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Authors
Abstract(s)
Introdução: A depressão perinatal possui elevada prevalência e graves consequências
associadas, mas continua a ser subdiagnosticada. Desta forma, é um problema de saúde
pública com grande impacto psicossocial e torna-se necessário desenvolver mecanismos que
auxiliem os médicos de família a melhor detetar esta situação.
Este subdiagnóstico pode ocorrer devido a fatores relacionados com as puérperas ou
pode surgir por causas relacionadas com o médico.
Face a esta dificuldade de diagnóstico surgiu a necessidade de realizar rastreio desta
patologia. O Programa Nacional de Vigilância da Gravidez de Baixo Risco recomenda o rastreio
de depressão pós-parto através da Edinburgh Postpartum Depression Screening Scale, no
entanto, estão disponíveis outras escalas como a Postpartum Depression Screening Scale.
Objetivos: O principal objetivo do trabalho é aferir a perceção dos médicos de família
do risco de depressão e ansiedade perinatal, comparando a avaliação efetuada pelo médico e
o resultado obtido através de escalas de risco. Adicionalmente, pretende-se identificar a
prevalência da depressão perinatal e ansiedade nas puérperas estudadas, identificar a
prevalência de risco de depressão perinatal e ansiedade aferido por escala nas mesmas
mulheres, comparar estas prevalências e avaliar a orientação farmacológica e psicológica da
mulher com diagnóstico de depressão perinatal ou ansiedade.
Materiais e métodos: Estudo observacional, multicêntrico e descritivo, entre fevereiro
e julho de 2019. Obtiveram-se 47 questionários válidos de puérperas e dos seus médicos de
família com aplicação da Postpartum Depression Screening Scale (PDSS) e Perinatal Anxiety
Screening Scale (PASS). O questionário do médico avaliou a perceção subjetiva de sintomas
depressivos e ansiosos, breve caracterização e eventual intervenção.
Resultados: De acordo com as escalas verificou-se uma prevalência de depressão de
44,7% e de 42,6% de ansiedade. No que diz respeito à perceção do médico, 19,1% foram
consideradas deprimidas e 40,4% ansiosas.
Analisando a perceção do médico sobre a depressão sabe-se que identifica de forma
coincidente com a escala em 61,7% dos casos, existe possível subdiagnóstico em 31,9% e
sobrediagnóstico em 6,4%. Relativamente à ansiedade obteve-se que 72,3% teriam diagnóstico
correto, 14,9% subdiagnóstico e 12,8% sobrediagnóstico. Relativamente à atuação médica,
todos os casos identificados com depressão foram alvo de ação.
Discussão e conclusão: Perante os resultados obtidos torna-se essencial reforçar junto
dos médicos de família que a análise subjetiva pode ser falível pelo que a associação de
escalas de risco poderá ser benéfica, e estudos para perceber este benefício, em Portugal,
devem ser conduzidos.
Introduction: Perinatal deprression has a high prevalence and serious repercussions, but remains underdiagnosed. Thus, it’s a public health problem with a great psychosocial impact and it’s urgent to develop mechanisms that increase the perception of general practitioners in this situation. This underdiagnosis may occur due to factors related to the puerperal women, namely, because they don’t have the capacity to recognize, seek and accept help, or it may arise due to causes related to the doctor, such as high professional demands and time or knowledge limitations. In view of this diagnostic difficulty, the need arose to screen for this pathology. The National Low Risk Pregnancy Surveillance Program recommends screening for postpartum depression through the Edinburgh Postpartum Depression Screening Scale, however, in Portugal other scales such as the Postpartum Depression Screening Scale are also available. Objectives: The main objective of the work is to assess the perception of General Practitioners of the risk of depression and perinatal anxiety, comparing the assessment made by the doctor and the result obtained through risk scales. Additionally, it’s intended to identify the prevalence of perinatal depression and anxiety in the studied mothers; compare these prevalences and assess the pharmacological and psychological orientation of women diagnosed with perinatal depression or anxiety. Materials and methods: Observational, multicenter and descriptive study, between February and July 2019. 47 questionnaires were obtained from puerperal women and their General Practitioners using the Postpartum Depression Screening Scale (PDSS) and Perinatal Anxiety Screening Scale (PASS). The doctor's questionnaire assessed the subjective perception of depressive and anxious symptoms, brief characterization and possible intervention. Results: According to the scales, there was a prevalence of depression of 44.7% and 42.6% of anxiety. With regard to the physician's perception, 19.1% were considered depressed and 40.4 % anxious. Analyzing the doctor's perception of depression, it’s known that he identifies coincidentally with the scale in 61.7% of cases, there’s a possible underdiagnosis in 31.9% and an overdiagnosis in 6.4%. Regarding anxiety, it was found that 72.3% would have a correct diagnosis, 14.9% underdiagnosis and 12.8% overdiagnosis. Discussion and conclusion: In view of the results obtained, it’s essential to reinforce with General Practicioners, that subjective analysis may be fallible, so the association of risk scales may be beneficial.
Introduction: Perinatal deprression has a high prevalence and serious repercussions, but remains underdiagnosed. Thus, it’s a public health problem with a great psychosocial impact and it’s urgent to develop mechanisms that increase the perception of general practitioners in this situation. This underdiagnosis may occur due to factors related to the puerperal women, namely, because they don’t have the capacity to recognize, seek and accept help, or it may arise due to causes related to the doctor, such as high professional demands and time or knowledge limitations. In view of this diagnostic difficulty, the need arose to screen for this pathology. The National Low Risk Pregnancy Surveillance Program recommends screening for postpartum depression through the Edinburgh Postpartum Depression Screening Scale, however, in Portugal other scales such as the Postpartum Depression Screening Scale are also available. Objectives: The main objective of the work is to assess the perception of General Practitioners of the risk of depression and perinatal anxiety, comparing the assessment made by the doctor and the result obtained through risk scales. Additionally, it’s intended to identify the prevalence of perinatal depression and anxiety in the studied mothers; compare these prevalences and assess the pharmacological and psychological orientation of women diagnosed with perinatal depression or anxiety. Materials and methods: Observational, multicenter and descriptive study, between February and July 2019. 47 questionnaires were obtained from puerperal women and their General Practitioners using the Postpartum Depression Screening Scale (PDSS) and Perinatal Anxiety Screening Scale (PASS). The doctor's questionnaire assessed the subjective perception of depressive and anxious symptoms, brief characterization and possible intervention. Results: According to the scales, there was a prevalence of depression of 44.7% and 42.6% of anxiety. With regard to the physician's perception, 19.1% were considered depressed and 40.4 % anxious. Analyzing the doctor's perception of depression, it’s known that he identifies coincidentally with the scale in 61.7% of cases, there’s a possible underdiagnosis in 31.9% and an overdiagnosis in 6.4%. Regarding anxiety, it was found that 72.3% would have a correct diagnosis, 14.9% underdiagnosis and 12.8% overdiagnosis. Discussion and conclusion: In view of the results obtained, it’s essential to reinforce with General Practicioners, that subjective analysis may be fallible, so the association of risk scales may be beneficial.
Description
Keywords
Depressão Período Pós-Parto Questionários