Pregnancy is associated with psychiatric symptoms in a low-income countryside community of Brazil

Fernando MV Dias1&ndash;3, Claudio SD Junior4, Glaura C Franco5, Ant&ocirc;nio L Teixeira3, Angela M Ribeiro21Department of Medicine and Nursing, Federal University of Vi&ccedil;osa, Vi&ccedil;osa; 2Graduate Program in Neurosciences, Laboratory of Molecular and Behavi...

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Autores principales:	Dias FMV, Junior CSD, Franco GC, Teixeira AL, Ribeiro AM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/533c6b2f9997426691a1e85a8079ede1
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spelling	oai:doaj.org-article:533c6b2f9997426691a1e85a8079ede12021-12-02T01:52:07ZPregnancy is associated with psychiatric symptoms in a low-income countryside community of Brazil1176-63281178-2021https://doaj.org/article/533c6b2f9997426691a1e85a8079ede12011-11-01T00:00:00Zhttp://www.dovepress.com/pregnancy-is-associated-with-psychiatric-symptoms-in-a-low-income-coun-a8762https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Fernando MV Dias1&ndash;3, Claudio SD Junior4, Glaura C Franco5, Ant&ocirc;nio L Teixeira3, Angela M Ribeiro21Department of Medicine and Nursing, Federal University of Vi&ccedil;osa, Vi&ccedil;osa; 2Graduate Program in Neurosciences, Laboratory of Molecular and Behavioral Neuroscience (LaNeC); 3Graduate Program in Neurosciences, Neuropsychiatric Branch Research; 4Department of Sociology and Anthropology; 5Department of Statistics, Federal University of Minas Gerais, Belo Horrizonte, BrazilBackground: Psychiatric symptoms during pregnancy induce an increase in morbidity and also in the mortality levels among women and children. However, the real association between pregnancy and psychiatric disorders and the peculiarities of the phenomenology of symptoms in underprivileged countryside communities remain uncertain.Objective: To verify the association between psychiatric disorder, symptoms, and pregnancy among women from a low-income countryside community and to determine the specific cutoff points for major depression diagnosis according to Beck Depression Inventory for the different trimesters of pregnancy in this population.Methods: Ninety-four pregnant women and 38 healthy women from the Concei&ccedil;&atilde;o do Mato Dentro health service, a rural low-income community in Brazil, participated in the present study. Psychiatric examination included a structured clinical interview for psychiatric disorders according to Mini International Neuropsychiatric Interview and psychometric scales such as the Yale&ndash;Brown Obsessive Scale, the Beck Depression Inventory, and the Hamilton Anxiety Scale. The cutoff points for Beck Depression Inventory were determined through the application of receiver operating characteristic curves considering the diagnosis of major depression according to Mini International Neuropsychiatric Interview.Results: The pregnant women had a higher frequency of psychiatric disorders and depression and anxiety symptoms. All cutoff points of Beck Depression Inventory were equal or higher than 12 with high sensitivity and specificity. Although the modified cutoff was selected based on both high sensitivity and high specificity, they were lower than when the cutoff was applied to nonpregnant women.Conclusion: Pregnancy was associated with the occurrence of psychiatric disorders and depressive and anxiety symptoms. In comparison to the literature, the present results indicate that there are different cutoff points in the Beck Depression Inventory for pregnant women from different cultures and in different pregnancy trimesters.Keywords: pregnancy, psychiatric symptoms, low-income countryside communitiesDias FMVJunior CSDFranco GCTeixeira ALRibeiro AMDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2011, Iss Issue 1, Pp 709-714 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Dias FMV Junior CSD Franco GC Teixeira AL Ribeiro AM Pregnancy is associated with psychiatric symptoms in a low-income countryside community of Brazil
description	Fernando MV Dias1&ndash;3, Claudio SD Junior4, Glaura C Franco5, Ant&ocirc;nio L Teixeira3, Angela M Ribeiro21Department of Medicine and Nursing, Federal University of Vi&ccedil;osa, Vi&ccedil;osa; 2Graduate Program in Neurosciences, Laboratory of Molecular and Behavioral Neuroscience (LaNeC); 3Graduate Program in Neurosciences, Neuropsychiatric Branch Research; 4Department of Sociology and Anthropology; 5Department of Statistics, Federal University of Minas Gerais, Belo Horrizonte, BrazilBackground: Psychiatric symptoms during pregnancy induce an increase in morbidity and also in the mortality levels among women and children. However, the real association between pregnancy and psychiatric disorders and the peculiarities of the phenomenology of symptoms in underprivileged countryside communities remain uncertain.Objective: To verify the association between psychiatric disorder, symptoms, and pregnancy among women from a low-income countryside community and to determine the specific cutoff points for major depression diagnosis according to Beck Depression Inventory for the different trimesters of pregnancy in this population.Methods: Ninety-four pregnant women and 38 healthy women from the Concei&ccedil;&atilde;o do Mato Dentro health service, a rural low-income community in Brazil, participated in the present study. Psychiatric examination included a structured clinical interview for psychiatric disorders according to Mini International Neuropsychiatric Interview and psychometric scales such as the Yale&ndash;Brown Obsessive Scale, the Beck Depression Inventory, and the Hamilton Anxiety Scale. The cutoff points for Beck Depression Inventory were determined through the application of receiver operating characteristic curves considering the diagnosis of major depression according to Mini International Neuropsychiatric Interview.Results: The pregnant women had a higher frequency of psychiatric disorders and depression and anxiety symptoms. All cutoff points of Beck Depression Inventory were equal or higher than 12 with high sensitivity and specificity. Although the modified cutoff was selected based on both high sensitivity and high specificity, they were lower than when the cutoff was applied to nonpregnant women.Conclusion: Pregnancy was associated with the occurrence of psychiatric disorders and depressive and anxiety symptoms. In comparison to the literature, the present results indicate that there are different cutoff points in the Beck Depression Inventory for pregnant women from different cultures and in different pregnancy trimesters.Keywords: pregnancy, psychiatric symptoms, low-income countryside communities
format	article
author	Dias FMV Junior CSD Franco GC Teixeira AL Ribeiro AM
author_facet	Dias FMV Junior CSD Franco GC Teixeira AL Ribeiro AM
author_sort	Dias FMV
title	Pregnancy is associated with psychiatric symptoms in a low-income countryside community of Brazil
title_short	Pregnancy is associated with psychiatric symptoms in a low-income countryside community of Brazil
title_full	Pregnancy is associated with psychiatric symptoms in a low-income countryside community of Brazil
title_fullStr	Pregnancy is associated with psychiatric symptoms in a low-income countryside community of Brazil
title_full_unstemmed	Pregnancy is associated with psychiatric symptoms in a low-income countryside community of Brazil
title_sort	pregnancy is associated with psychiatric symptoms in a low-income countryside community of brazil
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/533c6b2f9997426691a1e85a8079ede1
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Pregnancy is associated with psychiatric symptoms in a low-income countryside community of Brazil

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