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Antepartum depressive and anxious symptoms: Association with physiological parameters of the newborn

INTRODUCTION: The Perinatal period is a time of vulnerability for developing psychiatric disorders of higher prevalence in the female gender - depression and anxiety(1). Numerous authors have proposed that maternal psychological factors could influence pregnancy course and the well-being of mother a...

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Detalles Bibliográficos
Autores principales: Pereira, D., Pereira, A.T., Azevedo, J., Xavier, S., Soares, M.J., Madeira, N., Macedo, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9471474/
http://dx.doi.org/10.1192/j.eurpsy.2021.478
Descripción
Sumario:INTRODUCTION: The Perinatal period is a time of vulnerability for developing psychiatric disorders of higher prevalence in the female gender - depression and anxiety(1). Numerous authors have proposed that maternal psychological factors could influence pregnancy course and the well-being of mother and newborn(2). OBJECTIVES: To explore the relationship between perinatal psychological disorder and physiological parameters evaluated at birth, such as the Apgar Index (AI; 1, 5 and 10 minutes), head circumference, weight, length and age. METHODS: 533 women answered, in the second trimester of pregnancy (16.98±4.83 weeks of gestation), several questions about psychosocial variables, the Perinatal Depression Screening Scale(3) and the Perinatal Anxiety Screening Scale(4). Of these, 208 (39.0%) women were interviewed with the Diagnostic Interview for Psychological Distress(5). Newborn physiological parameters were obtained from electronic health records. RESULTS: AI was significantly (p<.01) and moderately (r≈.25) correlated with maternal anxious symptomatology, and with the experience of a stressful event in the last year (only AI 1 minute). Newborns of women with clinically relevant anxious symptomatology (>cutoff point, 14.6%) had significantly lower AI (p<.05), which was also observed in newborns of women who considered having had a stressful event (only AI 1 minute). Women’s newborns with maternal anxiety disorders during pregnancy (5.3%), had significantly lower values in AI, head circumference, weight and age of birth. Regression analyses showed that anxiety in pregnancy (symptoms and/or diagnoses) is a predictor of newborn physiological parameters, explaining significant percentages(r≈22%; p<.05) of its variability. CONCLUSIONS: Early detection of psychological disorders in pregnancy, namely anxiety, is determinant to prevent adverse neonatal outcomes. DISCLOSURE: No significant relationships.