ESTRATÉGIAS DE INTERVENÇÃO NA DEPRESSÃO PÓS-PARTO: UMA REVISÃO BIBLIOGRÁFICA

Autores

DOI:

https://doi.org/10.47820/recima21.v5i6.5303

Palavras-chave:

Depressão pós-parto, intervenções terapêuticas, tratamento, saúde mental materna e recuperação.

Resumo

A depressão pós-parto (DPP) é uma condição que afeta significativamente a saúde mental das mães e o desenvolvimento de seus filhos. Com múltiplas abordagens terapêuticas disponíveis, é crucial identificar as mais eficazes para tratar e gerenciar esta condição. Objetivo: Este artigo visa revisar e sintetizar as estratégias de intervenção para a depressão pós-parto, destacando as terapias baseadas em evidências e explorando as abordagens farmacológicas, psicológicas e alternativas no tratamento da DPP. Métodos: Foi realizada uma revisão bibliográfica da literatura dos últimos 20 anos, abrangendo estudos sobre a eficácia da Terapia Cognitivo-Comportamental (TCC), Terapia Interpessoal (TIP), intervenções psicoeducacionais, tratamentos farmacológicos e práticas de mindfulness e yoga. Resultados e Discussão: As terapias como TCC e TIP mostraram-se efetivas no alívio dos sintomas da DPP e na melhoria do ajuste psicológico. Intervenções online e psicoeducacionais facilitam o acesso e a adesão ao tratamento. Antidepressivos requerem consideração cuidadosa quanto à segurança durante a lactação. Práticas complementares como yoga e mindfulness são benéficas na redução da ansiedade e promoção do bem-estar, enfatizando a importância de uma abordagem holística e integrativa no tratamento. Conclusão: A combinação de tratamentos psicológicos, farmacológicos e holísticos, adaptados às necessidades individuais, é essencial para o manejo eficaz da DPP. É necessário um esforço colaborativo para garantir que todas as mães recebam acesso a tratamentos eficazes e culturalmente sensíveis, melhorando os resultados de saúde para elas e seus filhos.

 

Downloads

Os dados de download ainda não estão disponíveis.

Biografia do Autor

  • Thayna Peres Costa

    Acadêmica de Medicina.

     

  • Letícia Oliveira Santos

    Acadêmica de Medicina.

  • Maria Letícia Costa Holanda

    Acadêmica de Medicina.

  • Marryeth Gomes Pereira Santos

    Acadêmica de Medicina.

  • Letícia Carvalho Tacão

    Acadêmica de Medicina.

  • Mikaio Carreiro Silva

    Acadêmico de Medicina.

  • Juan Marcos Araujo Reis

    Acadêmico de Medicina.

  • Veranuza Maria Ferreira Figueiredo

    Acadêmico de Medicina.

  • Mariana Thaynara Ferreira Rodrigues

    Acadêmico de Medicina.

  • Yure Kayan da Rocha Ribeiro

    Acadêmico de Medicina.

Referências

ANDERSSON, Gerhard et al. Guided Internet‐based vs. face‐to‐face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta‐analysis. World psychiatry, v. 13, n. 3, p. 288-295, 2014. DOI: https://doi.org/10.1002/wps.20151

BRUGHA, Traolach S. et al. Universal prevention of depression in women postnatally: cluster randomized trial evidence in primary care. Psychological medicine, v. 41, n. 4, p. 739-748, 2011. DOI: https://doi.org/10.1017/S0033291710001467

BRUMMELTE, Susanne; GALEA, Liisa AM. Postpartum depression: Etiology, treatment and consequences for maternal care. Hormones and behavior, v. 77, p. 153-166, 2016. DOI: https://doi.org/10.1016/j.yhbeh.2015.08.008

CUIJPERS, Pim; BRÄNNMARK, Jessica G.; VAN STRATEN, Annemieke. Psychological treatment of postpartum depression: a meta‐analysis. Journal of clinical psychology, v. 64, n. 1, p. 103-118, 2008. DOI: https://doi.org/10.1002/jclp.20432

DENNIS, Cindy‐Lee; CHUNG‐LEE, Leinic. Postpartum depression help‐seeking barriers and maternal treatment preferences: A qualitative systematic review. Birth, v. 33, n. 4, p. 323-331, 2006. DOI: https://doi.org/10.1111/j.1523-536X.2006.00130.x

DENNIS, Cindy‐Lee; HODNETT, Ellen D. Psychosocial and psychological interventions for treating postpartum depression. Cochrane database of systematic reviews, n. 4, 2007. DOI: https://doi.org/10.1002/14651858.CD006116.pub2

DOĞAN, Reyhan Aydin; BEJI, Nezihe Kizilkaya. Quality of life and depression conditions of women with gestational diabetes during pregnancy and postpartum period. Revista Brasileira de Ginecologia e Obstetrícia, v. 45, p. 065-073, 2023. DOI: https://doi.org/10.1055/s-0043-1764494

DRYER, Rachel; BRUNTON, R. Pregnancy-Related Anxiety. Theory, Research, and Practice, 2021. DOI: https://doi.org/10.4324/9781003014003

DUNCAN, Larissa G.; BARDACKE, Nancy. Mindfulness-based childbirth and parenting education: promoting family mindfulness during the perinatal period. Journal of child and family studies, v. 19, p. 190-202, 2010. DOI: https://doi.org/10.1007/s10826-009-9313-7

EBERT, David Daniel et al. Prevention of mental health disorders using internet-and mobile-based interventions: a narrative review and recommendations for future research. Frontiers in psychiatry, v. 8, p. 232196, 2017. DOI: https://doi.org/10.3389/fpsyt.2017.00116

FRANK, Ellen; SWARTZ, Holly A.; KUPFER, David J. Interpersonal and social rhythm therapy: managing the chaos of bipolar disorder. Bipolar Disorder, p. 257-268, 2019. DOI: https://doi.org/10.4324/9781315054308-27

GIDÉN, Karin et al. Feeling better?–Identification, interventions, and remission among women with early postpartum depressive symptoms in Sweden: a nested cohort study. European Psychiatry, v. 67, n. 1, p. e14, 2024. DOI: https://doi.org/10.1192/j.eurpsy.2024.6

GRIGORIADIS, Sophie et al. Antidepressant exposure during pregnancy and congenital malformations: is there an association? A systematic review and meta-analysis of the best evidence. The Journal of clinical psychiatry, v. 74, n. 4, p. 903, 2013. DOI: https://doi.org/10.4088/JCP.12r07966

GROTE, Nancy K. et al. A randomized controlled trial of culturally relevant, brief interpersonal psychotherapy for perinatal depression. Psychiatric Services, v. 60, n. 3, p. 313-321, 2009. DOI: https://doi.org/10.1176/ps.2009.60.3.313

HOWARD, Louise M. et al. Non-psychotic mental disorders in the perinatal period. The Lancet, v. 384, n. 9956, p. 1775-1788, 2014. DOI: https://doi.org/10.1016/S0140-6736(14)61276-9

JORDAN, Sue et al. Antidepressant prescriptions, discontinuation, depression and perinatal outcomes, including breastfeeding: a population cohort analysis. PLoS one, v. 14, n. 11, p. e0225133, 2019. DOI: https://doi.org/10.1371/journal.pone.0225133

KOZHIMANNIL, Katy Backes et al. Racial and ethnic disparities in postpartum depression care among low-income women. Psychiatric Services, v. 62, n. 6, p. 619-625, 2011. DOI: https://doi.org/10.1176/ps.62.6.pss6206_0619

KUMAR, Vikram et al. The effectiveness of internet-based cognitive behavioral therapy in treatment of psychiatric disorders. Cureus, v. 9, n. 8, 2017. DOI: https://doi.org/10.7759/cureus.1626

LE, Huynh-Nhu; PERRY, Deborah F.; STUART, Elizabeth A. Randomized controlled trial of a preventive intervention for perinatal depression in high-risk Latinas. Journal of consulting and clinical psychology, v. 79, n. 2, p. 135, 2011. DOI: https://doi.org/10.1037/a0022492

LEVIS, Brooke et al. Accuracy of the Edinburgh Postnatal Depression Scale (EPDS) for screening to detect major depression among pregnant and postpartum women: systematic review and meta-analysis of individual participant data. BMJ, v. 371, 2020. DOI: https://doi.org/10.1136/bmj.m4022

MILGROM, Jeannette et al. Antenatal risk factors for postnatal depression: a large prospective study. Journal of affective disorders, v. 108, n. 1-2, p. 147-157, 2008. DOI: https://doi.org/10.1016/j.jad.2007.10.014

MU, Ting‐Yu et al. Internet‐based interventions for postpartum depression: A systematic review and meta‐analysis. Nursing open, v. 8, n. 3, p. 1125-1134, 2021. DOI: https://doi.org/10.1002/nop2.724

MUZIK, Maria et al. Mindfulness yoga during pregnancy for psychiatrically at-risk women: Preliminary results from a pilot feasibility study. Complementary therapies in clinical practice, v. 18, n. 4, p. 235-240, 2012. DOI: https://doi.org/10.1016/j.ctcp.2012.06.006

O'HARA, Michael W.; MCCABE, Jennifer E. Postpartum depression: current status and future directions. Annual review of clinical psychology, v. 9, p. 379-407, 2013. DOI: https://doi.org/10.1146/annurev-clinpsy-050212-185612

O'MAHEN, Heather A. et al. Internet-based behavioral activation—Treatment for postnatal depression (Netmums): A randomized controlled trial. Journal of affective disorders, v. 150, n. 3, p. 814-822, 2013. DOI: https://doi.org/10.1016/j.jad.2013.03.005

O'MAHEN, Heather A.; FLYNN, Heather A. Preferences and perceived barriers to treatment for depression during the perinatal period. Journal of women's health, v. 17, n. 8, p. 1301-1309, 2008. DOI: https://doi.org/10.1089/jwh.2007.0631

PARK, Seong-Hi; KIM, Jeung-Im. Predictive validity of the Edinburgh postnatal depression scale and other tools for screening depression in pregnant and postpartum women: a systematic review and meta-analysis. Archives of Gynecology and Obstetrics, v. 307, n. 5, p. 1331-1345, 2023. DOI: https://doi.org/10.1007/s00404-022-06525-0

PAYNE, Jennifer L.; MAGUIRE, Jamie. Pathophysiological mechanisms implicated in postpartum depression. Frontiers in neuroendocrinology, v. 52, p. 165-180, 2019. DOI: https://doi.org/10.1016/j.yfrne.2018.12.001

PEARSON, R. M. et al. Depressive symptoms in early pregnancy disrupt attentional processing of infant emotion. Psychological medicine, v. 40, n. 4, p. 621-631, 2010. DOI: https://doi.org/10.1017/S0033291709990961

REYES, Jessica et al. Usability and acceptability of everhealthier women, a mobile application to enhance informed health choices. Journal of Obstetric, Gynecologic & Neonatal Nursing, v. 47, n. 6, p. 853-861, 2018. DOI: https://doi.org/10.1016/j.jogn.2018.04.139

SEGRE, Lisa S.; STUART, Scott; O'HARA, Michael W. Interpersonal Psychotherapy for Antenatal and Postpartum Depression. Primary Psychiatry, 2004.

SERATI, M. et al. Perinatal major depression biomarkers: a systematic review. Journal of affective disorders, v. 193, p. 391-404, 2016. DOI: https://doi.org/10.1016/j.jad.2016.01.027

SHARMA, Manoj; RUSH, Sarah E. Mindfulness-based stress reduction as a stress management intervention for healthy individuals: a systematic review. Journal of evidence-based complementary & alternative medicine, v. 19, n. 4, p. 271-286, 2014. DOI: https://doi.org/10.1177/2156587214543143

SOCKOL, Laura E. A systematic review and meta-analysis of interpersonal psychotherapy for perinatal women. Journal of affective disorders, v. 232, p. 316-328, 2018. DOI: https://doi.org/10.1016/j.jad.2018.01.018

SOCKOL, Laura E. A systematic review of the efficacy of cognitive behavioral therapy for treating and preventing perinatal depression. Journal of affective disorders, v. 177, p. 7-21, 2015. DOI: https://doi.org/10.1016/j.jad.2015.01.052

STEIN, Alan et al. Effects of perinatal mental disorders on the fetus and child. The Lancet, v. 384, n. 9956, p. 1800-1819, 2014. DOI: https://doi.org/10.1016/S0140-6736(14)61277-0

STEWART, Donna E.; VIGOD, Simone N. Postpartum depression: pathophysiology, treatment, and emerging therapeutics. Annual review of medicine, v. 70, p. 183-196, 2019. DOI: https://doi.org/10.1146/annurev-med-041217-011106

SUFREDINI, Francieli et al. The effects of social support on depression and anxiety in the perinatal period: A mixed-methods systematic review. Journal of Affective Disorders, v. 319, p. 119-141, 2022. DOI: https://doi.org/10.1016/j.jad.2022.09.005

UDECHUKU, Adaobi et al. Antidepressants in pregnancy: a systematic review. Australian & New Zealand Journal of Psychiatry, v. 44, n. 11, p. 978-996, 2010.

VELDERS, Fleur P. et al. Prenatal and postnatal psychological symptoms of parents and family functioning: the impact on child emotional and behavioural problems. European child & adolescent psychiatry, v. 20, p. 341-350, 2011. DOI: https://doi.org/10.1007/s00787-011-0178-0

VIDHYALAKSHMI, R. Effect of IAYT (Integrated Approach of Yoga Therapy) on motor nerve conductivity in spastic hemiplegic men. 2018. Tese (Doutorado) - Government Yoga and Naturopathy Medical College, Chennai, 2018.

WALLACE, Maeve E. et al. Joint effects of structural racism and income inequality on small-for-gestational-age birth. American journal of public health, v. 105, n. 8, p. 1681-1688, 2015. DOI: https://doi.org/10.2105/AJPH.2015.302613

WEISSMAN, Alicia M. et al. Pooled analysis of antidepressant levels in lactating mothers, breast milk, and nursing infants. American Journal of Psychiatry, v. 161, n. 6, p. 1066-1078, 2004. DOI: https://doi.org/10.1176/appi.ajp.161.6.1066

WOOLHOUSE, Hannah et al. Antenatal mindfulness intervention to reduce depression, anxiety and stress: a pilot randomised controlled trial of the MindBabyBody program in an Australian tertiary maternity hospital. BMC pregnancy and childbirth, v. 14, p. 1-16, 2014. DOI: https://doi.org/10.1186/s12884-014-0369-z

Downloads

Publicado

05/06/2024

Como Citar

ESTRATÉGIAS DE INTERVENÇÃO NA DEPRESSÃO PÓS-PARTO: UMA REVISÃO BIBLIOGRÁFICA. (2024). RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 5(6), e565303. https://doi.org/10.47820/recima21.v5i6.5303