ABSTRACT
BACKGROUND: women who have inadequate nutrient intake are more likely to develop a risky pregnancy. The purpose of this study was to determine the presence of eating disorders and its association with anxiety and depression symptomatology in high-risk pregnancies. METHODS: this is a cross-sectional and prospective study conducted at the tertiary university hospital in the city of São Paulo, Brazil. 913 pregnant women waiting for the Obstetrics' outpatient appointment were invited to participate in the study on their 2nd and 3rd trimester of pregnancy. Structured interviews were carried out and the Structured Clinical Interview for DSM Disorders and Hospital Anxiety and Depression Scale were applied. FINDINGS: prevalence of eating disorder (ED) during pregnancy was 7.6% (n=69) (95% CI: 5.84% -9.28%), 0.1% (n=1) for anorexia nervosa; 0.7% (n=6) for bulimia nervosa; 1.1% (n=10) for binge eating disorder, and 5.7% (n=52) for pica. A statistically significant difference was found between the anxiety (p<0.01) and depressive symptoms (p<0.01). CONCLUSIONS: the prevalence of ED (7.6%) and its association with anxiety and depression symptoms during pregnancy highlights the need for specialist care for prevention, diagnosis and treatment. Given the importance of proper nutrition during pregnancy, both with regard to maternal health and fetal development, it is necessary to have specific predetermined evaluation protocols implemented by health care professionals for the diagnosis of ED during pregnancy.
Subject(s)
Feeding and Eating Disorders/psychology , Pregnant Women/psychology , Adolescent , Adult , Anxiety/epidemiology , Anxiety/psychology , Brazil/epidemiology , Cross-Sectional Studies , Depression/epidemiology , Depression/psychology , Feeding and Eating Disorders/epidemiology , Female , Humans , Middle Aged , Pregnancy , Prevalence , Prospective Studies , Surveys and QuestionnairesABSTRACT
O presente estudo teve como objetivo principal investigar, a partir do referencial psicanalítico, as representações de qualidade de vida entre idosos atendidos no Serviço de Geriatria do ICHC-FMUSP (Ambulatório, Enfermaria, Gamia). Foram utilizados: Entrevista semi-dirigida e Procedimento de Desenho-Estória com Tema, conforme técnica proposta por Vaisberg (1997). Os dados foram analisados quantitativamente por meio da Análise de Freqüência de Conteúdos e qualitativamente por meio do referencial psicanalítico. Na enfermaria constatou-se que a vivência da internação interfere significativamente na representação de qualidade de vida. No Gamia, a exigência por uma vida com qualidade é maior por serem idosos mais críticos. No ambulatório, a representação de qualidade de vida está relacionada a características de personalidade e não à vivência ambulatorial. Embora tal estudo tenha sido realizado no âmbito hospitalar quase não apareceram questões clínicas, mas sim questões sociais e emocionais caracterizando a necessidade de um trabalho interdisciplinar.(AU)
The objective of the study was to investigate the representations about quality of life among elders in the Geriatric Service of the ICHC-FMUSP. An Semi-structured and a story drawing procedure as proposed by Vaisberg (1997) were used. The data was analyzed by the Frequency Analysis of Content, and qualitatively by psychological reference. With the in-pacients, it was that the experience of the hospitalization has a significant impact on their perception about quality of life. At the Multidisciplinary Outpatient Care for the Elderly (Acronym in Portuguese: Gamia), the demand for quality of life is greater because the elderly are more critical. At the ambulatory, the representations of quality of life is related to personality characteristics and not to the outpatient experience. Although such study have been done in hospitals, not many clinical issues showed up, but rather social and emotional issues showing the necessity of interdisciplinary work.(AU)
