Abstract
To analyze the prevalence and factors associated with depressive symptoms among Brazilian pregnant women with history of bariatric surgery (BS). This is a cohort study with 247 women who got pregnant after BS. Based on data collection via Google Form, the recruitment of participants occurred in Facebook groups for 13 months. All of them answered a form with Informed Consent, a general data protocol and the Brazilian version of the Depression, Anxiety and Stress Scale-21. Descriptive and inferential analysis were performed, and a binary logistic regression model was tested to predict the factors associated with depressive symptoms. The prevalence of depressive symptoms was 32.8%, noted as being higher in the first (40.6%) and third (34.3%) gestational trimesters. Significative associations were found between depression and marital status (p = 0.000), planned pregnancy (p = 0.001), desired pregnancy (p = 0.004) and psychiatric history (p = 0.000). Women who were not married (odds ratio, OR = 3,38; p = 0.002) and had a psychiatric history (OR = 2.70; p = 0.102) had higher chances of showing depression symptoms; while planned and desired pregnancy showed as protective factors to the symptoms of depression. These findings highlight the importance of psychological assistance for pregnant women with history of BS, to prevent development of mental disorders and their outcomes for maternal-child health.
Highlights
Obesity is a chronic disease which involves genetic, metabolic, behavioral, environmental, cultural, and psychological factors
Conclusão Os achados ressaltam a importância do acompanhamento psicológico para gestantes com histórico de cirurgia bariátrica para prevenção do desenvolvimento de transtornos mentais e seus desfechos para a saúde materno-infantil
The survey began with an Informed Consent Form (ICF), which was a necessary condition for the participant to proceed and answer the following data collection tools: 1) general data protocol for socio demographic, psychosocial and clinical data collection; 2) Brazilian version of the Depression, Anxiety and Stress Scale (DASS21)[24] to rate the occurrence of depressive symptomatology detected, with a cutoff point of ! 14, which would correspond to moderate levels of the disorder for DASS-21
Summary
Obesity is a chronic disease which involves genetic, metabolic, behavioral, environmental, cultural, and psychological factors. According to Garcia,[3] the urbanization and industrialization binomial is a predominant factor in the way that people eat, since demand for bad and practical eating, as well as fast foods have increased. This demand makes space for higher consumption of invariable foods, without “real food” that can be found as fast food
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