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Federación Mexicana de Ginecología y Obstetricia, A.C.

2022, Número 02

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Ginecol Obstet Mex 2022; 90 (02)


Factores psicosociales y obstétricos asociados con depresión, ansiedad o estrés psicológico en embarazadas residentes en el Caribe colombiano

Monterrosa-Castro Á, Rodelo-Correa A, Monterrosa-Blanco A, Morales-Castellar I

Idioma: Español
Referencias bibliográficas: 45
Paginas: 134-147
Archivo PDF: 203.02 Kb.


RESUMEN

Objetivo: Determinar la prevalencia de depresión, ansiedad y estrés psicológico con una escala ampliamente utilizada y estimar los factores asociados con cada uno de ellos, en las embarazadas asistentes a control prenatal ambulatorio.
Materiales y Métodos: Estudio transversal, con nivel de análisis relacional e inclusión prospectiva efectuado en mujeres embarazadas residentes en el área rural o urbana del Departamento de Bolívar, en el Caribe colombiano, que acudieron a control prenatal ambulatorio. Se aplicó un formulario que incluía variables sociodemográficas y la escala Depression, Anxiety and Stress. Para observar la asociación entre características sociales y obstétricas con cada dominio se recurrió a modelos de regresión logística ajustada.
Resultados: Se reunieron 509 embarazadas, luego de descartar a 25 (4.6%) que no reunieron los datos completos. La mediana de edad fue de 26 años. El 18% informó sentirse triste y deprimida en grado considerable a muy deprimida, en algún momento del embarazo. Al 34% le resultó difícil tomar la iniciativa para realizar actividades. El 15% sintió temblor en las manos. La ansiedad severa-extremadamente severa fue prácticamente tres veces más frecuente que la depresión o el estrés psicológico, de igual severidad.
Conclusión: Se encontró que 3 de cada 10 pacientes tuvieron depresión, ansiedad o estrés. Hubo asociación significativa de varios factores psicosociales.


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