Transtorno do estresse pós-traumático no puerpério em uma maternidade de alto risco fetal no Município do Rio de Janeiro, Brasil

Resumo O objetivo deste artigo é estimar a magnitude de transtorno do estresse pós-traumático (TEPT) no puerpério em uma maternidade de referência para agravos perinatais e identificar subgrupos vulneráveis. Trata-se de um estudo transversal realizado uma maternidade de alto risco fetal no Rio de Janeiro, Brasil, com 456 mulheres que realizaram o parto na instituição. O Trauma History Questionnaire e o Post-Traumatic Stress Disorder Checklist foram utilizados para captar experiências traumáticas e sintomas de TEPT, respectivamente. A prevalência geral de TEPT foi de 9,4%. O TEPT mostrou-se mais prevalente entre mulheres com três ou mais partos, que tiveram recém-nascido com Apgar no 1º minuto menor ou igual a sete, com histórico de agravo mental antes ou durante a gravidez, com depressão pós-parto, que sofreram violência física ou psicológica perpetrada por parceiro íntimo na gravidez, que tiveram experiência sexual não desejada e que foram expostas a cinco ou mais traumas. Rápido diagnóstico e tratamento são fundamentais para melhorar a qualidade de vida da mulher e a saúde do recém-nascido.

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Violence and post-traumatic stress disorder in Sao Paulo and Rio de Janeiro, Brazil: the protocol for an epidemiological and genetic survey

BMC Psychiatry ◽

10.1186/1471-244x-9-34 ◽

2009 ◽

Vol 9 (1) ◽

Cited By ~ 29

Author(s):

Sérgio Baxter Andreoli ◽

Wagner Silva Ribeiro ◽

Maria Ines Quintana ◽

Camila Guindalini ◽

Gerome Breen ◽

...

Keyword(s):

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Rio De Janeiro ◽

Stress Disorder ◽

Sao Paulo ◽

São Paulo ◽

Post Traumatic Stress ◽

Post Traumatic ◽

Genetic Survey

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Reported trauma, post-traumatic stress disorder and major depression among primary care patients

Psychological Medicine ◽

10.1017/s0033291701004202 ◽

2001 ◽

Vol 31 (7) ◽

pp. 1249-1257 ◽

Cited By ~ 50

Author(s):

J. R. MCQUAID ◽

P. PEDRELLI ◽

M. E. MCCAHILL ◽

M. B. STEIN

Keyword(s):

Primary Care ◽

Major Depression ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Stress Disorder ◽

Severe Trauma ◽

Post Traumatic Stress ◽

Trauma History ◽

Primary Care Patients ◽

Post Traumatic

Background. Trauma is a necessary diagnostic criterion for post-traumatic stress disorder (PTSD). However, the nature of traumas experienced (e.g. assaultive versus non-assaultive) may influence whether any mental disorder will arise. Traumatic experiences may also be associated with other mental disorders, particularly major depressive disorder (MDD). This report examines the relationship of trauma history to the likelihood of full or partial PTSD and MDD. In addition, the study examines the frequency with which assaultive and non-assaultive traumas are reported by patients with full or partial PTSD and MDD.Methods. Three hundred eighty-six primary care patients completed psychiatric symptom measures during their clinic visit. A subset of 132 participants completed a diagnostic interview within 2 weeks following the screening.Results. Most patients reporting traumas did not meet criteria for a mental disorder. Patients reporting traumas were more likely to experience current MDD (27·8%) than current full or partial PTSD (20·0%) although a high percentage of patients with traumas (41·1%) had experienced full or partial PTSD diagnosis in their lifetime. Respondents reporting assaultive events as their most severe trauma, when compared with those whose most severe trauma was non-assaultive, were more likely to have met criteria for either full or partial PTSD in their lifetime, and were more likely to have current MDD.Conclusions. These findings suggest that trauma history is often not associated with psychopathology, and when it is, trauma is often associated with major depression rather than PTSD. The likelihood of psychopathology is increased for individuals reporting assaultive traumas.

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