학술논문

Postpartum depressive symptoms of Brazilian women during the COVID-19 pandemic measured by the Edinburgh Postnatal Depression Scale.
Document Type
Article
Source
Journal of Affective Disorders. Jan2022, Vol. 296, p577-586. 10p.
Subject
*COVID-19 pandemic
*EDINBURGH Postnatal Depression Scale
*MENTAL depression
*MENTAL health services
*BRAZILIANS
*PUERPERAL disorders
Language
ISSN
0165-0327
Abstract
• The rates of postpartum depressive symptoms increased in Brazil during the pandemic, with worrying rates of suicidal ideation; this may represent similar situations in other countries, indicating the need for greater care in the mental health of this group of patients. • This situation was strongly associated with increased levels of anxiety and with family and financial aspects, in addition to the impact of the news. • Possibly, the increasing presence of fake news in Brazil have contributed to the levels of anxiety and depression observed. • Postpartum depression was independently associated with anxiety and concerns arising from the lack of hospital beds, in addition to marital status without a partner. The most severe form of depression, with suicidal ideation, was also associated with the acquisition of information about the pandemic through friends. The COVID-19 pandemic gave rise to concerns about its potential impact on the mental health of pregnant and postpartum women as the general postpartum depression rates increased. Three postpartum questionnaires (Edinburgh Postnatal Depression Scale – EPDS; Anxiety and Depression Scale – HAD; and a demographic questionnaire about isolation and information acquisition) were used to evaluate the mental health of women with and without COVID-19 and determine the factors associated with depressive symptoms (EPDS ≥ 12). Data from 184 participants with a mean of 56 postpartum days were analyzed. The rate of symptoms compatible with postpartum depression (PPD) was 38.8%, with a 14.3% positive response to item 10 on the EPDS (suicidal ideation - SI). Listening to the news about COVID-19 averaged 4.45 hours a day. Factors related to PPD were concerns about lack of hospital beds (OR = 2.45), absence of a partner (OR = 2.70), and anxiety symptoms (OR = 10). Factors related to SI were anxiety symptoms (OR = 1.56) and friends as a source of information (OR = 5.60). Considering the rapidly changing epidemiological conditions of this pandemic, this study may only be the photograph of an instant. Higher rates of PPD in the Brazilian population are related not only to anxiety but also to an inadequate family environment, kind of information acquisition and concerns about the lack of hospital beds. [ABSTRACT FROM AUTHOR]