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Twin pregnancies: evaluation of major depression, stress, and social support.

Benute, Glaucia R G; Nozzella, Debora C R; Prohaska, Cecilia; Liao, Adolfo; de Lucia, Mara C S; Zugaib, Marcelo.
Twin Res Hum Genet ; 16(2): 629-33, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23398666

BACKGROUND:

Twin pregnancies are at increased physiological and psychosocial risks.

OBJECTIVE:

To investigate the prevalence of major depression in twin pregnancies and correlate with stress and social support.

METHOD:

The study included 51 pregnant women under specialized prenatal care who were evaluated by a Portuguese version of the semi-structured questionnaire Primary Care Evaluation of Mental Disorders (PRIME-MD) for Major Depression, and the Prenatal Psychosocial Profile (PPP) for evaluation of stress and social support.

RESULTS:

Major depression was found in 33.3% of pregnant women, and prevailing symptoms were fatigue or loss of energy (100%), insomnia or hypersomnia (82.4%), changes in appetite (82.4%), decreased interest in daily activities (82.4%), and psychomotor agitation or retardation (82.4%). Among pregnant women who were diagnosed depressive, 76.5% also had a high level of stress and 47.1% complained about lack of social support. Statistical significance was found when correlating depression with perception of negative aspects of having twins and belief in significant body changes during pregnancy (p = .005 and .03, respectively). Marital status, occupation, and pregnancy planning were not significantly associated with the diagnosis of depression.

CONCLUSION:

Major depression occurs in one-third of pregnant women expecting twins and is associated with higher levels of stress and lack of social support. A multidisciplinary approach in these cases is fundamental to minimize further risks and complications.