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Braz. j. oral sci ; 22: e239237, Jan.-Dec. 2023. tab
Article in English | LILACS, BBO | ID: biblio-1399762


Aim: To estimate the prevalence and associated factors of self-reported depressive symptoms in undergraduate and graduate dental students. Methods: The Depression, Anxiety and Stress Scale (DASS-21) was applied, and only the depression domain was verified. A structured questionnaire was used to collect sociodemographic, behavioral, and COVID-19 pandemic-related fear variables. Academic performance was assessed based on academic records, ranging from 0 (worst possible grade) to 10 (best possible grade). Respondents included 408 regularly enrolled dental students. Bi- and multivariate analyses were performed using Poisson regression with robust variance to verify the association between at least moderate depressive symptoms and independent variables. Results: The prevalence of at least moderate depression was 40.5% among undergraduate students and 26% among graduate students. The prevalence of fear and anxiety due to the COVID-19 pandemic was 96.1% among undergraduate students and 93.5% among graduate students. In the final multivariate analysis, being female (prevalence ratio [PR]:2.01; 95% confidence interval [95%CI]:1.36­2.96) was associated with a higher PR for depression. Conversely, no exposure to smoking (PR:0.54; 95%CI:0.36­0.82) and a final academic performance average ≥7.0 (PR:0.56; 95%CI:0.41­0.76) was associated with a lower PR for depression. Finally, among graduate students, a non-heterosexual orientation was associated with a higher PR for depression (PR:6.70; 95%CI:2.21­20.29). Conclusion: Higher rates of depression symptoms were observed in female undergraduates, students with lower academic performance and smoking exposure, and graduate dental students with a non-heterosexual orientation

Humans , Male , Female , Adolescent , Students, Dental , Tobacco Use Disorder , Mental Health , Depression/epidemiology , Academic Performance
Int. j. cardiovasc. sci. (Impr.) ; 35(4): 537-545, July-Aug. 2022. tab, graf
Article in English | LILACS | ID: biblio-1385268


Abstract The prevalence of depression varies from 1 to 17% in different geographic regions, and its incidence is 70% higher in women than men. Today, depression affects more than 300 million people worldwide, affecting twice as many women from adolescence to adulthood. In addition to this earlier onset, depression in women tends to be more severe. Cardiovascular disease and depression are chronic diseases that have a major impact on cardiovascular and all-cause morbidity and mortality, with evidence of a two-way relationship between them, in which depression is a predictor of cardiovascular disease and vice versa. In females, the degree of illness and prognosis are more severe when both diseases are present, than when diagnosed alone. In patients with acute or chronic cardiovascular disease, especially women, a systematic screening for depression should be considered as a preventive strategy of cardiovascular events, aiming to reduce the risk of future events. There are still no clinical studies designed to assess the impact of antidepressant treatment on cardiovascular outcomes in women.

Humans , Female , Cardiovascular Diseases/complications , Depression/complications , Prognosis , Cardiovascular Diseases/diagnosis , Cardiovascular Diseases/epidemiology , Depression/diagnosis , Depression/epidemiology
Säo Paulo med. j ; 140(3): 406-411, May-June 2022. tab
Article in English | LILACS | ID: biblio-1377398


ABSTRACT BACKGROUND: Frailty is consensually understood to be a clinical syndrome in which minimal stressors can lead to negative outcomes such as hospitalization, early institutionalization, falls, functional loss and death. Frailty is more prevalent among patients with chronic kidney disease (CKD), and those on dialysis are the frailest. Depression contributes towards putting patients with CKD into the frailty cycle. OBJECTIVE: To assess frailty and its relationship with depression among patients with CKD undergoing hemodialysis. DESIGN AND SETTING: Observational and quantitative cross-sectional study conducted in a renal therapy unit, located in the interior of the state of São Paulo, Brazil. METHODS: This investigation took place in 2019, among 80 patients. The following instruments were applied: a sociodemographic, economic and health condition characterization and the Subjective Frailty Assessment (SFA) and Patient Health Questionnaire-9 (PHQ-9). RESULTS: Among the patients, there was higher prevalence of females, individuals with a steady partner and retirees, and their mean age was 59.63 (± 15.14) years. There was high prevalence of physical frailty (73.8%) and depression (93.7%). Depression was associated with frailty, such that patients with depression were 9.8 times more likely to be frail than were patients without depression (odds ratio, OR = 9.80; 95% confidence interval, CI, 1.93-49.79). CONCLUSION: Based on the proposed objective and the results achieved, it can be concluded that depression was associated with the presence of frailty among patients with CKD on hemodialysis.

Humans , Female , Aged , Renal Insufficiency, Chronic/complications , Renal Insufficiency, Chronic/therapy , Frailty/epidemiology , Brazil/epidemiology , Cross-Sectional Studies , Frail Elderly , Renal Dialysis , Depression/etiology , Depression/epidemiology , Middle Aged
Säo Paulo med. j ; 140(3): 412-421, May-June 2022. tab, graf
Article in English | LILACS | ID: biblio-1377378


ABSTRACT BACKGROUND: Workplaces can be sources of mental distress. In healthcare services, this can also affect patients. OBJECTIVE: To assess the prevalence of and factors associated with depressive symptoms, burnout, job satisfaction and patient safety culture and the relationships between these constructs, among healthcare workers. DESIGN AND SETTING: Cross-sectional study in a university hospital in Manaus, Brazil. METHODS: Randomly selected workers were interviewed based on Brazilian-validated tools. We calculated the prevalence ratio (PR) and 95% confidence interval (CI) of depressive symptoms and burnout using Poisson regression with robust variance; and the β-coefficient of safety culture and job satisfaction using linear regression. Outcome relationships were assessed using partial least-squares structural equation modeling. RESULTS: 300 professionals were included; 67.3% were women. The prevalence of depressive symptom was 19.0% (95% CI: 14.5; 23.5%) and burnout, 8.7% (95% CI: 5.2; 12.3%). Lack of work stability increased depression (PR = 1.88; 95% CI: 1.17; 3.01) and burnout (PR = 2.17; 95% CI: 1.03; 4.57); and reduced job satisfaction (β = -11.93; 95% CI: -18.79; -5.07). Depressive symptoms and burnout were positively correlated, as also were job satisfaction and safety culture (P < 0.001); job satisfaction was negatively correlated with burnout (P < 0.001) and depression (P = 0.035). CONCLUSION: Impermanent employment contracts increased depression and burnout and reduced job satisfaction. Job satisfaction reduced poor mental health outcomes and increased safety culture. Job satisfaction and safety culture were directly proportional (one construct increased the other and vice versa), as also were depression and burnout. Better working conditions can provide a virtuous cycle of patient safety and occupational health.

Humans , Male , Female , Burnout, Professional/epidemiology , Job Satisfaction , Brazil/epidemiology , Cross-Sectional Studies , Surveys and Questionnaires , Patient Satisfaction , Safety Management , Depression/epidemiology , Patient Safety , Latent Class Analysis , Hospitals, University
J. bras. psiquiatr ; 71(1): 40-49, jan.-mar. 2022. tab
Article in Portuguese | LILACS | ID: biblio-1365061


OBJETIVO: Determinar a prevalência e os fatores associados aos sintomas de ansiedade e depressão e ao apego materno-fetal em gestantes com diagnóstico de malformações congênitas. MÉTODOS: Estudo prospectivo de corte transversal realizado durante o período de dezembro/2019 a março/2020. Foram incluídas 77 gestantes com diagnóstico de malformação fetal atendidas no Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) e excluídas aquelas < 18 anos e as que sabiam o diagnóstico da malformação há menos de três semanas. Aplicou-se um questionário com variáveis sociodemográficas e clínicas, além da Escala Hospitalar de Ansiedade e Depressão e da Escala de Apego Materno-Fetal. Para análise estatística, foi aplicado o modelo de regressão logística multivariado com nível de significância de 5%. RESULTADOS: Entre as gestantes, 46,8% possuíam sintomas ansiosos e 39%, depressivos, sendo o apego materno-fetal médio em 54,5% e alto em 45,5%. Antecedentes de ansiedade e depressão e não possuir religião foram associados a maior risco de sintomas de ansiedade e depressão, e saber da malformação há ≥ 10 semanas associou-se apenas ao risco de ansiedade e ter gestação múltipla associou-se apenas ao risco de depressão. O apego materno-fetal não foi associado a ansiedade ou depressão. CONCLUSÃO: Observou-se alta prevalência de sintomas ansiosos e depressivos em gestantes com fetos malformados, além da presença de apego materno-fetal médio/alto em todas pacientes, porém sem associação com os transtornos psiquiátricos estudados. Diante disso, urge a necessidade da criação de novas linhas de cuidado voltadas à saúde mental dessas mulheres.

OBJECTIVE: To determine the prevalence and factors associated with anxiety and depression symptoms and maternal-fetal attachment in pregnant women diagnosed with congenital malformations. METHODS: Prospective cross-sectional study conducted from December/2019 to March/2020. Seventy-seven managers with a diagnosis of fetal malformation attended at the Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) and those under 18 years of age who did not know the diagnosis of malformation in less than 3 weeks were excluded. Applicable to a questionnaire with clinical and sociodemographic variables, in addition to the Hospital Anxiety and Depression Scale and Maternal- -Fetal Attachment Scale. For statistical analysis, the multivariate logistic regression model was applied with a 5% significance level. RESULTS: Among pregnant women, 46.8% had anxiety symptoms and 39% depressive symptoms, with average maternal-fetal attachment at 54.5% and high at 45.5%. History of anxiety and depression and cannot use religion have been associated with an increased risk of anxiety and depression, whereas malformation saber for ≥ 10 weeks, associated only with risk of anxiety and multiple pregnancy only in depression. Maternal-fetal attachment was not associated with anxiety or depression. CONCLUSION: If there is a high prevalence of anxious and depressive symptoms in pregnant women with malformed fetuses, in addition to the presence of medium maternal-fetal/high attachment in all patients, with no association with the studied psychiatric disorders. Therefore, request the creation of new lines of care aimed at the mental health of these women.

Humans , Female , Pregnancy , Adult , Young Adult , Anxiety/epidemiology , Congenital Abnormalities/diagnosis , Maternal-Fetal Relations/psychology , Depression/epidemiology , Object Attachment , Prevalence , Cross-Sectional Studies , Prospective Studies , Surveys and Questionnaires , Psychological Distress
J. bras. psiquiatr ; 71(1): 56-62, jan.-mar. 2022. tab, graf
Article in English | LILACS | ID: biblio-1365056


OBJECTIVE: To assess the prevalence of clinical manifestations suggestive of depression in patients with sickle cell disease. METHODS: A systematic search was performed in the electronic databases PubMed® , LILACS and SciELO, with the following inclusion criteria: cross-sectional studies that assessed the prevalence of depression in patients with sickle cell disease, published in English or Portuguese in the last 10 years. The selection of the articles was performed in two stages by two independent researchers following the PRISMA (Preferred reporting items for systematic reviews and meta-analyses) recommendations. The first stage consisted on screening the titles and abstracts, and in the second stage the full text was appraised, both following the pre-defined inclusion and exclusion criteria. RESULTS: From the 42 articles available, nine were included in this review. Seven instruments were used to screen for depression with different cutoff points, and the Patient Health Questionnaire-9 (PHQ-9) was the most used instrument. The worldwide prevalence of clinical manifestations suggestive of depression ranged from 11 to 40%, according to several variables. CONCLUSION: The prevalence of clinical manifestations suggestive of depression in patients with sickle cell disease is higher compared to the prevalence of depression in the general population. Thus, the multidisciplinary follow-up for these people, with a focus on mental health, is of great importance.

OBJETIVO: Avaliar a prevalência mundial de manifestações clínicas sugestivas de depressão em portadores de doença falciforme. MÉTODOS: Realizou-se uma busca sistemática nas bases de dados eletrônicas PubMed® , LILACS e SciELO, para identificação dos estudos transversais, publicados em inglês ou português nos últimos 10 anos, que avaliaram a prevalência de depressão em portadores de doença falciforme. A seleção dos artigos foi realizada em duas etapas e por dois pesquisadores independentes seguindo a recomendação PRISMA (Preferred reporting items for systematic reviews and meta-analyses). A primeira etapa consistiu na triagem dos títulos e resumos e na segunda etapa foi realizada a análise completa do artigo, ambas seguindo os critérios de inclusão e exclusão predefinidos. RESULTADOS: Dos 42 artigos disponíveis, nove foram incluídos na revisão. Foram utilizados sete instrumentos diferentes para rastreio de depressão com diferentes pontos de corte, sendo The Patient Health Questionnaire-9 (PHQ-9) o instrumento mais utilizado. A prevalência mundial de manifestações clínicas sugestivas de depressão variou de 11% a 40%, conforme diversas variáveis verificadas. CONCLUSÃO: A prevalência de manifestações clínicas sugestivas de depressão encontrada para os portadores de doença falciforme é superior à prevalência de depressão descrita na população geral. Desse modo, é de suma importância o acompanhamento multidisciplinar para essas pessoas, com enfoque na saúde mental.

Humans , Male , Female , Child , Adolescent , Adult , Depression/diagnosis , Depression/epidemiology , Depressive Disorder, Major/epidemiology , Anemia, Sickle Cell/diagnosis , Anemia, Sickle Cell/epidemiology , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires
Ciênc. Saúde Colet. (Impr.) ; 27(3): 1119-1131, mar. 2022. tab, graf
Article in English | LILACS | ID: biblio-1364682


Abstract The study aimed to investigate the association between social capital indicators and depressive symptoms among university students from Brazil. The study drew on a sample of 579 randomly selected university students, from a greater crossnational study conducted in 2018. Students completed a self-administered questionnaire assessing depressive symptoms, indicators of social capital and lifestyle behaviors. Data were analyzed using multivariate logistic regression models. Indicators of social capital included trust, group membership and frequency of meeting friends. Four social capital indicators were significantly associated with clinically relevant depressive symptoms. Students who agreed that people are likely to take advantage of one another were more likely to report depressive clinically relevant symptoms (OR: 1.80, 95%CI: 1.00 - 3.23) as well as students who agreed that people are not willing to help in case needed (OR: 2.11, 95%CI: 1.02 - 4.36). Perceived stress, smoking and hazardous alcohol consumption were not associated with clinically relevant depressive symptoms. Social capital plays an important role in explaining depressive symptoms among Brazilian university students. The study suggests that creating trust and enhancing participation in social networks can be an important strategy for promoting mental health among university students investigated in this study.

Resumo O estudo investigou a associação entre indicadores de capital social e sintomas depressivos entre estudantes universitários do Brasil. Um estudo transversal foi conduzido com uma amostra de 579 estudantes universitários selecionados randomicamente em 2018. Os estudantes completaram questionários auto-administrados para avaliar sintomas depressivos, indicadores de capital social e comportamentos de estilos de vida. Os dados foram analisados usando modelos de regressão logística multivariada. Indicadores de capital social incluíam confiança, associações em grupos, frequência de encontrar com os amigos, entre outros. Quatro indicadores de capital social se associaram significativamente com relevantes sintomas clínicos de depressão. Estudantes que disseram que as pessoas tendem a tirar mais vantagens umas das outras eram mais propensas a relatar sintomas clínicos relevantes de depressão (OR: 1.80, 95%CI: 1.00 - 3.23), assim como estudantes que relataram que as pessoas não estão dispostas a ajudar caso precise de ajuda (OR: 2.11, 95%CI: 1.02 - 4.36). A autopercepção de estresse, o consumo de álcool e o fumo não se associaram aos sintomas clínicos de depressão. O capital social desempenha um papel importante na explicação dos sintomas depressivos entre os universitários brasileiros. O estudo sugere que promover confiança e aumentar a participação nas redes sociais pode ser uma estratégia importante para a promoção da saúde mental entre os universitários investigados neste estudo.

Humans , Social Capital , Students/psychology , Universities , Brazil/epidemiology , Depression/diagnosis , Depression/epidemiology
Medwave ; 22(2): e002513, mar.2022. tab
Article in Spanish | LILACS | ID: biblio-1366386


Objetivo El COVID-19 atemoriza a profesionales sanitarios, pudiendo afectar su salud mental. El objetivo de este estudio fue determinar la asociación entre la percepción de riesgo a COVID-19 y la salud mental en trabajadores de un hospital peruano. Método Estudio transversal analítico, mediante encuesta virtual. Las variables dependientes fueron depresión, ansiedad y estrés. La variable independiente fue percepción de riesgo a COVID-19 y las covariables fueron datos sociodemográficos, familiares, laborales y clínicos. Se hallaron razones de prevalencia crudas y ajustadas con un intervalo de confianza al 95% y un nivel de significancia del 5%. Resultados No hubo asociación entre percepción de riesgo y depresión (razón de prevalencia ajustado: 0,98; intervalo de confianza 95%: 0,89 a 1,08), ansiedad (razón de prevalencia ajustado: 0,94; intervalo de confianza 95%: 0,89 a 1,00), estrés (razón de prevalencia ajustado: 0,89; intervalo de confianza 95%: 0,76 a 1,04). En el análisis multivariado se encontró asociación entre depresión con contacto directo con paciente COVID-19 (razón de prevalencia ajustados: 2,06; intervalo de confianza 95%: 1,14 a 3,70) y con tener una comorbilidad (razón de prevalencia ajustados: 2,56; intervalo de confianza 95%: 1,52 a 4,30); entre ansiedad con número de hijos (razón de prevalencia ajustados: 1,09; intervalo de confianza 95%: 1,00 a 1,18), con contacto directo con paciente COVID-19 (razón de prevalencia ajustados: 2,67; intervalo de confianza 95%: 1,46 a 4,85) y con tener comorbilidad (razón de prevalencia ajustados: 2,00; intervalo de confianza 95%: 1,40 a 2,86); entre estrés con contacto directo con paciente COVID-19 (razón de prevalencia ajustados: 2,86; intervalo de confianza 95%: 1,20 a 6,83). Conclusiones No hubo asociación entre percepción de riesgo y depresión, ansiedad ni estrés. Hubo asociación entre depresión, ansiedad y estrés, cada uno con el contacto directo con pacientes COVID-19; entre ansiedad y depresión, cada uno con tener comorbilidades, y ansiedad con el número de hijos.

Introduction COVID-19 has caused great fear on health professionals and could affect their mental health, therefore it is important to determine the association between the perception of risk to COVID-19 and mental health in workers of a Peruvian hospital. Methods Analytical cross-sectional study, through virtual survey. The dependent variables were: depression, anxiety and stress; The independent variable was perception of risk to COVID-19 and the covariates: sociodemographic, family, work and clinical data. Crude and adjusted prevalence ratios were found with a 95% confidence interval and a significance level of 5%. Results There was no association between risk perception and depression (adjusted prevalence ratio: 0.98 95% confidence interval: 0.89 to 1.08), anxiety (adjusted prevalence ratio: 0.94 95% confidence interval: 0.89 to 1.00), stress (adjusted prevalence ratio: 0.89 95% confidence interval 0.76 to 1.04). In the multivariate analysis, an association was found between depression with direct contact with the COVID-19 patient (adjusted prevalence ratio: 2.06, 95% confidence interval: 1.14 to 3.70) and with having a comorbidity (adjusted prevalence ratio: 2.56 95% confidence interval: 1.52 to 4.30); likewise, between anxiety with number of children (adjusted prevalence ratio: 1.09 95% confidence interval: 1.00 to 1.18), with direct contact with COVID-19 patient (adjusted prevalence ratio: 2.67 95% confidence interval 1.46 to 4.85) and having comorbidity (adjusted prevalence ratio: 2.00 95% confidence interval: 1.40 to 2.86); finally, between stress with direct contact with the COVID-19 patient (adjusted prevalence ratio: 2.86, 95% confidence interval: 1.20 to 6.83). Conclusions No statistically significant association was found between risk perception and depression, anxiety, or stress. However, there was an association between depression, anxiety, and stress, each with direct contact with COVID-19 patients; between anxiety and depression, each with having comorbidities and, finally, anxiety with the number of children.

Humans , Child , Mental Health , COVID-19/epidemiology , Perception , Peru/epidemiology , Cross-Sectional Studies , Depression/epidemiology , Hospitals
Säo Paulo med. j ; 140(1): 87-93, Jan.-Feb. 2022. tab
Article in English | LILACS | ID: biblio-1357463


ABSTRACT BACKGROUND: Pregnancy is the most important event in women's lives and can lead to psychological lability. Several risk factors (such as disasters, events and pandemics) have been correlated with greater prevalence of mental disorders during pregnancy. OBJECTIVES: To research how pregnant women have been affected by the coronavirus disease-19 (COVID-19) pandemic process, in order to contribute to the limited literature. DESIGN AND SETTING: Cross-sectional survey study conducted at the Training and Research Hospital of the Faculty of Medicine, University of Ordu, Ordu, Turkey, from February 1 to March 1, 2021. METHODS: In total, 356 pregnant women were enrolled and completed the survey. Intention of going to hospital and the Beck anxiety, Beck depression, Beck hopelessness and Epworth sleepiness scales were applied to detect mental disorders. RESULTS: Among the participants, the anxiety, depression, hopelessness and sleepiness scores were 29.2%, 36.2%, 58.1% and 11.8%, respectively. The pregnant women stated that they avoided going to hospital in unnecessary situations by obeying the 'stay at home' calls, but also stated that they were afraid of the potential harmful effects of inadequate physician control. However, most of them stated that they would go to the hospital in emergencies. CONCLUSIONS: This paper illustrated the effect of the COVID-19 pandemic on the mental health of pregnant women and emphasized their high rates of anxiety, depression, hopelessness and sleepiness. Since presence of mental disorders is indirectly related to poor pregnancy outcomes, preventive strategies should be developed, especially during this pandemic process.

Humans , Female , Pregnancy , COVID-19 , Mental Disorders/epidemiology , Anxiety/epidemiology , Stress, Psychological , Pregnancy Outcome , Cross-Sectional Studies , Surveys and Questionnaires , Pregnant Women , Depression/epidemiology , Pandemics , SARS-CoV-2
Acta sci., Health sci ; 44: e59224, Jan. 14, 2022.
Article in English | LILACS | ID: biblio-1367792


Depression, anxiety and stress are common psychological disorders (PDs).This study aimed to assess the odds of co-occurrence of mentioned PDs in total sample and different levels of socio-demographic characteristics, specifically among a large sample of general adults.Ina cross-sectional, community-based study conducted among 4763 Iranian adults, depression and anxiety were assessed with Hospital Anxiety and Depression Scale (HADS) and stress with General Health Questionnaire (GHQ). The loglinear analysis was applied to investigate their comorbidities. Based on selected models with pair-comorbidity of anxiety with stress, depression with stress, and anxiety with depression, the results showed the odds of comorbidity between anxiety and depression (odds ratio (OR) =12.29, 95%CI: 9.58-15.80), depression and stress (OR = 7.80, 95%CI:6.55-10.18), and stress and anxiety (OR = 4.62, 95%CI:3.71-5.75). Also, ORs of pair-comorbidities were the same, except between stress and anxiety for men compared to women (adjusted-OR = 6.47, 95%CI: 4.44-9.49 versus 3.85, 95%CI:2.95-5.00) and comorbidity between stress and depression for the participants withlower than 40 years compared to others (adjusted-OR = 9.03, 95%CI: 7.17-11.36 versus 6.41, 95%CI: 4.90-8.41), p< 0.05. Stress comorbidity with depression was higher level than other pair-comorbidities. Obvious discrepancies were also observed in terms of ORs of pair-comorbidities between three mentioned disorders in different levels of SDCs.

Humans , Male , Female , Adult , Anxiety/epidemiology , Stress, Psychological/epidemiology , Depression/epidemiology , Comorbidity , Prevalence , Cross-Sectional Studies , Iran/epidemiology
Article in Chinese | WPRIM | ID: wpr-939654


OBJECTIVES@#To investigate the psychological and behavioral problems and related influencing factors in children and adolescents during the coronavirus disease 2019 (COVID-19) epidemic.@*METHODS@#China National Knowledge Infrastructure, Wanfang Data, PubMed, and Web of Science were searched using the method of subject search for articles published up to March 31, 2022, and related data were extracted for Scoping review.@*RESULTS@#A total of 3 951 articles were retrieved, and 35 articles from 12 countries were finally included. Most of the articles were from the journals related to pediatrics, psychiatry, psychology, and epidemiology, and cross-sectional survey was the most commonly used research method. Psychological and behavioral problems in children and adolescents mainly included depression/anxiety/stress, sleep disorder, internet behavior problems, traumatic stress disorder, and self-injury/suicide. Influencing factors were analyzed from the three aspects of socio-demographic characteristics, changes in living habits, and ways of coping with COVID-19.@*CONCLUSIONS@#During the COVID-19 epidemic, the psychological and behavioral problems of children and adolescents in China and overseas are severe. In the future, further investigation and research can be carried out based on relevant influencing factors to improve the psychological and behavioral problems.

Adolescent , Anxiety/etiology , COVID-19 , Child , China/epidemiology , Cross-Sectional Studies , Depression/epidemiology , Humans , Mental Health , Problem Behavior
Article in Chinese | WPRIM | ID: wpr-935350


Objective: To investigate the depression status of pregnant and perinatal women in early, medium-term, late pregnancy and postpartum period in China and the outcomes of depression in each period, analyze the influential factors of depression status. Methods: By using the pregnant and perinatal women mental health cohort established by National Center for Women and Children's Health of Chinese Center for Disease Control and Prevention, Haidian District Maternal and Child Health Hospital of Beijing, Women Health Center of Shanxi, Jilin Women and Children Health Hospital, Zhuhai Center for Maternal and Child Health Care and Shenzhen Maternity and Child Healthcare Hospital of Guangdong province, a follow up study was conducted at 7 time points during pregnancy and perinatal period in pregnant and perinatal women in Beijing, Shanxi, Jilin and Guangdong from August 1, 2015 to October 31, 2016. The self-filled questionnaire and Edinburgh Postpartum Depression Scale (EPDS) were used to obtain the general demographic information and depression status of the pregnant and perinatal women, and the depression status and natural outcomes of the pregnant and perinatal women were analyzed. Results: A total of 1 284 pregnant and perinatal women were recruited. In this study, a total of 1 210 subjects who completed follow-up at least 6 times and postpartum 42 day follow up were included in the final analysis. The EPDS depression score at the gestation week 13 was used to indicate the depression status in early pregnancy, the average EPDS score of gestation week 17 and 24 were used to indicate the depression status in medium-term pregnancy, and the average EPDS score of gestation week 31 and 37 were used to indicate depression in late pregnancy. The average EPDS score of postpartum day 3 and 42 were used to indicate postpartum depression status. A total of 321 (26.5%), 218 (18.0%), 189 (15.6%) and 219 (18.1%) pregnant and perinatal women were found to have depression, respectively, in early, medium-term and late pregnancy and in postpartum period. The depression status in early, medium-term and late pregnancy and postpartum period were positively correlated (P<0.001), the correlation between early and middle pregnancy was strong (r=0.678), the correlation between medium-term and late pregnancy was strong (r=0.771), and the correlation between postpartum period and late pregnancy was strong (r=0.706). Among the pregnant women with depression in early pregnancy, 26.2% were depressed during the whole study period, 42.7% were depressed during postpartum period, and the results of multifactorial analysis showed that the education level of college or above of the pregnant and perinatal women (OR=0.437, 95%CI: 0.212-0.900, P=0.025), exercise during pregnancy (OR=0.586, 95%CI: 0.348-0.987, P = 0.044), high marital satisfaction (OR = 0.370, 95%CI: 0.221-0.620, P<0.001), normal body mass index (BMI) (OR=0.516, 95%CI: 0.270-0.985, P=0.045) reduced the risk for depression. Unsatisfactory living environment (OR=1.807, 95%CI: 1.074-3.040, P=0.026) increased the risk for depression. Conclusions: In pregnant and perinatal women in China, the detection rate of depression in early pregnancy was highest compared with those in medium-term and late pregnancy. The detection rate of depression increased again in postpartum period. The depression status detected in the early pregnancy remained in the medium-term and late pregnancy and postpartum period. Exercise, BMI, educational level, living environment satisfaction and marital satisfaction can affect the incidence of depression in pregnant and perinatal women.

Child , Depression/epidemiology , Depression, Postpartum/epidemiology , Female , Follow-Up Studies , Humans , Postpartum Period , Pregnancy , Psychiatric Status Rating Scales
Article in English | WPRIM | ID: wpr-927488


INTRODUCTION@#The COVID-19 pandemic has affected almost all populations, with frontline workers experiencing a higher risk of mental health effects compared to other groups. Although there are several research studies focusing on the mental health effects of the pandemic on healthcare workers, there is little research about its impact on workers in outsourced hospital essential services. This study aims to examine the prevalence and correlates of psychological distress and coronavirus anxiety among staff working in 3 outsourced hospital essential services-housekeeping, porter service and maintenance services.@*METHODS@#A cross-sectional study was conducted among outsourced hospital essential services workers in a tertiary hospital. Data on demographics, medical history, lifestyle factors, psychosocial factors and mental well-being were collected using self-administered questionnaires. Robust logistic regression was used to determine risk factors associated with psychological distress and dysfunctional anxiety related to COVID-19.@*RESULTS@#A total of 246 hospital essential services workers participated in the study. The prevalence of psychological distress was 24.7%, and dysfunctional anxiety related to COVID-19 was 13.4%. Social support and workplace support were found to be independently associated with a lower risk of psychological distress, and social connectivity was associated with a lower risk of dysfunctional anxiety related to COVID-19.@*CONCLUSION@#These findings highlight the crucial roles of communities and workplaces in combating the mental health consequences of the pandemic. Public health programmes that aim to tackle the emerging mental health crisis in hospital essential services workers should incorporate strategies to address psychosocial factors, in addition to traditional self-care approaches.

Anxiety/psychology , COVID-19/epidemiology , Cross-Sectional Studies , Depression/epidemiology , Health Personnel/psychology , Hospitals , Humans , Pandemics , Personnel, Hospital , Prevalence , Psychological Distress , SARS-CoV-2 , Singapore/epidemiology
Acta Paul. Enferm. (Online) ; 35: eAPE00976, 2022. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1393709


Resumo Objetivo Identificar a prevalência de sintomas de ansiedade e depressão e verificar os fatores sociodemográficos, acadêmicos e de saúde associados à ocorrência desses em estudantes de graduação em Enfermagem. Métodos Estudo transversal, realizado em Fortaleza - CE entre os meses de junho a setembro do ano de 2019, com 199 alunos de uma universidade pública, regularmente matriculados no curso. Foi aplicado um questionário sociodemográfico, o Inventário de Depressão de BECK - II, além do Inventário de Ansiedade de BECK. A análise da associação entre as variáveis preditoras e os desfechos foi realizada por meio do teste de Qui-quadrado de Pearson, considerando significância estatística os valores de p menores que 0,05. Os aspectos éticos foram respeitados. Resultados A prevalência de sintomas de ansiedade grave e depressão mínima foi de 119 (62%) e 59 (29,6%), respectivamente. Foi observado associação estatística significativa entre sintomas de ansiedade grave e as variáveis: idade até 21 anos, ausência de religião, não heterossexuais, preocupação com o futuro, não ter tempo para lazer e uso de psicotrópicos. Com relação aos sintomas de depressão, percebeu-se associação com as variáveis idade até 21 anos, ausência de tempo para lazer, insatisfação com o tempo de lazer, inatividade física, insônia e uso de psicotrópicos. Conclusão Conclui-se que as condições associadas aos sintomas de ansiedade e depressão estiveram mais relacionadas às variáveis acadêmicas e de saúde. Dessa forma, percebe-se a importância de identificar precocemente e traçar estratégias relacionadas aos sintomas observados.

Resumen Objetivo Identificar la prevalencia de síntomas de ansiedad y depresión y verificar los factores sociodemográficos, académicos y de salud asociados a estos episodios en estudiantes de Enfermería. Métodos Estudio transversal, realizado en Fortaleza, estado de Ceará, entre los meses de junio y septiembre del año 2019, con 199 alumnos de una universidad pública, regularmente matriculados en la carrera. Se aplicó un cuestionario sociodemográfico, el Inventario de Depresión de Beck - II, además del Inventario de Ansiedad de BECK. El análisis de relación entre las variables predictoras y de resultado fue realizado por medio de la prueba χ2 de Pearson, en el que se consideró significación estadística los valores de p menores que 0,05. Los aspectos éticos fueron respetados. Resultados La prevalencia de síntomas de ansiedad grave fue de 119 (62 %) y de depresión mínima 59 (29,6 %). Se observó relación estadística significativa entre los síntomas de ansiedad grave y las variables: edad hasta 21 años, ausencia de religión, no heterosexuales, preocupación con el futuro, no tener tiempo de ocio y uso de psicotrópicos. Con relación a los síntomas de depresión, se percibió relación con las variables: edad hasta 21 años, ausencia de tiempo de ocio, insatisfacción con el tiempo de ocio, inactividad física, insomnio y uso de psicotrópicos. Conclusión Se concluye que las condiciones asociadas a los síntomas de ansiedad y depresión estuvieron más relacionadas con las variables académicas y de salud. De esta forma, se percibe la importancia de una identificación temprana y la elaboración de estrategias relacionadas con los síntomas observados.

Abstract Objective To identify the prevalence of anxiety and depression symptoms and to verify the sociodemographic, academic and health factors associated with their occurrence in undergraduate nursing students. Methods This is a cross-sectional study, carried out in Fortaleza - CE between June and September 2019, with 199 students from a public university, regularly enrolled in the course. A sociodemographic questionnaire was applied, the BECK Depression Inventory - II, in addition to the BECK Anxiety Inventory. The analysis of the association between predictor variables and outcomes was performed using Pearson's chi-square test, considering p-values less than 0.05 as statistically significant. Ethical aspects were respected. Results The prevalence of severe anxiety and minimal depression symptoms was 119 (62%) and 59 (29.6%), respectively. A statistically significant association was observed between severe anxiety symptoms and the variables: age up to 21 years, absence of religion, non-heterosexuals, concern about the future, not having time for leisure and psychotropic drug use. Regarding depression symptoms, an association was observed with the variables age up to 21 years, lack of leisure time, dissatisfaction with leisure time, physical inactivity, insomnia and psychotropic drug use. Conclusion It is concluded that the conditions associated with anxiety and depression symptoms were more related to academic and health variables. In this way, the importance of early identification and devising strategies related to the symptoms observed is perceived.

Humans , Male , Female , Adult , Anxiety Disorders/epidemiology , Students, Nursing , Mental Health , Prevalence , Depression/epidemiology , Cross-Sectional Studies
Cad. Saúde Pública (Online) ; 38(supl.1): e00123421, 2022. tab
Article in English | LILACS | ID: biblio-1374862


This study aims to evaluate national variation in depression prevalence and in different sociodemographic groups, health behaviors, and macroregions of Brazil from 2013 to 2019. Data were obtained from two nationwide Brazilian surveys - Brazilian National Health Survey 2013 and 2019. Participants aged 18 years or older were included, totaling 60,202 individuals in 2013 and 88,531 in 2019. Depression was evaluated with the Patient Health Questionnaire-9 (PHQ-9). All estimations accounted for the population weights and the complex sampling. The findings showed that during the six years between the two surveys, the prevalence of depression in Brazil increased by 36.7%, going from 7.9% in 2013 to 10.8% in 2019, and this increase is higher among unemployed young adults, aged 18 to 24 years, with the increase in the prevalence of depression almost tripled (3.7 in 2013 and 10.3 in 2019), an increase of 178.4%. Those dwelling in urban areas had a higher increase in the prevalence of depression in the six-year period (39.8%) when compared to residents in rural areas (20.2%). There was an increase in the prevalence of depression from 2013 to 2019 for the worst categories of the three health behaviors included in the study for both men and women: heavy drinking, smoking, and not exercising the recommended level of physical activity. Our results show a significant increase in the prevalence of depression over the six years between the two surveys, mainly among the younger and unemployed men. The country's economic recession during this period may explain these findings.

O estudo objetiva avaliar a variação nacional na prevalência geral da depressão e em diferentes grupos sociodemográficos, comportamentos de saúde e macrorregiões do Brasil entre 2013 e 2019. Os dados foram obtidos de dois inquéritos brasileiros de abrangência nacional, a Pesquisa Nacional de Saúde (PNS) 2013 e a 2019. Entre os participantes com idade de 18 anos ou mais, houve 60.202 indivíduos em 2013 e 88.531 em 2019. A depressão foi avaliada com o Questionário de Saúde do Paciente-9 (PHQ-9). Todas as estimativas levaram em conta os pesos populacionais e a amostragem complexa. Os achados mostraram que durante os seis anos entre as duas edições da PNS, a prevalência de depressão no Brasil aumentou em 36,7%, de 7,9% em 2013 para 10,8% em 2019, com um aumento ainda maior em adultos jovens, no grupo etário de 18 a 24 anos, e naqueles que não estavam trabalhando, onde houve um aumento de quase três vezes na prevalência de depressão (3,7% em 2013 e 10,3% em 2019), ou seja, um aumento de 178,4%. Indivíduos residindo em áreas urbanas tiveram um aumento maior na prevalência de depressão ao longo do período de seis anos (39,8%), em comparação com os residentes em áreas rurais (20,2%). Houve um aumento na prevalência de depressão entre 2013 e 2019 para as piores categorias dos três comportamentos de saúde incluídos no estado, tanto em homens quanto em mulheres: etilismo, tabagismo e sedentarismo. Nossos resultados mostram um aumento significativo na prevalência de depressão nos seis anos entre as duas edições da PNS, principalmente entre homens mais jovens e desempregados. A recessão econômica no Brasil durante o período pode explicar esses achados.

El objetivo de este estudio es evaluar la variación nacional en la prevalencia general de depresión, así como en diferentes grupos sociodemográficos, comportamientos de salud, y macrorregiones del país entre 2013-2019. Los datos se obtuvieron de dos encuestas nacionales brasileñas -Encuesta Nacional de Salud 2013 y 2019-. Los participantes con edades entre los 18 años y con más edad incluyeron a 60 202 personas en 2013 y 88 531 en 2019. La depresión se evaluó mediante el Cuestionario de Salud del Paciente-9 (PHQ-9). Todas las estimaciones justificaron los pesos de la población y el muestreo complejo. Los resultados mostraron que durante seis años entre las dos encuestas, la prevalencia de depresión en Brasil se incrementó en un 36,7%, yendo de un 7,9% en 2013 a un 10,8% en el 2019, y este incremento es mayor entre adultos jóvenes, de 18 a 24 años de edad, que no estaban trabajando, donde casi había un incremento tres veces superior en la prevalencia de depresión (3,7 en 2013 y 10,3 en 2019), un incremento de un 178,4%. Aquellos que vivían en áreas urbanas tenían un incremento mayor en la prevalencia de depresión durante el período de seis años (39,8%), cuando se comparó con los residentes en áreas rurales (20,2%). Hubo un incremento en la prevalencia de depresión entre 2013-2019 para las peores categorías de los tres comportamientos de salud incluidos en el estudio para tanto hombres como mujeres: consumo excesivo de alcohol, fumar, y no practicar deporte al nivel recomendado de actividad física. Nuestros resultados muestran un significado incremento en la prevalencia de depresión durante los seis años entre las dos encuestas, principalmente entre los hombres más jóvenes y desempleados. La recesión económica del país durante este periodo puede explicar estos resultados.

Depression/epidemiology , Brazil , Prevalence , Cross-Sectional Studies , Health Surveys
Cad. Saúde Pública (Online) ; 38(6): e00269921, 2022. tab, graf
Article in Portuguese | LILACS | ID: biblio-1384263


O objetivo foi identificar os padrões das experiências adversas na infância entre adolescentes escolares de um município do Rio de Janeiro, Brasil, segundo características sociodemográficas (sexo, cor da pele e estrato socioeconômico) e sintomas depressivos. Caracteriza-se por um desenho transversal com amostra de 1.117 adolescentes escolares de 13 a 19 anos do Município de São Gonçalo, Rio de Janeiro. A depressão foi avaliada pelo Inventário de Depressão Infantil e foram investigadas experiências adversas na infância. A análise envolveu análises bivariadas e análise de correspondência múltipla (ACM) das experiências adversas na infância, variáveis sociodemográficas (sexo, cor de pele e estrato socioeconômico) e sintomas depressivos. Os resultados mostram a organização de oito grupos composto por: meninas e adolescentes de estrato social mais baixo e experiências adversas na infância relacionadas ao ambiente; meninos, ser de estrato social mais alto e não ter vivido experiências adversas na infância; adolescentes com sintomas de depressão e experiências adversas na infância dirigidas fisicamente a eles/família; adolescentes de cor de pele branca, sem sintomas de depressão e que não vivenciaram experiências adversas na infância; adolescentes de cor de pele preta/parta/amarela/indígena que vivenciaram experiências adversas na família e na comunidade; adolescentes que perderam pai e mãe por morte, e falta de comida em casa; adolescentes que vivenciaram violência psicológica; e adolescentes que vivenciaram experiências sexuais envolvendo seus pais. Os achados alertam para a necessidade de olhar com atenção e o mais cedo possível para a exposição de experiências adversas na infância de forma a cuidar, intervir e mitigar os efeitos negativos no momento atual, no curso de vida e em gerações futuras.

The study aimed to identify patterns in adverse childhood experiences among teenage schoolchildren in a municipality (county) in Rio de Janeiro State, Brazil, according to sociodemographic characteristics (sex, skin color, and socioeconomic status) and depressive symptoms. It adopted a cross-sectional design with a sample of 1,117 teenage schoolchildren 13 to 19 years of age in São Gonçalo, Rio de Janeiro State. Depression was assessed with the Childhood Depression Inventory, and adverse childhood experiences were investigated. The study used bivariate analyses and multiple correspondence analysis (MCA) of adverse childhood experiences, sociodemographic variables (sex, skin color, socioeconomic status), and depressive symptoms. The results reveal the organization of eight groups: lower-income female children and adolescents and adverse childhood experiences related to the environment; boys, with higher socioeconomic status, and not having experienced adverse childhood experiences; adolescents with depressive symptoms and adverse childhood experiences against themselves or their families; white adolescents, with depressive symptoms, and that had not experienced adverse childhood experiences; black, brown, Asian-descendant, and indigenous adolescents that had adverse experiences in the family and community; adolescents that had lost their father and/or mother from death, and lack of food at home; adolescents that had experienced psychological violence; and adolescents with a history of sexual experiences involving their parents. The findings call attention to the need for close and early attention to exposure to adverse childhood experiences to care for these youngsters, intervene, and mitigate the negative effects both at present, over the course of life, and in future generations.

El objetivo fue identificar los patrones de experiencias adversas en la infancia entre adolescentes escolares de un municipio de Río de Janeiro, Brasil, según las características sociodemográficas (género, color de piel y estrato socioeconómico) y los síntomas depresivos. Se trató de un estudio transversal, realizado con 1.117 adolescentes escolares de entre 13 y 19 años de la ciudad de São Gonçalo, Río de Janeiro. La depresión se evaluó con el Inventario de Depresión Infantil, y se investigaron las experiências adversas na infância. Se realizó un análisis bivariante y un análisis de correspondencias múltiples (ACM) de las experiências adversas na infância, las variables sociodemográficas (género, color de la piel y estrato socioeconómico) y los síntomas depresivos. Los resultados muestran la organización de 8 grupos compuestos por: niñas y adolescentes de bajo estrato social y experiências adversas na infância relacionadas con el entorno; niños de más alto estrato social y que no han experimentado experiências adversas na infância; adolescentes con síntomas de depresión y experiências adversas na infância dirigidas físicamente a ellos/familia; adolescentes de color de la piel blanco, sin síntomas de depresión y que no experimentaron experiências adversas na infância; adolescentes negros/pardos/amarillos/indígenas que han vivido experiencias adversas en la familia y la comunidad; adolescentes que han perdido a sus padres, y la falta de alimentos en el hogar; adolescentes que han sufrido violencia psicológica; y adolescentes que han vivido experiencias sexuales con sus padres. Los hallazgos alertan sobre la necesidad de observar atentamente y lo antes posible la exposición a las experiências adversas na infância para atender, intervenir y mitigar los efectos negativos en el momento actual, en el curso de la vida y en las generaciones futuras.

Humans , Male , Female , Child , Adolescent , Adverse Childhood Experiences , Violence/psychology , Brazil/epidemiology , Cross-Sectional Studies , Depression/epidemiology
Cad. Saúde Pública (Online) ; 38(3): e00198321, 2022. tab
Article in Portuguese | LILACS | ID: biblio-1364635


O objetivo foi analisar as associações entre a percepção de risco de adoecimento por COVID-19 e os sintomas de depressão, ansiedade e estresse em profissionais atuantes em unidades de saúde. Estudo transversal com trabalhadores de diversas categorias profissionais que buscaram voluntariamente um dos primeiros Centros de Referência em Testagem de COVID-19 no Município do Rio de Janeiro, Brasil. Os trabalhadores foram convidados a responder a um questionário online entre maio e agosto de 2020. Foram utilizadas a escala Percepção de Risco de Adoecimento por COVID-19 e a Escala de Depressão, Ansiedade e Estresse (DASS-21). Foram estimados razão de chance (OR) e intervalo de 95% de confiança. Do total (N = 2.996), 81,5% eram mulheres com idade média de 40,7 anos. Cerca da metade apresentava grau leve, moderado ou severo de depressão, ansiedade ou estresse, sendo a frequência de trabalhadores com sintomas severos, respectivamente, 18,5%, 29,6% e 21,5%. Observou-se que as associações entre a percepção de risco e os sintomas de depressão, ansiedade e estresse foram mais fortes à medida que aumentava a classificação de gravidade de cada sintoma. Os trabalhadores com alta percepção de risco de adoecimento por COVID-19 apresentaram OR mais elevadas para sintomas severos de depressão (OR = 4,67), ansiedade (OR = 4,35) e estresse (OR = 4,97). Os achados apontam a demanda por medidas de proteção à saúde dos trabalhadores, que não devem se restringir aos equipamentos de proteção individual. É essencial que os gestores promovam espaços coletivos de discussão e ações que favoreçam a recuperação dos trabalhadores em contexto pandêmico de longa duração.

The objective was to analyze associations between perceived risk from COVID-19 and symptoms of depression, anxiety, and stress among workers in healthcare units. This was a cross-sectional study of workers from different professions who appeared voluntarily at one of the first COVID-19 Testing Centers in the municipality of Rio de Janeiro, Brazil. The workers were invited to answer an online questionnaire from May to August 2020. The COVID-19 Risk Perception Scale and the Depression, Anxiety, and Stress Scale (DASS-21) were used. Odds ratios (OR) and 95% confidence intervals were estimated. Of the total sample (N = 2,996), 81.5% were women, and mean age was 40.7 years. About half presented mild, moderate, or severe depression, anxiety, or stress, and the rates for workers with severe symptoms were 18.5%, 29.6%, and 21.5%, respectively. The associations between perceived risk and symptoms of depression, anxiety, and stress increased with the increase in each symptom's severity. Workers with higher perceived risk from COVID-19 showed higher OR for severe symptoms of depression (OR = 4.67), anxiety (OR = 4.35), and stress (OR = 4.97). The findings point to the demand for measures to protect workers' health and that should not be limited to personal protective equipment. It is essential for health system administrators to promote collective spaces for discussion and actions to favor workers' recovery in the context of a prolonged pandemic.

El objetivo fue analizar las asociaciones entre la percepción de riesgo de enfermedad por COVID-19 y los síntomas de depresión, ansiedad y estrés en profesionales activos en unidades de salud. Estudio transversal con trabajadores de diversas categorías profesionales que buscaron voluntariamente uno de los primeros Centros de Referencia en Tests de COVID-19 en el municipio de Río de Janeiro, Brasil. Los trabajadores fueron invitados a responder a un cuestionario online entre mayo y agosto de 2020. Se utilizaron la escala Percepción de Riesgo de Enfermedad por COVID-19 y la Escala de Depresión, Ansiedad y Estrés (DASS-21). Se estimaron razón de oportunidad (OR) e intervalo de 95% de confianza. Del total (N = 2.996), un 81,5% eran mujeres con una edad media de 40,7 años. Cerca de la mitad presentaba grado leve, moderado o severo de depresión, ansiedad o estrés, siendo la frecuencia de trabajadores con síntomas severos, respectivamente, 18,5%, 29,6% y 21,5%. Se observó que las asociaciones entre la percepción de riesgo y los síntomas de depresión, ansiedad y estrés fueron más fuertes a medida que aumentaba la clasificación de la gravedad de cada síntoma. Los trabajadores con alta percepción de riesgo de enfermedad por COVID-19 presentaron OR más elevadas para síntomas severos de depresión (OR = 4,67), ansiedad (OR = 4,35) y estrés (OR = 4,97). Los resultados apuntan la demanda de medidas de protección a la salud de los trabajadores, que no se deben restringir a equipamientos de protección individual. Es esencial que los gestores promuevan espacios colectivos de discusión y acciones que favorezcan la recuperación de los trabajadores en un contexto pandémico de larga duración.

Humans , Female , Adult , Depression/epidemiology , COVID-19 , Anxiety/epidemiology , Stress, Psychological/diagnosis , Stress, Psychological/epidemiology , Brazil/epidemiology , Cross-Sectional Studies , Delivery of Health Care , COVID-19 Testing
Esc. Anna Nery Rev. Enferm ; 26(spe): e20220041, 2022. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1380612


Objetivo: Estimar a prevalência de sintomas de ansiedade e depressão e seus fatores relacionados, entre os profissionais de enfermagem de uma maternidade, durante a pandemia de COVID-19. Método: Estudo observacional, descritivo e transversal, realizado com 189 profissionais de enfermagem de uma maternidade de referência, em Fortaleza-Ceará. A coleta de dados ocorreu durante três meses − de agosto a outubro de 2020 −, e utilizou-se Formulário Sociodemográfico e Clínico e Escala Hospitalar de Ansiedade e Depressão. Os fatores relacionados para depressão ou ansiedade foram determinados pela análise bivariada, por meio do teste qui-quadrado (nominais) e Wilcoxon (numéricas), com significância de p<0,05. Resultados: Estimou-se a prevalência de sintomatologia ansiosa e depressiva em 58,3% e 29,6% dos participantes, respectivamente. Cerca de 53,5% foram afastados por suspeita de COVID-19 e 58%, infectados pelo vírus. Observou-se que os profissionais que atuavam na emergência, clínica obstétrica e Unidade de Terapia Intensiva materna foram os mais expostos ao risco de ter depressão (p=0,01055). Conclusão e implicações para a prática: Alta prevalência de sintomas de ansiedade e depressão entre os participantes, independentemente de estarem na linha de frente da pandemia ou não. A situação requer acolhimento às demandas da saúde mental

Objective: To estimate the prevalence of anxiety and depression symptoms and their related factors among nursing professionals in a maternity hospital during the COVID-19 pandemic. Method: Observational, descriptive and cross-sectional study carried out with 189 nursing professionals from a reference maternity hospital in Fortaleza-Ceará. Data collection took place over three months, from August to October 2020, using the Sociodemographic and Clinical Form and the Hospital Anxiety and Depression Scale. Factors related to depression or anxiety were determined by bivariate analysis using the chi-square (nominal) and Wilcoxon (numerical) tests, with a significance of p<0.05. Results: The prevalence of anxious and depressive symptoms was estimated in 58.3% and 29.6% of the participants, respectively. About 53.5% were removed due to suspected COVID-19 and 58% were infected with the virus. It was observed that professionals who worked in the emergency, obstetric clinic and maternal Intensive Care Unit were the most exposed to the risk of having depression (p=0.01055). Conclusion and implications for practice: High prevalence of anxiety and depression symptoms among participants, regardless of whether they are on the front lines of the pandemic or not. The situation requires meeting the demands of mental health.

Objetivo: Estimar la prevalencia de síntomas de ansiedad y depresión y sus factores relacionados entre profesionales de enfermería en una maternidad durante la pandemia de COVID-19. Método: Estudio observacional, descriptivo y transversal realizado con 189 profesionales de enfermería de una maternidad de referencia en Fortaleza-Ceará. La recolección de datos ocurrió durante tres meses, de agosto a octubre de 2020, utilizando el Formulario Sociodemográfico y Clínico y la Escala Hospitalaria de Ansiedad y Depresión. Los factores relacionados con la depresión o la ansiedad se determinaron mediante análisis bivariado mediante las pruebas de chi-cuadrado (nominal) y Wilcoxon (numérica), con una significancia de p<0,05. Resultados: La prevalencia de síntomas ansiosos y depresivos se estimó en 58,3% y 29,6% de los participantes, respectivamente. Alrededor del 53,5% fueron retirados por sospecha de COVID-19 y el 58% estaban infectados con el virus. Se observó que los profesionales que actuaban en emergencia, clínica obstétrica y Unidad de Terapia Intensiva materna eran los más expuestos al riesgo de tener depresión (p=0,01055). Conclusión e implicaciones para la práctica: Alta prevalencia de síntomas de ansiedad y depresión entre los participantes, independientemente de si están en la primera línea de la pandemia o no. La situación requiere atender las demandas de salud mental.

Humans , Male , Female , Adult , Middle Aged , Anxiety/epidemiology , Depression/epidemiology , COVID-19 , Nurse Practitioners/psychology , Health Profile , Prevalence , Cross-Sectional Studies , Hospitals, Maternity
Psicol. reflex. crit ; 35: 13, 2022. tab, graf
Article in English | LILACS, INDEXPSI | ID: biblio-1387029


Abstract Background: Pregnancy is a period when women are particularly vulnerable to suicidal ideation and a great opportunity for suicide risk prevention. Aims: This study aimed to establish a comprehensive understanding of suicidal ideation prevalence, risk factors, screening tools, consequences and management during pregnancy. Method: A literature search was performed in MEDLINE and PsycInfo databases from 2016 to 2021. A narrative synthesis of the literature and a critical overview of the current issues/questions to be addressed within the topic of suicidal ideation during pregnancy was performed. Results: The prevalence of suicidal ideation during pregnancy was between 2.73 and 18% internationally. The risk factors identified were major depressive disorder, anxiety disorder, difficulties with sleep, previous suicide attempts, high rumination, low incomes, being black, being young, low educational level, partner violence, having poor support, food insecurity, history of child abuse, high obstetric risk, multiparity, previous induced abortion and exposure to tobacco or human immunodeficiency virus diagnosis. The screening tools used for suicidal ideation during pregnancy were item 10 of the Edinburgh Postpartum Depression Scale and item 9 of the Patient Health Questionnaire. Results showed that suicidal ideation during pregnancy is associated with poor cognitive development in children and low birth weight. No case management studies on suicidal ideation were found. Limitations: The main limitation of the available studies was the lack of articles with a high degree of methodological rigour on this subject. Conclusions: This narrative review is a state-of-the-art paper about suicidal ideation during pregnancy. Further research is needed, and researchers should carry out systematic reviews and meta-analyses, leading to Clinical Practice Guidelines in this area. This effort would improve our evidence-based practice in Perinatal Psychology and prevent associated suicidal behaviour.

Pregnancy/psychology , Prevalence , Risk Factors , Pregnant Women/psychology , Suicidal Ideation , Socioeconomic Factors , Mental Health , Depression/epidemiology , Intimate Partner Violence