Depression, emotional and social aspects in the abortion context: a comparison between two Brazilian capitals
| Autor: | Marcelo Zugaib, Cristina Mendes Gigliotti Borsari, Gláucia Rosana Guerra Benute, George Dantas de Azevedo, Melina Séfora Souza Rebouças, Elza Dutra, Roseli Mieko Yamamoto Nomura, Mara Cristina Souza de Lucia |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_specialty Cross-sectional study Emotions Poison control Abortion Suicide prevention Occupational safety and health Pregnancy parasitic diseases Injury prevention Medicine Humans depression mental health Psychiatry reproductive and urinary physiology General Environmental Science Depressive Disorder Major business.industry Abortion Induced General Medicine medicine.disease language.human_language Abortion Spontaneous Parity Cross-Sectional Studies Socioeconomic Factors language General Earth and Planetary Sciences Female Portuguese business Brazil Demography |
| Zdroj: | Revista da Associação Médica Brasileira (English Edition). 57(6):630-636 |
| ISSN: | 2255-4823 |
| DOI: | 10.1016/s2255-4823(11)70128-x |
| Popis: | SummaryObjectiveTo 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).MethodsA 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.ResultsThere 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).ConclusionAlthough 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. |
| Databáze: | OpenAIRE |
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