Underdetection of Psychiatric Disorders During Prenatal Care: A Survey of Adolescents in São Paulo, Brazil

dc.contributor.authorChalem, Elisa [UNIFESP]
dc.contributor.authorMitsuhiro, Sandro S. [UNIFESP]
dc.contributor.authorManzolli, Patricia
dc.contributor.authorBarros, Marina C. M. [UNIFESP]
dc.contributor.authorGuinsburg, Ruth [UNIFESP]
dc.contributor.authorSass, Nelson [UNIFESP]
dc.contributor.authorLaranjeira, Ronaldo [UNIFESP]
dc.contributor.authorFerri, Cleusa P. [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionHosp Mario de Moraes Altenfelder
dc.contributor.institutionUniv Fed Rio Grande do Sul
dc.contributor.institutionKings Coll London
dc.contributor.institutionHosp Dr Mario Moraes Altenfelder
dc.date.accessioned2016-01-24T14:17:42Z
dc.date.available2016-01-24T14:17:42Z
dc.date.issued2012-01-01
dc.description.abstractPurpose: This study estimates the prevalence of common mental disorders and the proportion and potential determinants of detection among adolescents attending prenatal care.Methods: We recruited 930 consecutive adolescents admitted for obstetric care, of which 457 participants had attended the hospital's prenatal care unit. Common mental disorders were assessed using the Composite International Diagnostic Interview (version 2.1). A detailed review of prenatal care records was used to identify detection of psychiatric disorders by prenatal healthcare professionals.Results: A total of 103 adolescents (22.5%) had some mental disorder but only one-fifth of them had had their psychiatric disorder detected during prenatal care. the most frequent diagnosis using the Composite International Diagnostic Interview (version 2.1) was depression (13.5% or 62), but only 21% had been detected. Alcohol and drug dependence were the least common mental disorders (2.4%), but they were the most commonly detected (45.5%). Physical chronic condition increased the likelihood of detecting psychiatric disorder.Conclusion: Mental health is not yet recognized as an integral component of practice in prenatal care. Given the potential effect of antenatal psychiatric morbidity on maternal and child outcomes, especially among adolescents, practice needs to be changed and prenatal care professionals trained in the recognition and basic treatment of common mental disorders. (C) 2012 Society for Adolescent Health and Medicine. All rights reserved.en
dc.description.affiliationUniversidade Federal de São Paulo, Dept Psychiat, BR-05086010 São Paulo, Brazil
dc.description.affiliationHosp Mario de Moraes Altenfelder, Sch Matern & Publ, Dept Psychol, São Paulo, Brazil
dc.description.affiliationUniv Fed Rio Grande do Sul, Sch Med, Grad Studies Program Epidemiol, BR-90046900 Porto Alegre, RS, Brazil
dc.description.affiliationKings Coll London, Inst Psychiat Hlth Serv & Populat Res, London WC2R 2LS, England
dc.description.affiliationUniversidade Federal de São Paulo, Dept Pediat, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Obstet, São Paulo, Brazil
dc.description.affiliationHosp Dr Mario Moraes Altenfelder, Sch Matern & Publ, Dept Obstet, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Psychiat, BR-05086010 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Pediat, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Obstet, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIDFAPESP: 00/10293-5
dc.format.extent93-96
dc.identifierhttp://dx.doi.org/10.1016/j.jadohealth.2011.03.012
dc.identifier.citationJournal of Adolescent Health. New York: Elsevier B.V., v. 50, n. 1, p. 93-96, 2012.
dc.identifier.doi10.1016/j.jadohealth.2011.03.012
dc.identifier.issn1054-139X
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/34452
dc.identifier.wosWOS:000298370700014
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofJournal of Adolescent Health
dc.rightsAcesso restrito
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.titleUnderdetection of Psychiatric Disorders During Prenatal Care: A Survey of Adolescents in São Paulo, Brazilen
dc.typeArtigo
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