Depression in pregnant women and adherence to medical prescriptions and health professionals recommendations
DOI:
https://doi.org/10.14295/idonline.v17i66.3739Keywords:
Depressive Disorder., Pregnancy., Medication Adherence., Treatment adherence and compliance.Abstract
A history of depression is associated with unfavorable maternal outcomes. The objective was to analyze adherence to medical prescriptions and to recommendations given by health professionals, and reported by pregnant women with a previous history of depression in Brazil, 2019. Data were extracted from the 2019-National Health Survey, a household survey coordinated by the Brazilian Institute of Geography and Statistics. Almost 90% of the women reported having received medical prescriptions for depression treatment, but almost 70% did not use the prescribed medications. Referral to a specialized professional was indicated for 42% (N=24,733) of the pregnant women. Among the women who received a referral, almost 20% were unable to attend appointments with the specialist. Bearing in mind the non-negligible consequences of non-adherence to mental health care, it is crucial to include the topic in the health agenda, creating alternatives to face the reasons that force women to give up treatment for this important health problem.
Downloads
References
ALIANE, Poliana Patrício et al. Avaliação de saúde mental em gestantes. Gerais Revista Interinstitucional de Psicologia, v.1, n. 2, p. 113-122, 2008. https://www.researchgate.net/publication/317474809_Avaliacao_de_saude_mental_em_gestantes
CAMACHO, Renata Sciorilli et al. Transtornos psiquiátricos na gestação e no puerpério: classificação, diagnóstico e tratamento. Archives of Clinical Psychiatry, v. 33, n. 2, p. 92-102, 2006. https://doi.org/10.1590/S0101-60832006000200009 DOI: https://doi.org/10.1590/S0101-60832006000200009
EARLS, Marian et al. Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice. Pediatrics, v. 143, n. 1, e20183259, 2019. https://doi.org/10.1542/peds.2018-3259 DOI: https://doi.org/10.1542/peds.2018-3260
FIOCRUZ. Fundação Oswaldo Cruz. Pesquisa Nacional de Saúde. O que é a PNS? Dicionários. [acesso10 nov 2022]. Disponível em: https://www.pns.icict.fiocruz.br/questionarios/.
GONÇALVES, Angela Maria Corrêa et al. Prevalência de depressão e fatores associados em mulheres atendidas pela estratégia de saúde da família. Jornal Brasileiro de Psiquiatria, v. 67, n. 2, p. 101-109, 2018. https://doi.org/10.1590/0047-2085000000192 DOI: https://doi.org/10.1590/0047-2085000000192
HILDEBRANDT, Fernanda Martins Pereira. Depressão pós-parto: Aspectos epidemiológicos e proposta de tratamento cognitivo-comportamental. 2013. 148f. Tese (Doutorado em Psicologia). Universidade Federal do Rio de Janeiro. Rio de Janeiro, Brasil, 2013.
HUNG, Ching-I. Factors predicting adherence to antidepressant treatment. Current opinion in psychiatry, v. 27, n. 5, p. 344–349, 2014. https://doi.org/10.1097/YCO.0000000000000086 DOI: https://doi.org/10.1097/YCO.0000000000000086
IACONELLI, Vera. Depressão pós-parto, psicose pós-parto e tristeza materna. Revista Pediatria Moderna, v. 41, n. 4, p. 210-213, 2005. https://institutogerar.com.br/wp-content/uploads/2017/03/dpp-psicose-pos-parto-e-tristeza-materna.pdf
IBGE. Instituto Brasileiro de Geografia e Estatística. [Internet}. PNS – Pesquisa Nacional de Saúde. [Acesso 15 abril 2022]. Disponível em: https://www.ibge.gov.br/estatisticas/sociais/saude/9160-pesquisa-nacional-de-saude.html?t=sobre
IBGE. Instituto Brasileiro de Geografia e Estatística. PNSIBGE: Downloading, Reading and analyzing PNS microdata. [internet]. [acesso 01 dez 2021]. Disponível em: https://rpubs.com/gabriel-assuncao-ibge/pns
KINSER, Patricia Anne et al. Depressive Symptom Prevalence and Predictors in the First Half of Pregnancy. Journal of Women’s Health (Larchmt), v. 27, n. 3, p. 369-376, 2018. doi: 10.1089/jwh.2017.6426 DOI: https://doi.org/10.1089/jwh.2017.6426
KUNZ-LOMELIN, Alan et al. Antidepressant Adherence Among Hispanics: Patients in an Integrated Health Care Model. Journal of multidisciplinary healthcare, 15, 3029–3037, 2022. https://doi.org/10.2147/JMDH.S387218 DOI: https://doi.org/10.2147/JMDH.S387218
LIMA e SILVA, Ana Lúcia dos Reis. Associação da qualidade do pré-natal na atenção primária da rede SUS-BH e diagnósticos relativos a transtornos de ansiedade e depressão na gravidez. 2021. 139 f. Dissertação (Mestrado em Saúde Pública). Universidade Federal de Minas Gerais. Belo Horizonte, Brasil, 2021. http://hdl.handle.net/1843/39207
LIU, Xueyan; WANG, Shuhui; WANG, Guangpeng. Prevalence and Risk Factors of Postpartum Depression in Women: A Systematic Review and Meta-analysis. Journal of Clinical Nursing, v.31, n. 19-20, p. 2665-2677, 2022. doi:10.1111/jocn.16121 DOI: https://doi.org/10.1111/jocn.16121
LOPES, Ana Beatriz Fernandes; SANTIS, Volanda Gemma Moraes; RABELLO, Silvana. Estudo longitudinal de duplas mãe-bebê: o sofrimento psíquico na maternidade. Ágora: Estudos em Teoria Psicanalítica, v.21, n. 1, p. 34-49, 2018. https://doi.org/10.1590/1809-44142018001004 DOI: https://doi.org/10.1590/1809-44142018001004
OMS. ORGANIZAÇÃO MUNDIAL DA SAÚDE. Depression [Key facts- 13 Sept 2021]. Geneva: WHO; 2021. [acesso 25 abril 2021]. Disponível em: https://www.who.int/news-room/fact-sheets/detail/depression
PEREIRA, Priscila Krauss et al. Depression during pregnancy: prevalence and risk factors among women attending a public health clinic in Rio de Janeiro, Brazil. Cadernos de Saúde Pública, v. 25, n. 12, p. 2725-36, 2009. https://doi.org/10.1590/S0102-311X2009001200019 DOI: https://doi.org/10.1590/S0102-311X2009001200019
SILVA, Mônica Maria de Jesus et al. Anxiety in pregnancy: prevalence and associated factors. Revista da Escola de Enfermagem da U S P, v. 51, e03253, 2017. https://doi.org/10.1590/S1980-220X2016048003253 DOI: https://doi.org/10.1590/s1980-220x2016048003253
STEEN, Mary; FRANCISCO, Adriana Amorim. Bem-estar e saúde mental materna. Acta Paulista de Enfermagem, v. 32, n. 4, p. III-VI, 2019. https://doi.org/10.1590/1982-0194201900049 DOI: https://doi.org/10.1590/1982-0194201900049
STOPA, Sheila Rizzato et al. National Health Survey 2019: history, methods and perspectives. Epidemiologia e Serviços de Saúde, v. 29, n. 5, e2020315, 2020. https://doi.org/10.1590/s1679-49742020000500004 DOI: https://doi.org/10.1590/s1679-49742020000500004
ZHAO, Xiao-Hu; ZHANG, Zhi-Hua. Risk factors for postpartum depression: An evidence-based systematic review of systematic reviews and meta-analyses. Asian Journal of Psychiatry, v. 102353, 2020. https://doi.org/10.1016/j.ajp.2020.102353 DOI: https://doi.org/10.1016/j.ajp.2020.102353
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Maria Isabel do Nascimento, Maira Gonçalves de Oliveira Lucas, Thalys Gabriel Rabelo Silva Giordani
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Os autores detêm os direitos autorais sem restrições, devendo informar a publicação inicial nesta revista, em caso de nova publicação de algum trabalho.
