Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/S2237-60892012000400002
Trends in Psychiatry and Psychotherapy
Review Article

Common mental disorders in mothers vs. infant and obstetric outcomes: a review

Transtornos mentais comuns em mães versus desfechos infantis e obstétricos: uma revisão

Paula Borba; Carla Fonseca Zambaldi; Amaury Cantilino; Everton Botelho Sougey

Downloads: 0
Views: 299

Abstract

INTRODUCTION: Pregnancy has been shown to increase women’s vulnerability to mental disorders. Common mental disorders (CMDs) have been studied both in the general population and in pregnant vs. non-pregnant women. During pregnancy, CMDs have been considered a potential predictor of obstetric and infant outcomes. METHODS: A search was conducted on the PubMed/MEDLINE, LILACS, and SciELO databases to find relevant articles written in English, Spanish, and Portuguese. No limit was established for year of publication, but only studies involving human beings were included. RESULTS: A total of 25 articles were selected. There was a consensus among studies that the mean prevalence of CMD during pregnancy is 20%. There was also agreement that the occurrence of CMDs during pregnancy is a predictor of postpartum depression and anxiety disorders and that the disorder remains underdiagnosed and undertreated. As for the positive association between CMDs and obstetric and infant complications, results are still conflicting. In lower-income countries, frequently there is an association between CMD and perinatal changes. It is argued that some confounding factors, such as sociodemographic and cultural differences, health and maternal conditions, and type of instruments used, probably contribute to this lack of consensus. CONCLUSION: We believe that the conflicting results found in the literature are caused by differences in methodology and sociodemographic factors that influence the development of CMDs. Despite these differences, our findings underscore the need for depression and anxiety disorders during pregnancy to be studied and better identified by all professionals who provide antenatal care.

Keywords

Mental disorders, women, pregnancy, infant

Resumo

INTRODUÇÃO: Estudos têm mostrado que a gravidez torna a mulher mais vulnerável a transtornos mentais. Os transtornos mentais comuns (TMCs) têm sido estudados tanto na população geral quanto em mulheres grávidas versus não grávidas. Durante a gravidez, os TMCs são considerados um potencial fator preditivo de desfechos obstétricos e perinatais. MÉTODOS: Uma pesquisa foi realizada nas bases de dados PubMed/MEDLINE, LILACS e SciELO em busca de artigos relevantes publicados em inglês, espanhol e português. Não foi estabelecido um limite para ano de publicação, mas apenas estudos envolvendo humanos foram incluídos. RESULTADOS: Um total de 25 artigos foram selecionados. Houve consenso entre os estudos de que a prevalência média de TMC durante a gravidez é de 20%. Também houve consenso de que a ocorrência de TMCs durante a gravidez é um fator preditivo de depressão pós-parto e transtornos de ansiedade, e de que o transtorno não vem sendo diagnosticado nem tratado. Com relação à associação positiva entre TMCs e desfechos obstétricos e perinatais, os resultados ainda são conflitantes. Em países de baixa renda, frequentemente se observa uma associação entre TMC e alterações perinatais. Argumenta-se que alguns fatores de confusão, tais como diferenças sociodemográficas e culturais, condições de saúde e maternas e tipo de instrumento usado, provavelmente contribuem para essa falta de consenso. CONCLUSÃO: Acreditamos que os resultados conflitantes encontrados na literatura são causados por diferenças na metodologia e fatores sociodemográficos que influenciam o desenvolvimento de TMCs. Apesar dessas diferenças, nossos achados salientam a necessidade de que a depressão e os transtornos da ansiedade durante a gravidez sejam estudados e melhor identificados por todos os profissionais que prestam cuidados pré-natais.

Palavras-chave

Transtornos mentais, mulheres, gravidez, lactente

References

Goldberg D, Huxley P. Common mental disorders: a biopsychosocial approach. 1992.

Evans J, Heron J, Francomb H, Oke S, Golding J. Cohort study of depressed mood during pregnancy and after childbirth. Br Med J. 2001;323:257-60.

Araújo TM, Pinho PS, Almeida MM. Prevalência de transtornos mentais comuns em mulheres e sua relação com as características sociodemográficas e o trabalho doméstico. Rev Bras Saude Matern Infant. 2005;5:-48.

Faisal-Cury A, Menezes P, Araya R, Zugaib M. Common mental disorders during pregnancy: prevalence and associated factors among low-income women in São Paulo, Brazil. Arch Womens Ment Health. 2009;12:335-43.

Austin MP, Leader L. Maternal stress and obstetric and infant outcomes: epidemiological findings and neuroendocrine mechanisms. Aust N Z J Obstet Gynecol. 2000;40:331-7.

Andersson L, Sundström-Poromaa I, Bixo M, Wulff M, Bondestam K, Aström M. Point prevalence of psychiatric disorders during the second trimester of pregnancy: a population-based study. Am J Obstet Gynecol. 2003;189:148-54.

Hanlon C, Medhin G, Alem A, Tesfaye F, Lakew Z, Worku B. Impact of antenatal common mental disorders upon perinatal outcomes in Ethiopia: the P-MaMiE population-based cohort study. Trop Med Int Health. 2009;14:156-66.

Ferri C, Mitsuhiro S, Barros MC, Chalem E, Guinsburg R, Patel V. The impact of maternal experience of violence and common mental disorders on neonatal outcomes: a survey of adolescent mothers in Sao Paulo, Brazil. BMC Public Health. 2007;7.

Rondó PH, Ferreira RF, Nogueira F, Ribeiro MC, Lobert H, Artes R. Maternal psychological stress and distress as predictors of low birth weight, prematurity and intrauterine growth retardation. Eur J Clin Nutr. 2003;57:266-72.

Patel V, Rahman A, Jacob KS, Hughes M. Effect of maternal mental health on infant growth in low income countries: new evidence from South Asia. Br Med J. 2004;328:820-3.

Patel V, Prince M. Maternal psychological morbidity and low birth weight in India. Br J Psychiatry. 2006;168:284-5.

Araya R, Rojas G, Fritsch R, Acuña J, Lewis G. Common mental disorders in Santiago, Chile: prevalence and socio-demographic correlates. Br J Psychiatry. 2001;178:228-33.

Van Bussel JC, Spitz B, Demyttenaere K. Women’s mental health before, during, and after pregnancy: a population-based controlled cohort Study. Birth. 2006;33:297-302.

Harpham T, Huttly S, De Silva MJ, Abramsky T. Maternal mental health and child nutritional status in four developing countries. J Epidemiol Community Health. 2005;59:1060-4.

Ishida K, Stupp P, Serbanescu F, Tullo E. Perinatal risk for common mental disorders and suicidal ideation among women in Paraguay. Int J Gynaecol Obstet. 2010;110:235-40.

Ludermir AB, de Araújo TV, Valongueiro SA, Lewis G. Common mental disorders in late pregnancy in women who wanted or attempted an abortion. Psychol Med. 2010;40:1467-73.

Silva R, Ores L, Mondin TC, Rizzo RN, Moraes IGS, Jansen K. Transtornos mentais comuns e auto-estima na gestação: prevalência e fatores associados. Cad Saude Publica. 2010;26:1832-8.

Ross J, Hanlon C, Medhin G, Alem A, Tesfaye F, Worku B. Perinatal mental distress and infant morbidity in Ethiopia: a cohort study. Arch Dis Child Fetal Neonatal. 2011;96:F59-64.

Servili C, Medhin G, Hanlon C, Tomlinson M, Worku B, Baheretibeb YM. Maternal common mental disorders and infant development in Ethiopia: the P-MaMiE Birth Cohort. BMC Public Health. 2010;10:693.

Humphreys D, Araya M, Cruchet S, Espinoza J, Brunser O. Maternal neurotic symptoms and infants’ risk of developing persistent diarrhoea. Saude Publica. 1996;30:213-7.

Rahman A, Harrigton R, Bunn J. Can maternal depression increase infant risk of illness and growth impairment in developing countries?. Child Care Health Dev. 2002;28:51-6.

Hadley C, Tegegn A, Tessema F, Asefa M, Galea S. Parental symptoms of common mental disorders and children’s social, motor, and language development in sub-Saharan Africa. Ann Hum Biol. 2008;35:259-75.

Medhin G, Hanlon C, Dewey M, Alem A, Tesfaye F, Lakew Z. The effect of maternal common mental disorders on infant undernutrition in Butajira, Ethiopia: the P-MaMiE study. BMC Psychiatry. 2010;10.

Adewuya AO, Ola BO, Aloba OO, Mapayi BM, Okeniyi JA. Impact of postnatal depression on infants’ growth in Nigeria. J Affect Disorder. 2008;108:191-3.

Andersson L, Sundstrom-Poromaa I, Wulff M, Astrom M, Bixo M. Neonatal outcome following maternal antenatal depression and anxiety: a population-based study. Am J Epidemiol. 2004;159:872-81.

Evans J, Heron J, Patel RR, Wiles N. Depressive symptoms during pregnancy and low birth weight at term: longitudinal study. Br J Psychiatry. 2007;191:84-5.

Faisal-Cury A, Araya R, Menezes P, Zugaib M. Common mental disorders during pregnancy and adverse obstetric outcomes. J Psychosom Obstet Gynaecol. 2010;31:229-35.

Heron J, O’Connor TH, Evans J, Golding J, Glover V. The course of anxiety and depression through pregnancy and the postpartum in a community sample. J Affect Disord. 2004;80:65-73.

Beusenberg M, Orley J. A user’s guide to the Self-Reporting Questionnaire (SRQ). 1994.

Relatório sobre a saúde no mundo: saúde mental: nova concepção, nova esperança. 2001.

Pereira PK, Lovisi GM. Prevalência da depressão gestacional e fatores associados. Rev Psiquiatr Clin. 2008;35:144-53.

Patel V, Araya R, Chowdhary N, King M, Kirkwood B, Nayak S. Detecting common mental disorders in primary care in India: a comparison of five screening questionnaires. Psychol Med. 2008;38:221-8.

Faisal-Cury A, Menezes PR. Prevalence of anxiety and depression during pregnancy in a private setting sample. Arch Womens Ment Health. 2007;10:25-32.

Kelly RH, Russo J, Katon W. Somatic complaints among pregnant women cared for in obstetrics: normal pregnancy or depressive and anxiety symptom amplification revisited?. Gen Hosp Psychiatry. 2001;23:107-13.

Dole N, Savitz A, Hertz-Picciotto I, Siega-Riz AM, McMahon MJ, Buekens P. Maternal stress and preterm birth. Am J Epidemiol. 2003;157:14-24.

Rahman A, Bunn J, Lovel H, Creed F. Association between antenatal depression and low birth weight in a developing country. Acta Psychiatr Scand. 2007;115:481-6.

Dayan J, Creveuil C, Herlicoviez M, Herbel C, Baranger E, Savoye C. Role of anxiety and depression in the onset of spontaneous preterm labor. Am J Epidemiol. 2002;155:293-301.

Larsson C, Sydsjö G, Josefsson A. Health, socio-demographic data, and pregnancy outcome in women with antepartum depressive symptoms. Obstet Gynecol. 2004;104:459-66.

616b31d0a9539538a758b9c5 trends Articles
Links & Downloads

Trends Psychiatry Psychother

Share this page
Page Sections