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Effectiveness of psychological intervention for treating symptoms of anxiety and depression among pregnant women diagnosed with fetal malformation
2013; Elsevier BV; Volume: 121; Issue: 2 Linguagem: Inglês
10.1016/j.ijgo.2012.12.013
ISSN1879-3479
AutoresRenata Panico Gorayeb, Ricardo Gorayeb, Aderson Tadeu Berezowski, Geraldo Duarte,
Tópico(s)Childhood Cancer Survivors' Quality of Life
ResumoInternational Journal of Gynecology & ObstetricsVolume 121, Issue 2 p. 123-126 Clinical articles Effectiveness of psychological intervention for treating symptoms of anxiety and depression among pregnant women diagnosed with fetal malformation Renata P. Gorayeb, Corresponding Author Renata P. Gorayeb [email protected] Department of Neurosciences and Behavioral Sciences, School of Medicine at Ribeirão Preto, University of São Paulo, São Paulo, BrazilCorresponding author at: Departamento de Neurociências e Ciências do Comportamento da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Avenida Bandeirantes 3900, Ribeirão Preto, São Paulo 14.049 000, Brazil. Tel.: + 55 16 3602 2320; fax: + 55 16 3602 2385.Search for more papers by this authorRicardo Gorayeb, Ricardo Gorayeb Department of Neurosciences and Behavioral Sciences, School of Medicine at Ribeirão Preto, University of São Paulo, São Paulo, BrazilSearch for more papers by this authorAderson T. Berezowski, Aderson T. Berezowski Department of Gynecology and Obstetrics, School of Medicine at Ribeirão Preto, University of São Paulo, São Paulo, BrazilSearch for more papers by this authorGeraldo Duarte, Geraldo Duarte Department of Gynecology and Obstetrics, School of Medicine at Ribeirão Preto, University of São Paulo, São Paulo, BrazilSearch for more papers by this author Renata P. Gorayeb, Corresponding Author Renata P. Gorayeb [email protected] Department of Neurosciences and Behavioral Sciences, School of Medicine at Ribeirão Preto, University of São Paulo, São Paulo, BrazilCorresponding author at: Departamento de Neurociências e Ciências do Comportamento da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Avenida Bandeirantes 3900, Ribeirão Preto, São Paulo 14.049 000, Brazil. Tel.: + 55 16 3602 2320; fax: + 55 16 3602 2385.Search for more papers by this authorRicardo Gorayeb, Ricardo Gorayeb Department of Neurosciences and Behavioral Sciences, School of Medicine at Ribeirão Preto, University of São Paulo, São Paulo, BrazilSearch for more papers by this authorAderson T. Berezowski, Aderson T. Berezowski Department of Gynecology and Obstetrics, School of Medicine at Ribeirão Preto, University of São Paulo, São Paulo, BrazilSearch for more papers by this authorGeraldo Duarte, Geraldo Duarte Department of Gynecology and Obstetrics, School of Medicine at Ribeirão Preto, University of São Paulo, São Paulo, BrazilSearch for more papers by this author First published: 08 March 2013 https://doi.org/10.1016/j.ijgo.2012.12.013Citations: 9Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Objective To determine the effectiveness of a psychological intervention targeting pregnant women with fetal malformation. Methods A clinical study was conducted that enrolled 65 pregnant women attending Clinics Hospital at Ribeirão Preto, University of São Paulo, Brazil, between February 2004 and May 2008. Participants were allocated to 1 of 4 groups: normal pregnancy (NP), fetal malformation (FM), fetal or neonatal death (FD), and control (CG). Psychological intervention—including support, empathy, education, and desensitization—was provided to the NP, FM, and FD groups. Women in CG did not receive the intervention and were assessed in the postnatal period only. Anxiety was measured using the Hospital Anxiety and Depression (HAD) scale. Depression was measured by HAD and the Edinburgh Postnatal Depression Scale. Results Significant reductions from baseline were observed in anxiety and depression scores after psychological intervention in the NP and FM groups. Symptom scores in the postnatal period were also significantly reduced among these groups (P < 0.001). Conclusion Psychological intervention was effective in relieving symptoms of anxiety and depression experienced by pregnant women with fetal malformation. References [1]Obi S.N., Onah H.E., Okafor I.I. Depression among Nigerian women following pregnancy loss. Int J Gynecol Obstet. 105 (1): 2009; 60–62 [2]Solberg Ø., Grønning Dale M.T., Holmstrøm H., Eskedal L.T., Landolt M.A., Vollrath M.E. Trajectories of maternal mental health: a prospective study of mothers of infants with congenital heart defects from pregnancy to 36 months postpartum. J Pediatr Psychol. 37 (6): 2012; 687–696 [3] Leon IG. Helping families cope with perinatal loss. GLOWM 2008;10418. [4]Perosa G.B., Canavez I.C., Silveira F.C., Padovani F.H., Peraçoli J.C. Depressive and anxious symptoms in mothers of newborns with and without malformations. Rev Bras Ginecol Obstet. 31 (9): 2009; 433–439 [5]Hughes P., Riches S. Psychological aspects of perinatal loss. Curr Opin Obstet Gynecol. 15 (2): 2003; 107–111 [6]Ishida K., Stupp P., Serbanescu F., Tullo E. Perinatal risk for common mental disorders and suicidal ideation among women in Paraguay. Int J Gynecol Obstet. 110 (3): 2010; 235–240 [7]Schneid-Kofman N., Sheiner E., Levy A. Psychiatric illness and adverse pregnancy outcome. Int J Gynecol Obstet. 101 (1): 2008; 53–56 [8]Sommerseth E., Sundby J. Women's experiences when ultrasound examinations give unexpected findings in the second trimester. Women Birth. 23 (3): 2010; 111–116 [9]Asplin N., Wessel H., Marions L., Georgsson Öhman S. Pregnant women's experiences, needs, and preferences regarding information about malformations detected by ultrasound scan. Sex Reprod Healthc. 3 (2): 2012; 73–78 [10]Aune I., Möller A. ‘I want a choice, but I don't want to decide’–a qualitative study of pregnant women's experiences regarding early ultrasound risk assessment for chromosomal anomalies. Midwifery. 28 (1): 2012; 14–23 [11]Carvalho A.E., Linhares M.B., Padovani F.H., Martinez F.E. Anxiety and depression in mothers of preterm infants and psychological intervention during hospitalization in neonatal ICU. Span J Psychol. 12 (1): 2009; 161–170 [12]Zigmond A.S., Snaith R.P. The hospital anxiety and depression scale. Acta Psychiatr Scand. 67 (6): 1983; 361–370 [13]Botega N.J., Bio M.R., Zomignani M.A., Garcia C. Jr., Pereira W.A. Mood disorders among inpatients in ambulatory and validation of the anxiety and depression scale HAD. Rev Saude Publica. 29 (5): 1995; 355–363 [14]Santos M.F.S., Martins F.C., Pasquali L. Self- assessment Scale of Postpartum Depression: a study in Brazil. Rev Psiquiatr Clin. 26 (2): 1999; 90–95 [15]Snaith R.P., Constantopoulos A.A., Jardine M.Y., McGuffin P. A clinical scale for the self-assessment of irritability. Br J Psychiatry. 132: 1978; 164–171 [16]Altman D.G. Statistics in medical journals: developments in the 1980s. Stat Med. 10 (12): 1991; 1897–1913 [17]Coppola G., Costantini A., Tedone R., Pasquale S., Elia L., Barbaro M.F. et al. The impact of the baby's congenital malformation on the mother's psychological well-being: an empirical contribution on the clubfoot. J Pediatr Orthop. 32 (5): 2012; 521–526 [18]Freeman M.P. Managing depression during pregnancy. J Clin Psychiatry. 70 (7): 2009; e25 [19]Kersting A., Kroker K., Steinhard J., Hoernig-Franz I., Wesselmann U., Luedorff K. et al. Psychological impact on women after second and third trimester termination of pregnancy due to fetal anomalies versus women after preterm birth–a 14-month follow up study. Arch Womens Ment Health. 12 (4): 2009; 193–201 [20]Marinucci L., Balloni S., Carinci F., Locci P., Pezzetti F., Bodo M. Diazepam effects on non-syndromic cleft lip with or without palate: epidemiological studies, clinical findings, genes and extracellular matrix. Expert Opin Drug Saf. 10 (1): 2011; 23–33 [21]Gentile S., Bellantuono C. Selective serotonin reuptake inhibitor exposure during early pregnancy and the risk of fetal major malformations: focus on paroxetine. J Clin Psychiatry. 70 (3): 2009; 414–422 [22]Nordeng H., van Gelder M.M., Spigset O., Koren G., Einarson A., Eberhard-Gran M. Pregnancy outcome after exposure to antidepressants and the role of maternal depression: results from the Norwegian Mother and Child Cohort Study. J Clin Psychopharmacol. 32 (2): 2012; 186–194 [23]Davis R.L., Rubanowice D., McPhillips H., Raebel M.A., Andrade S.E., Smith D. et al. Risks of congenital malformations and perinatal events among infants exposed to antidepressant medications during pregnancy. Pharmacoepidemiol Drug Saf. 16 (10): 2007; 1086–1094 [24]Bar-Oz B., Einarson T., Einarson A., Boskovic R., O'Brien L., Malm H. et al. Paroxetine and congenital malformations: meta-Analysis and consideration of potential confounding factors. Clin Ther. 29 (5): 2007; 918–926 [25]Patil A.S., Kuller J.A., Rhee E.H. Antidepressants in pregnancy: a review of commonly prescribed medications. Obstet Gynecol Surv. 66 (12): 2011; 777–787 Citing Literature Volume121, Issue2May 2013Pages 123-126 ReferencesRelatedInformation
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