RESUMO
OBJECTIVE: To determine the prevalence of postnatal depression and associated epidemiological features in a population of women from Durango, Mexico. METHODS: Applying a cross-sectional design in public hospitals from Durango, we studied 178 women during their 1 to 13 weeks postpartum. The Edinburg Postnatal Depression Scale was applied and depression was evaluated by using the DSM-IV criteria. In addition, socio-demographic, clinical, and psychosocial data from participants were obtained. RESULTS: Of the 178 women, 58 were depressed (32.6%). The prevalence of depression was significantly higher in women with low level of education, with more than 3 years of living with her partner, and in rural, non-insured women. Multivariate analysis showed that postnatal depression was significantly associated with previous depression, history of postnatal depression, depression, anxiety and stress during pregnancy, stress after pregnancy, trauma, bad relationship with partner, abandonment by partner, unwanted pregnancy, family problems, and living without partner. CONCLUSIONS: The prevalence of postnatal depression in women living in Durango, Mexico, is high. Several socio-demographic, clinical, and psychosocial factors appear to contribute to this condition.
Assuntos
Depressão Pós-Parto/epidemiologia , Adolescente , Adulto , Estudos Transversais , Feminino , Hospitais Públicos , Humanos , México , Prevalência , Adulto JovemRESUMO
Objetivo: Determinar la prevalencia de depresión posnatal y las características epidemiológicas asociadas en una población de mujeres en Durango, México. Métodos: Mediante estudio transversal en hospitales públicos de Durango, se estudiaron 178 mujeres con una a 13 semanas posparto. Se les aplicó la Escala de Depresión Posnatal de Edinburgh, y la depresión se evaluó utilizando los criterios del DSM-IV. Además, se obtuvieron datos sociodemográficos, clínicos y psicosociales de las participantes. Resultados: De 178 mujeres, 58 se encontraban deprimidas (32.6 %). Se observaron frecuencias significativamente mayores de depresión en mujeres con escasa escolaridad, con más de tres años de vida con su pareja, no aseguradas y residentes del medio rural. El análisis multivariado mostró que la depresión posnatal se asoció significativamente con depresión previa, antecedente de depresión posnatal, depresión, ansiedad y estrés durante el embarazo, estrés después del embarazo, trauma, mala relación o abandono de la pareja, embarazo no deseado, problemas familiares, y vivir sin la pareja. Conclusiones: La prevalencia de la depresión posnatal en las mujeres estudiadas fue alta. Diversos factores sociodemográficos, clínicos y psicosociales contribuyeron a la depresión.
OBJECTIVE: To determine the prevalence of postnatal depression and associated epidemiological features in a population of women from Durango, Mexico. METHODS: Applying a cross-sectional design in public hospitals from Durango, we studied 178 women during their 1 to 13 weeks postpartum. The Edinburg Postnatal Depression Scale was applied and depression was evaluated by using the DSM-IV criteria. In addition, socio-demographic, clinical, and psychosocial data from participants were obtained. RESULTS: Of the 178 women, 58 were depressed (32.6%). The prevalence of depression was significantly higher in women with low level of education, with more than 3 years of living with her partner, and in rural, non-insured women. Multivariate analysis showed that postnatal depression was significantly associated with previous depression, history of postnatal depression, depression, anxiety and stress during pregnancy, stress after pregnancy, trauma, bad relationship with partner, abandonment by partner, unwanted pregnancy, family problems, and living without partner. CONCLUSIONS: The prevalence of postnatal depression in women living in Durango, Mexico, is high. Several socio-demographic, clinical, and psychosocial factors appear to contribute to this condition.
