title: Depression, emotional and social aspects in the abortion context: a comparison between two Brazilian capitals.
abstract: OBJECTIVE
  To assess emotional and social aspects in the experience of abortion and the diagnosis of major depression, comparing women from two Brazilian cities (São Paulo--SP, Natal--RN).
  
  
  METHODS
  A transversal study was carried out from January 2009 to May 2010, through semi-directed interviews with women undergoing an abortion (up to 22 weeks gestation) treated at university hospitals in São Paulo--SP (n = 166) and Natal--RN (n = 150). The Portuguese version of the Primary Care Evaluation of Mental Disorders (PRIME-MD) instrument was applied for the diagnosis of depression.
  
  
  RESULTS
  There was no significant difference (p = 0.223) in the proportion of induced abortions when comparing the two capital cities: Natal (7.3%) and São Paulo (12.0%). The diagnosis of depression was high among women undergoing an abortion and was significantly higher in Natal than in São Paulo (50.7% vs. 32.5%, p < 0.01). Regarding emotional aspects, there was no difference in the occurrence of guilt feelings (Natal 27.7%; São Paulo 23.3%; p = 0.447). The partner's involvement was considered satisfactory by women in similar proportions in the two capitals (Natal 62.0%; São Paulo 59.0%, p = 0.576). No difference was found in the proportion of women who reported violence, related or not to the abortion (Natal 22.9%; São Paulo 16.6%; p = 0.378).
  
  
  CONCLUSIONS
  Although there was no difference between the emotional and social aspects in the comparison between the two capitals, there was a high proportion of women with major depression, more frequent in the city of Natal than in São Paulo, which demonstrates the importance of psychosocial support in the women's healthcare system.
authors.affiliation: Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP. 　roseli.nomura@hotmail.com
authors.forename: Roseli Mieko Yamamoto
authors.initials: RM
authors.lastname: Nomura
authors.forename: Gláucia Rosana Guerra
authors.initials: GR
authors.lastname: Benute
authors.forename: George Dantas de
authors.initials: GD
authors.lastname: Azevedo
authors.forename: Elza Maria do Socorro
authors.initials: EM
authors.lastname: Dutra
authors.forename: Cristina Gigliotti
authors.initials: CG
authors.lastname: Borsari
authors.forename: Melina Séfora Souza
authors.initials: MS
authors.lastname: Rebouças
authors.forename: Mara Cristina Souza de
authors.initials: MC
authors.lastname: Lucia
authors.forename: Marcelo
authors.initials: M
authors.lastname: Zugaib
mesh_terms: D000028:Abortion, Induced / Q000523:psychology*; D000022:Abortion, Spontaneous / Q000523:psychology*; D000328:Adult; D001938:Brazil; D003430:Cross-Sectional Studies; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D004644:Emotions; D005260:Female; D006801:Humans; D010298:Parity; D011247:Pregnancy; D012959:Socioeconomic Factors