[A descriptive study of psychiatric population at Instituto Nacional de Perinatología].
OBJECTIVE
To establish a description of the psychiatric population of the Instituto Nacional de Perinatología (INPer), as well as of the exposed newborns to psychopharmacological treatment during the gestation.


METHODS
One hundred forty-six women were gathered, by means of serial files; 85 of them had an obstetric episode of high risk and 61 were assisted in the institution due to gynecological alterations. A clinical psychologist and a psychiatrist carried out, each one, an interview and the clinical history of all the women. Once the type diagnosis was determined (DSM-IV), they received psicotherapeutical, pharmacological or mixed treatment, until the resolution of the obstetric episode and the gathering of the neonatal data.


RESULTS
The findings reported that the prevalence or mental disorders (DSM-IV) that are not adaptive at the INPer is 1.8%. The diagnostic distribution of the psychiatric population ranked in first place the affective disorders (63.7%), particularly major depression disorder (42.5%). These percentages correspond at the institutional total population's 1.19 and 0.79. As for the treatment type, 57 women received psychotherapy, 75 received psychopharmacological treatment and 14 received both treatments. The newborn babies of obstetric patients who received psychopharmacological treatment did not show differences in Apgar, weight, size, complications or obstetric resolution in comparison with patients who received psychotherapy and again with respect to institutional media.


CONCLUSIONS
The prevalence found in the Institution is significantly inferior to that reported at a national and global level, due to the use of two diagnostic interviews by mental health specialists. The wrong use of the sieve is one of the reasons for overdiagnosis in mental health.
Espíndola Hernández
José Gabriel
JG
Departamento de Psicología, UNAM.
Morales Carmona
Francisco
F
Díaz Franco
Edgar
E
Escalante Varela
Alejandro
A
Pimentel Nieto
Diana
D
Henales Almaraz
Consuelo
C
Medina Mora
Anna Cecilia Ibarra
AC
D000328:Adult; D001034:Apgar Score; D001724:Birth Weight; D005260:Female; D005865:Gestational Age; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006801:Humans; D007231:Infant, Newborn; D008423:Maternal Age; D001523:Mental Disorders / Q000453:epidemiology*; D008800:Mexico / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D011256:Pregnancy Outcome; D015995:Prevalence; D012307:Risk Factors; D011795:Surveys and Questionnaires