title: Coping style and depressive symptomatology during pregnancy in a private setting sample.
abstract: OBJECTIVE
  To evaluate the association of antenatal depressive symptomatology (AD) with life events and coping styles, the hypothesis was that certain coping strategies are associated to depressive symptomatology.
  
  
  METHODS
  We performed a cross sectional study of 312 women attending a private clinic in the city of Osasco, São Paulo from 27/05/1998 to 13/05/2002. The following instruments were used: Beck Depression Inventory (BDI), Holmes and Rahe Schedule of Recent Events (SSRS), Folkman and Lazarus Ways of Coping Questionnaire and questionnaire with social-demographic and obstetric data.
  
  
  METHODS
  women with no past history of depression, psychiatric treatment, alcohol or drug abuse and no clinical-obstetrical complications. Odds ratios and 95% CI were used to examine the association between AD (according to BDI) and exposures variables. Hypothesis testing was done with Chi2 tests and ap value < .05.
  
  
  RESULTS
  AD occurred in 21.1% of pregnant women. By the univariate analyses, education, number of pregnancies, previous abortion, husband income, situation of marriage and score of SSRS were associated with AD. All coping styles were associated with AD, except seeking support and positive reappraisal. By the multivariate analyses, four coping styles were kept in the final model: confront (p = .039), accepting responsibility (p < .001), escape-avoidance (p = .002), problem-solving (p = .005).
  
  
  CONCLUSIONS
  AD was highly prevalent and was associated with maladaptive coping styles.
authors.affiliation: Universidade do São Paulo, Brazil. lim39@usp.br
authors.forename: Alexandre
authors.initials: A
authors.lastname: Faisal-Cury
authors.forename: Mariangela Gentil
authors.initials: MG
authors.lastname: Savoia
authors.forename: Paulo Rossi
authors.initials: PR
authors.lastname: Menezes
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001938:Brazil; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006771:Hospitals, Maternity; D016304:Hospitals, Private; D006801:Humans; D008016:Life Change Events; D008297:Male; D010555:Personality Inventory / Q000706:statistics & numerical data; D011247:Pregnancy / Q000523:psychology*; D011295:Prenatal Care / Q000523:psychology; D011594:Psychometrics; D012307:Risk Factors; D055815:Young Adult