUSION In this Brazilian cohort of young adults, those born SGA who were also stunted during childhood had a higher risk of depression in adulthood. Our results show that the effect of growth impairment on depression is cumulative.
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Affiliation(s)
- Christian Loret de Mola
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
- * E-mail:
| | | | | | - Helen Gonçalves
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | | | - Janaína Vieira dos Santos Motta
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
- Postgraduate Program in Health and Behavior, Universidade Católica de Pelotas, Pelotas, Brazil
| | - Fernando C. Barros
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
- Postgraduate Program in Health and Behavior, Universidade Católica de Pelotas, Pelotas, Brazil
| | - Bernardo Lessa Horta
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
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de Quadros LDCM, Quevedo LDA, Motta JVDS, Carraro A, Ribeiro FG, Horta BL, Gigante DP. Social Mobility and Mental Disorders at 30 Years of Age in Participants of the 1982 Cohort, Pelotas, Rio Grande Do Sul - RS. PLoS One 2015; 10:e0136886. [PMID: 26448480 PMCID: PMC4598184 DOI: 10.1371/journal.pone.0136886] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2015] [Accepted: 08/10/2015] [Indexed: 11/23/2022] Open
Abstract
This study aimed to evaluate the relationship between mental disorders at 30 years of age and social mobility by formally testing three hypotheses: Risk Accumulation; Critical Period; and Social Mobility. The study was performed using data from the 30-year follow-up of the Pelotas Birth Cohort Study, conducted in 1982, and data from previous follow-ups. The tool used to evaluate mental health was the Self Report Questionnaire (SRQ-20). For the statistical analysis, the chi-square test with the Yates correction was used to estimate the prevalence of mental disorder, and the Poisson regression with robust variance was used to formally test the hypotheses according to the Risk Accumulation, Critical Period and Social Mobility Models. The analyses were stratified by gender. The prevalence of Common Mental Disorders (CMDs) was 24.3% (95% CI 22.9–25.7) when the whole sample was considered. The highest prevalence, 27.1% (95% CI 25.1–29.2), was found in women, and the difference between genders was significant (p < 0.001). CMDs were more frequent in participants who remained “poor” in the three follow-ups. In both men and women, the best fit was obtained with the Risk Accumulation Model, with p = 0.6348 and p = 0.2105, respectively. The results indicate the need to rethink public income maintenance policies. Finally, we suggest further studies to investigate the role of different public policies in decreasing the prevalence of mental disorders and thus contribute proposals of new policies that may contribute to the prevention of these disorders.
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Affiliation(s)
- Lenice de Castro Muniz de Quadros
- Graduate Program in Epidemiology, Federal University of Pelotas (Universidade Federal de Pelotas - UFPEL), Rio Grande do Sul, Brazil
- * E-mail:
| | - Luciana de Avila Quevedo
- Graduate Program in Health and Behavior, Catholic University of Pelotas (Universidade Católica de Pelotas - UCPel), Rio Grande do Sul, Brazil
| | - Janaína Vieira dos Santos Motta
- Graduate Program in Health and Behavior, Catholic University of Pelotas (Universidade Católica de Pelotas - UCPel), Rio Grande do Sul, Brazil
| | - André Carraro
- Graduate Program in Organizations and Markets, Federal University of Pelotas (Universidade Federal de Pelotas - UFPEL), Rio Grande do Sul, Brazil
| | - Felipe Garcia Ribeiro
- Graduate Program in Organizations and Markets, Federal University of Pelotas (Universidade Federal de Pelotas - UFPEL), Rio Grande do Sul, Brazil
| | - Bernardo Lessa Horta
- Graduate Program in Epidemiology, Federal University of Pelotas (Universidade Federal de Pelotas - UFPEL), Rio Grande do Sul, Brazil
| | - Denise Petrucci Gigante
- Graduate Program in Epidemiology, Federal University of Pelotas (Universidade Federal de Pelotas - UFPEL), Rio Grande do Sul, Brazil
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Matos MBD, Cruz ACN, Dumith SDC, Dias NDC, Carret RBP, Quevedo LDA. Eventos estressores na família e indicativos de problemas de saúde mental em crianças com idade escolar. Ciênc saúde coletiva 2015; 20:2157-63. [DOI: 10.1590/1413-81232015207.17452014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2014] [Accepted: 05/14/2015] [Indexed: 11/22/2022] Open
Abstract
Resumo O objetivo deste artigo é avaliar a relação entre eventos estressores ocorridos no último ano na família de crianças e adolescentes com indicativos de problemas de saúde mental em uma amostra de estudantes de duas escolas de uma cidade no sul do Brasil. Estudo transversal com 1.075 estudantes matriculados em duas escolas públicas de ensino fundamental (uma estadual e outra municipal). Foi utilizado o Strengths and Difficulties Questionnaire para avaliação de fatores emocionais e comportamentais da criança, e a Escala de Avaliação de Reajustamento Social de Holmes e Rahe (1967) para avaliar os eventos estressores. Foram utilizados o teste qui-quadrado e a regressão de Poisson, com ajuste robusto para variância, expressando os resultados em razão de prevalências (RP) e intervalos de confiança de 95%. As chances de apresentar problemas de hiperatividade foram 1,42 (IC 95% 1,10-1,83) vezes maiores no tercil intermediário e 1,37 (IC 95% 1,06-1,78) no tercil superior, quando comparados ao tercil inferior. Quanto aos problemas de relacionamento, as chances foram de 1,49 (IC 95% 1,15-1,93) vezes maiores no tercil superior ao serem comparados com o tercil inferior. Os resultados sugerem que fatores ambientais podem ser fortemente relacionados à etiologia dos transtornos mentais na infância e adolescência.
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Farias CDA, Lima POC, Ferreira LA, Cruzeiro ALS, Quevedo LDA. [Work overload faced by caregivers assisting frequenters of a psychosocial care center for children and adolescents in the south of Brazil]. Cien Saude Colet 2014; 19:4819-27. [PMID: 25388190 DOI: 10.1590/1413-812320141912.19182013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2013] [Accepted: 04/26/2014] [Indexed: 11/22/2022] Open
Abstract
The scope of this article is to compare the work overload averages among caregivers assisting frequenters of a Psychosocial Care Center for children and adolescents (CAPSi) in Pelotas-Brazil in relation to the mental health of the children and adolescents and the caregivers themselves. It involved a cross-sectional study conducted with the primary caregiver of CAPSi frequenters. The work overload was evaluated using the Zarit Burden Interview scale and the mental health problems of frequenters were assessed using the Strengths and Difficulties Questionnaire (SDQ). To verify the presence of common potential mental disorders of caregivers, a Self-Report Questionnaire (SRQ-20) was used. T-test and ANOVA was used for data analysis. The average work overload was significantly higher in caregivers of frequenters with behavioral problems (p = 0.000), hyperactivity (p = 0.001) and relationship problems with peers (p = 0.001). IT was also significantly higher among those classified as potential cases of common mental disorders (p = 0.000); women caregivers (p = 0.032) and those with past problems with the Judiciary and/or Guardianship Council involving a frequenter (p = 0.039). The importance of work geared to caregivers to enhance the quality of care and quality of life of the caregivers themselves should be highlighted.
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Loret de Mola C, de França GVA, Quevedo LDA, Horta BL. Low birth weight, preterm birth and small for gestational age association with adult depression: systematic review and meta-analysis. Br J Psychiatry 2014; 205:340-7. [PMID: 25368358 DOI: 10.1192/bjp.bp.113.139014] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
BACKGROUND There is no consensus on the effects that low birth weight, premature birth and intrauterine growth have on later depression. AIMS To review systematically the evidence on the relationship of low birth weight, smallness for gestational age (SGA) and premature birth with adult depression. METHOD We searched the literature for original studies assessing the effect of low birth weight, premature birth and SGA on adult depression. Separate meta-analyses were carried out for each exposure using random and fixed effects models. We evaluated the contribution of methodological covariates to heterogeneity using meta-regression. RESULTS We identified 14 studies evaluating low birth weight, 9 premature birth and 4 SGA. Low birth weight increased the odds of depression (OR = 1.39, 95% CI 1.21-1.60). Premature birth and SGA were not associated with depression, but publication bias might have underestimated the effect of the former and only four studies evaluated SGA. CONCLUSIONS Low birth weight was associated with depression. Future studies evaluating premature birth and SGA are needed.
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Affiliation(s)
- Christian Loret de Mola
- Christian Loret de Mola, MD, MSc, Giovanny Vinícius Araújo de França, MSc, Postgraduate Programme in Epidemiology, Federal University of Pelotas; Luciana de Avila Quevedo, PhD, Postgraduate Programme in Health and Behaviour, Catholic University of Pelotas; Bernardo Lessa Horta, MD, PhD, Postgraduate Programme in Epidemiology, Federal University of Pelotas, Brazil
| | - Giovanny Vinícius Araújo de França
- Christian Loret de Mola, MD, MSc, Giovanny Vinícius Araújo de França, MSc, Postgraduate Programme in Epidemiology, Federal University of Pelotas; Luciana de Avila Quevedo, PhD, Postgraduate Programme in Health and Behaviour, Catholic University of Pelotas; Bernardo Lessa Horta, MD, PhD, Postgraduate Programme in Epidemiology, Federal University of Pelotas, Brazil
| | - Luciana de Avila Quevedo
- Christian Loret de Mola, MD, MSc, Giovanny Vinícius Araújo de França, MSc, Postgraduate Programme in Epidemiology, Federal University of Pelotas; Luciana de Avila Quevedo, PhD, Postgraduate Programme in Health and Behaviour, Catholic University of Pelotas; Bernardo Lessa Horta, MD, PhD, Postgraduate Programme in Epidemiology, Federal University of Pelotas, Brazil
| | - Bernardo Lessa Horta
- Christian Loret de Mola, MD, MSc, Giovanny Vinícius Araújo de França, MSc, Postgraduate Programme in Epidemiology, Federal University of Pelotas; Luciana de Avila Quevedo, PhD, Postgraduate Programme in Health and Behaviour, Catholic University of Pelotas; Bernardo Lessa Horta, MD, PhD, Postgraduate Programme in Epidemiology, Federal University of Pelotas, Brazil
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de Azevedo Cardoso T, Mondin TC, Spessato BC, de Avila Quevedo L, de Mattos Souza LD, da Silva RA, Jansen K. The impact of anxious symptoms in the remission of depressive symptoms in a clinical trial for depression: follow-up of six months. J Affect Disord 2014; 168:331-6. [PMID: 25089513 DOI: 10.1016/j.jad.2014.03.034] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2013] [Revised: 03/13/2014] [Accepted: 03/15/2014] [Indexed: 10/25/2022]
Abstract
BACKGROUND Studies show high comorbidity between anxiety disorder and depression. Little is known regarding how anxiety symptoms affect prognosis in depression treatment, suggesting the importance of studying the impact of anxiety symptoms in the treatment of depression. We evaluated the impact of anxiety symptoms in the remission of depressive symptoms after brief psychotherapies for depression. METHODS This randomized clinical trial of 18-29-year-old adults included individuals who met the diagnostic criteria for depression as assessed by the Structured Clinical Interview for DSM (SCID). Depressive symptoms were assessed using the Hamilton Rating Scale for Depression (HRSD); anxiety symptoms were assessed using the Hamilton Anxiety Rating Scale (HARS). The protocols of psychotherapy used were: Cognitive Narrative Psychotherapy (CNP) and Cognitive Behavioral Psychotherapy (CBP). Both treatments included seven sessions. At the end of the treatment and six-month follow-up, an evaluation was made with the HRSD and HARS. The sample included 97 patients divided between the protocols of psychotherapy. RESULTS There was a significant, positive, moderate correlation between the severity of anxiety symptoms at baseline and the remission of depressive symptoms at post-intervention (r=0.38 p<0.001) as well as a significant, positive, low correlation at follow up (r=0.20 p=0.049). We found remission of anxiety symptoms and depressive symptoms after brief psychotherapies, and the remission persisted at follow up. LIMITATION We did not evaluate the diagnosis of anxiety disorders. CONCLUSION The severity of anxiety symptoms did not compromise the treatment focused primarily on depressive symptoms.
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Affiliation(s)
- Taiane de Azevedo Cardoso
- Universidade Católica de Pelotas-Programa de pós-graduação em Saúde e Comportamento, Rua Gonçalves Chaves, 373, Sala 416C, Centro CEP 96015-560, Brazil
| | - Thaíse Campos Mondin
- Universidade Católica de Pelotas-Programa de pós-graduação em Saúde e Comportamento, Rua Gonçalves Chaves, 373, Sala 416C, Centro CEP 96015-560, Brazil
| | - Bárbara Coiro Spessato
- Universidade Católica de Pelotas-Programa de pós-graduação em Saúde e Comportamento, Rua Gonçalves Chaves, 373, Sala 416C, Centro CEP 96015-560, Brazil
| | - Luciana de Avila Quevedo
- Universidade Católica de Pelotas-Programa de pós-graduação em Saúde e Comportamento, Rua Gonçalves Chaves, 373, Sala 416C, Centro CEP 96015-560, Brazil
| | - Luciano Dias de Mattos Souza
- Universidade Católica de Pelotas-Programa de pós-graduação em Saúde e Comportamento, Rua Gonçalves Chaves, 373, Sala 416C, Centro CEP 96015-560, Brazil
| | - Ricardo Azevedo da Silva
- Universidade Católica de Pelotas-Programa de pós-graduação em Saúde e Comportamento, Rua Gonçalves Chaves, 373, Sala 416C, Centro CEP 96015-560, Brazil
| | - Karen Jansen
- Universidade Católica de Pelotas-Programa de pós-graduação em Saúde e Comportamento, Rua Gonçalves Chaves, 373, Sala 416C, Centro CEP 96015-560, Brazil.
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Pires AJ, Casanova CC, Quevedo LDA, Jansen K, Silva RAD. Panic disorder and psychoactive substance use in primary care. Trends Psychiatry Psychother 2014; 36:113-8. [PMID: 27000711 DOI: 10.1590/2237-6089-2013-0042] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
OBJECTIVE To identify the association between panic disorder and licit and illicit substance use in the population provided with primary care in the southern Brazil. METHODS This is a cross-sectional study with patients from three primary care centers. We used the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) to evaluate substance use and the Mini International Neuropsychiatric Interview (MINI) to diagnose panic disorder. RESULTS A total of 1,081 subjects were evaluated. The prevalence of panic disorder was 5.6%. Panic disorder was associated with using marijuana (p = 0.001), tobacco (p = 0.001), cocaine (p < 0.001), and other illicit substances (p < 0.001). CONCLUSION A significant association is noticed between panic disorder and licit and illicit substance use, thus, it is interesting to rethink the approach to treatment/intervention in patients with dual diagnosis.
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Affiliation(s)
| | | | | | - Karen Jansen
- Universidade Católica de Pelotas, Pelotas, RS, Brazil
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Pinheiro RT, Botella L, de Avila Quevedo L, Pinheiro KAT, Jansen K, Osório CM, Herrero O, da Silva Magalhães POV, Farias AD, da Silva RA. Maintenance of the Effects of Cognitive Behavioral and Relational Constructivist Psychotherapies in the Treatment of Women with Postpartum Depression: A Randomized Clinical Trial. Journal of Constructivist Psychology 2013. [DOI: 10.1080/10720537.2013.814093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Mondin TC, Konradt CE, Cardoso TDA, Quevedo LDA, Jansen K, Mattos LDD, Pinheiro RT, Silva RAD. Anxiety disorders in young people: a population-based study. Rev Bras Psiquiatr 2013; 35:347-52. [DOI: 10.1590/1516-4446-2013-1155] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2012] [Accepted: 06/15/2013] [Indexed: 11/22/2022]
Affiliation(s)
| | | | | | | | - Karen Jansen
- Universidade Católica de Pelotas (UCPel), Brazil
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Ores LDC, Quevedo LDA, Jansen K, Carvalho ABD, Cardoso TA, Souza LDDM, Pinheiro RT, Silva RAD. [Suicide risk and health risk behavior among youth between the ages of 18 and 24 years: a descriptive study]. CAD SAUDE PUBLICA 2012; 28:305-12. [PMID: 22331156 DOI: 10.1590/s0102-311x2012000200009] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2011] [Accepted: 10/03/2011] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to assess suicide risk and risk behavior in young people. A cross-sectional study in the urban area of Pelotas, Rio Grande do Sul State, Brazil was performed using systematic sampling with young people between the ages of 18 to 24 years. We measured the risk of suicide (MINI), behavior (YRBSS), abuse/substance dependence (ASSIST) and socioeconomic status (ABEP). Data was analyzed using SPSS software. The sample consisted of 1,560 young people and the prevalence of suicide risk was 8.6%. Suicide risk was associated with: having suffered an accident that required a visit to the emergency room (p = 0.011), fighting (p = 0.016), carrying a weapon (p = 0.001) and carrying a firearm (p ≤ 0.001), substance abuse/dependence (p ≤ 0.001), not having used a condom during the last sexual relationship (p = 0.025), not having a steady partner (p ≤ 0.001) and having sex with five or more people (p = 0.018). Young people that present risk behavior also represent a suicide risk.
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Menezes LOD, Pinheiro RT, Quevedo LDA, Oliveira SSD, Silva RAD, Pinheiro KAT, Santo GCE, Jansen K. O impacto do baixo peso ao nascer relacionado à depressão gestacional para o financiamento federal da saúde pública: uma análise do Município de Pelotas, Rio Grande do Sul, Brasil. CAD SAUDE PUBLICA 2012; 28:1939-48. [DOI: 10.1590/s0102-311x2012001000012] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2011] [Accepted: 07/13/2012] [Indexed: 11/22/2022] Open
Abstract
O baixo peso ao nascer está relacionado com morbimortalidade e sequelas no desenvolvimento infantil, impactando nos custos dos sistemas de saúde, por isso é importante avaliar fatores que o influenciam, estimando seu impacto no Sistema Único de Saúde (SUS). Este é um estudo prospectivo aninhado a uma coorte de gestantes que realizaram pré-natal e parto exclusivamente pelo SUS nos hospitais com UTI da cidade de Pelotas, Rio Grande do Sul, Brasil. Entre os resultados, concluiu-se que mães com episódios de depressão gestacional apresentam quase quatro vezes mais chances de ter um filho com baixo peso ao nascer (RP = 3,94; IC: 1,49-10,36). Valendo-se do cálculo da fração atribuível na população, estima-se que, na população geral, 36,17% dos bebês com baixo peso ao nascer são filhos de mães que tiveram episódio depressivo, estimando-se um custo que pode chegar a mais de R$ 76 milhões no Brasil. Sugere-se que se ampliem as ações preventivas e curativas para as gestantes na área da saúde mental, possibilitando melhor desfecho de saúde dos recém-nascidos, e que se utilizem adequadamente os recursos do SUS.
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Silva ID, Quevedo LDA, Silva RAD, Oliveira SSD, Pinheiro RT. Associação entre abuso de álcool durante a gestação e o peso ao nascer. Rev Saude Publica 2011; 45:864-9. [DOI: 10.1590/s0034-89102011005000062] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2010] [Accepted: 04/06/2011] [Indexed: 11/21/2022] Open
Abstract
OBJETIVO: Analisar a associação entre abuso de álcool durante a gestação e baixo peso ao nascer. MÉTODOS: Estudo transversal de base populacional aninhado a uma coorte de 957 gestantes que realizaram acompanhamento pré-natal no Sistema Único de Saúde da cidade de Pelotas, RS, e deram à luz entre setembro de 2007 e setembro de 2008. As mães foram entrevistadas em dois momentos distintos: no período de pré-parto e após o parto. Para verificar o abuso do álcool foi utilizada a escala Cut down, Annoyed by criticism, Guilty and Eye-opener. Foram realizadas análises bivariadas e regressão logística múltipla, ajustada pelas variáveis prematuridade e abuso de álcool. O nível de significância adotado foi de 95%. RESULTADOS: Das mulheres que participaram do estudo, 2,1% abusaram de álcool na gestação e, entre essas, 26,3% tiveram filhos com baixo peso. Houve associação entre o abuso de álcool e baixo peso ao nascer (p < 0,038). CONCLUSÕES: Os achados indicam que o abuso de álcool durante a gestação está associado ao baixo peso ao nascer.
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Konradt CE, Silva RAD, Jansen K, Vianna DM, Quevedo LDA, Souza LDDM, Oses JP, Pinheiro RT. Depressão pós-parto e percepção de suporte social durante a gestação. ACTA ACUST UNITED AC 2011. [DOI: 10.1590/s0101-81082011005000010] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
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.
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