Common mental disorders and perinatal depressive symptoms: an integrative review.

Bruno Pereira da Silva,Maria Cristina Gabrielloni,Paulo A R Neves,Maria Cristina Mazzaia

doi:10.1590/0034-7167-2019-0823

Bruno Pereira da Silva, Maria Cristina Gabrielloni

Open Access

https://doi.org/10.1590/0034-7167-2019-0823

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Abstract

to investigate occurrence and risk factors for common mental disorders and perinatal depressive symptoms. an integrative literature review using CINAHL, Embase, PubMed, PsycINFO, and LILACS, looking for studies conducted between 2014 and 2019. Data collection took place between June and July 2019. Health Sciences Descriptors (DeCS) and Medical Subject Heading (MeSH) were used in the search strategies employed in each database. thirteen articles were included. Most studies were conducted in Brazil and with a cross-sectional design. The highest prevalence of common mental disorders (63%) and depressive symptoms (30%) were found in Brazilian studies. high frequencies were found for perinatal mental disorder, with emphasis on studies carried out in Brazil. Low socioeconomic status, being a single mother, history of mental disorder, unplanned pregnancy and multiparity were risk factors for the investigated disorders.

Highlights

OBJECTIVEMental health problems affect the entire population, with some groups being more susceptible to a certain type of disorder
A total of 13 articles were included in this integrative literature review (ILR), 30.8% of which were indexed in CINAHL; 15.4% in Embase; 15.4% in LILACS; 30.8%
Most studies were conducted in Brazil (30.8%)(10,16,22-23), with cross-sectional design (61.5%)(10,18–20,22,24,26), and most of them were (23%) carried out in 2016(10,21,26) and 2017(16,18,22)

Summary

Introduction

Mental health problems affect the entire population, with some groups being more susceptible to a certain type of disorder. In this regard, women may present gender-specific disorders, such as mental disorders in perinatality(1). Women may present gender-specific disorders, such as mental disorders in perinatality(1) During this period, from pregnancy to 12 months after delivery(2), women-mothers are susceptible to the manifestation of common mental disorders (CMD). CMD are a suspected mental comorbidity for mood disorders, anxiety and somatization, characterized by depressive and anxious symptoms, such as lack of focus, forgetfulness, insomnia, fatigue, irritability, and non-specific somatic complaints. In the postpartum period, women are susceptible to non-psychotic depressive symptoms (DS) with dysphoric mood; psychomotor disorder; changes in sleep and appetite; fatigue; feeling of worthlessness or excessive guilt; recurring thoughts of death; suicidal ideation; feeling of inadequacy; and rejection of their baby(5-6)

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