Teenage pregnancy: Use of drugs in the third trimester and prevalence of psychiatric disorders
ABSTRACT To determine the prevalence of psychiatric disorders during pregnancy, the prevalence of cocaine and marijuana use during the third trimester of gestation and the socio-demographic characteristics of a population of low-income teenagers.
One thousand pregnant teenagers were evaluated using the Composite International Diagnostic Interview, and a socio-demographic and socio-economic questionnaire at the obstetric center of a public hospital in São Paulo, Brazil. Hair sample was collected for analysis.
Of the 1000 pregnant teenagers interviewed, 53.6% were poor, 90.4% were unemployed, 92.5% were financially dependent and 60.2% dropped out of school. Those using drugs during the third trimester of pregnancy were equal to 6% (marijuana: 4%, cocaine: 1.7%, both: 0.3%). Those having at least one psychiatric disorder equaled 27.6%. The most frequent diagnoses were depression (12.9%), posttraumatic stress disorder (10.0%) and anxiety disorders (5.6%).
Unstructured families, dropping out of school, unemployment and a low level of professional training are all contributing factors to the maintenance of an unfavorable socio-economic environment in which there is a high prevalence of cocaine and marijuana use during the third trimester of pregnancy and an abnormally high incidence of psychiatric disorders.
- SourceAvailable from: Luciana de Avila Quevedo
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- "Not only the babies could suffer, but young mothers are in risk, too. When pregnancy takes place in adolescence, it is frequently related to academic failure (Bradley et al., 2002), unemployment (Mitsuhiro et al., 2006) and socioeconomic deprivation (Olausson et al., 2001). Moreover, adolescent mothers are reported to have higher overall mortality later in life, independently of socioeconomic background (Olausson et al., 2004). "
ABSTRACT: Suicidal behavior and its correlates remain relatively understudied in pregnant teenagers. A cross-sectional study with a consecutive sample of pregnant teenagers recipient of prenatal medical assistance by the national public health system in the urban area of Pelotas, southern Brazil. Sample size was estimated in 871 participants. Suicidal behavior and psychiatric disorders were assessed with the Mini International Neuropsychiatric Interview; the Abuse Assessment Screen was used to identify physical or sexual abuse; social support was assessed with the Medical Outcomes Survey Social Support Scale; a self-report questionnaire was used to collect socio-demographic, obstetric and other psychosocial data. Forty three (4.94%) teenagers refused to participate, resulting in 828 participants. Prevalence of suicidal behavior was 13.3%; lifetime suicide attempts were referred by 7.4%, with 1.3% reporting attempting suicide within the last month. After adjustment, we found significant associations of suicidal behavior with the 18-19 years old subgroup, low education, prior abortion, previous major depression, and physical abuse within the last 12 months. Pregnant teenagers with high social support showed prevalence ratios (PR) 67% lower (PR: 0.33; 95%CI: 0.19-0.56) than those with low social support. Furthermore, a wide range of psychiatric disorders, most notably major depressive disorder (PR: 2.75; 95%CI: 1.34-5.63) and panic disorder (PR: 6.36; 95%CI: 1.61-25.10), remained associated with suicidal behavior after adjustment. The cross-sectional design precludes causal inferences. We found that suicidal behavior is a relatively common feature in pregnant teenagers, frequently associated with psychiatric disorders.Journal of Affective Disorders 11/2011; 136(3):520-5. DOI:10.1016/j.jad.2011.10.037 · 3.38 Impact Factor
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- "" (Ferreira et al, 2006) […] estudos recentes mostram que a exposição pré-natal a maconha está associada com lesões da região pré-frontal do cérebro . " (Mitsuhiro et al, 2006) Nos próximos fragmentos aparecem os prejuízos e danos na vida ocupacional do sujeito usuário de drogas e o fato de focarem suas atividades sociais e pessoais para o uso da droga. Os autores Silva et al (2006), Pizzol et al (2006)e Lucas et al (2006) fizeram levantamento sobre a situação dos estudantes em relação ao uso de substâncias psicoativas. "
ABSTRACT: ReSumO: Esta pesquisa tem por finalidade atualizar e sistematizar as publicações sobre dependência química e terapia ocupacional. Realizou-se um embasamento histórico, conceitual e epidemiológico da farmacodependência, assim como suas abordagens terapêuticas. O objetivo desta atualização é organizar e descrever categorias temáticas derivadas dos artigos nacionais publicados sobre esta problemática e correlacionar com os apontamentos teóricos e procedimentais encontrados na literatura de terapia ocupacional nesta clínica. A seleção de artigos foi feita por meio de pesquisa em base de dados científica, e as categorias criadas a partir da freqüência dos temas "comportamento de risco" e "prejuízos e danos biopsicossociais". Obtivemos como resultado oito artigos, sendo que um abordava o uso de drogas entre adolescentes grávidas; quatro discutiam o uso entre estudantes, tanto em nível fundamental e médio, quanto em nível superior; um trazia a relação entre uso de substâncias psicoativas e transtornos psiquiátricos; e dois sobre usuários de drogas injetáveis e sua estreita relação com o HIV. O estudo demonstra que a intervenção da terapia ocupacional, descrita na literatura especializada com essa população, se fundamenta principalmente na aplicação e desenvolvimento de estratégias que facilitem oportunidades de trocas e da ampliação de possibilidades, sendo o fazer seu instrumento de ação. Concluímos que apesar de todos os prejuízos e danos que o uso de substâncias psicoativas pode acarretar na vida do sujeito, essa ainda é uma prática freqüente e é acompanhada por comportamentos de risco. PalavRaS-chave: Terapia ocupacional. Transtornos relacionados ao uso de substâncias-terapia. Transtornos relacionados ao uso de substâncias- reabilitação. abSTRacT: This research aims to update and systemize publications on chemical dependence and occupational therapy. This is a historical, conceptual and epidemiological study of pharmacodependence, as well as of its therapeutic approaches. The aim of this update is to organize and to describe thematic categories derived from national articles published about this problematic and to correlate data found with theoretical and procedural proposals found in the literature of occupational therapy in this clinic. Articles selection was done by means of surveys in scientific databases, and the categories were created according to the frequency of the themes "risk behavior" and "bio-psychosocial damages and losses". We found eight articles, one of them approaching the use of drugs by pregnant adolescent girls; four discussed drug use among students, both of the elementary and secondary levels and the university level; one approached the relationship between use of psychoactive substances and psychiatric disturbances; and two were about users of injectable drugs and its close relationship with HIV. The study demonstrates that occupational therapy intervention, described in specialized literature regarding this population, is based mainly on the application and development of strategies that facilitate opportunities of exchanges and broaden possibilities, and action is their work tool. We conclude that despite all damages and losses psychoactive substances use can cause to the life of the subject, still it is a frequent practice that is followed by risk behaviors.
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ABSTRACT: AimTo estimate the prevalence of violence, depressive symptoms, and associated factors during pregnancy in women attending antenatal care in Brazil. MethodsViolence was assessed using a modified version of the abuse assessment screen (ASS), and depressive symptoms were evaluated using the primary care evaluation of mental disorders (PRIME-MD). Participants were pregnant women attending 18 primary care units in Rio Grande do Sul, Brazil, between June 2006 and April 2007. A total of 712 pregnant women participated, but only 627 of them responded the ASS. ResultsExperience of any lifetime violence was reported by 273 (43.4%) women and 114 (18.2%) reported violence during the current pregnancy. One-third of them (n=211) reported lifetime domestic violence and 100 (15.9%) women reported this type of violence during the current pregnancy. Experience of domestic violence during pregnancy was more common in unemployed women, among those with two or more children, with a higher consumption of alcohol, and who had not planned their current pregnancy. Of the total of sample (n=712), 198 (27.8%) women reported six or more depressive symptoms. The presence of depressive symptoms during pregnancy was associated with low educational levels, living in a household with five or more people, and with higher consumption of alcohol during pregnancy. ConclusionPregnant women attending primary care are exposed to high rates of domestic violence, and many have clinically relevant depressive symptoms. Appropriate interventions to avoid or minimize the effects of violence and mental disorders to the well-being of the mothers and their babies are urgently required. Primary care services play an important role in identifying and supporting women at risk. KeywordsPregnancy-Depressive symptoms-Domestic violence-Primary careSocial Psychiatry and Psychiatric Epidemiology 10/2010; 45(10):983-988. DOI:10.1007/s00127-009-0145-y · 2.54 Impact Factor