title: Depression in Women with Recurrent Miscarriages - an Exploratory Study.
abstract: ObjectiveTo assess depression, domestic violence and the use of substances in women with recurrent miscarriages.MethodsThe Abuse Assessment Screen (AAS), the Edinburgh Postnatal Depression Scale (EPDS) and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) were used to assess violence, depression and the use of substances among women with recurrent miscarriages. The population corresponded to patients receiving prenatal care from June to August 2014. Multiple logistic regression was used to assess the multivariable relationship between depression and sociodemographic, psychosocial and medical characteristics (p< 0,10).ResultsThe prevalence of depression was of 41.3% (95% confidence interval [CI] = 28.3-55.7%). One third of the pregnant women (32.6%) reported emotional or physical violence, and 13% were classified as abusing or addicted to tobacco according to ASSIST. History of psychiatric diseases was associated with depression (p= 0.005). Violence during life demonstrated a modest association (p= 0.073) with depression, as well as the number of miscarriages (p= 0.071).ConclusionDepression is a frequent disease among pregnant women with recurrent miscarriages. The results of this investigation suggest that a systematic assessment of depression and its associated conditions, such as domestic violence and the use of substances, should be part of the prenatal follow-up visits for women with recurrent miscarriages.
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM/UNIFESP), São Paulo, Brazil.
authors.forename: Ariel Cesar de
authors.initials: AC
authors.lastname: Carvalho
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM/UNIFESP), São Paulo, Brazil.
authors.forename: Michele Eugênio da
authors.initials: ME
authors.lastname: Silva
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM/UNIFESP), São Paulo, Brazil.
authors.forename: Bárbara Magueta
authors.initials: BM
authors.lastname: Matos
authors.affiliation: Department of Psychiatry, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
authors.forename: Cassio Machado de Campos
authors.initials: CM
authors.lastname: Bottino
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM/UNIFESP), São Paulo, Brazil.
authors.forename: Anelise Riedel
authors.initials: AR
authors.lastname: Abrahão
authors.affiliation: Program in Health Informatics of the Department of Health Informatics of Universidade Federal de São Paulo, UNIFESP, São Paulo, Brazil.
authors.forename: Frederico Molina
authors.initials: FM
authors.lastname: Cohrs
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM/UNIFESP), São Paulo, Brazil.
authors.forename: Sara Mota Borges
authors.initials: SM
authors.lastname: Bottino
mesh_terms: D000026:Abortion, Habitual / Q000523:psychology*; D003863:Depression / Q000175:diagnosis* / Q000453:epidemiology; D017579:Domestic Violence / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000453:epidemiology; D011295:Prenatal Care; D015995:Prevalence; D012044:Regression Analysis; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology