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Tesi etd-06052012-133022


Thesis type
Tesi di laurea specialistica LC6
Author
BINI, ALDO
URN
etd-06052012-133022
Title
Analisi dei fattori di rischio nell'insorgenza della depressione perinatale
Struttura
MEDICINA E CHIRURGIA
Corso di studi
MEDICINA E CHIRURGIA
Commissione
relatore Prof. Mauri, Mauro
Parole chiave
  • fattori
  • rischio
  • depressione
  • perinatale
  • gravidanza
  • postpartum
Data inizio appello
26/06/2012;
Consultabilità
completa
Riassunto analitico
Abstract<br><br>Introduction:<br>In the perinatal period the woman is vulnerable to depression. Major and minor depression presents prevalence rates ranging respectively from 8,5 and 11% during pregnancy and between 6.5% and 12.9% in the first year post-partum. However, only a small percentage of cases are identified and treated, with negative consequences on both the mother and the baby. <br>Objective:<br>To compare two samples of women at the first month postpartum, the first followed since first month of pregnancy and the second evaluated the first time in the first month postpartum, about the symptoms of depression and anxiety.<br>Methodology:<br>We compared two groups of women in the first month postpartum: 271 women followed since 1 st month of pregnancy and 130 women evaluated for the first time in the first month postpartum. We administered: the Edinburgh Postnatal Depression Scale (EPDS), the State-Trait Anxiety Inventory (STAI), the Postpartum Depression Predictors Inventory-Revised (PDPI-R) and the Structured Clinical Interview for the Diagnosis of Axis I psychiatric disorders (SCID-I).<br>Results: <br>In the first month postpartum, women followed since pregnancy have a significantly lower depressive symptoms and anxiety, as demonstrated by lower EPDS scores (t = - 6,140, p &lt;.001) and STAI scores (t = -4,800, p &lt; .001).<br>Conclusions:<br>Early screening can reduce rates of perinatal psychopathology and allow to identify women most at risk, allowing earlier diagnosis and better treatment management.
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