Common mental disorders among antenatal and postnatal mothers who received public health care, in Georgetown, Guyana

• Ano de defesa: 2023
• Autor(a) principal: Razack, Winifred Allison
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: eng
• Instituição de defesa: Biblioteca Digitais de Teses e Dissertações da USP
• Palavras-chave em Português: Ansiedade; Anxiety; Depressive disorder; Desordem depressiva; Mental health; Nursing; Public health; Reproductive health; Saúde da mulher; Saúde mental; Saúde pública; Saúde reprodutiva; Women's health
• Link de acesso: https://www.teses.usp.br/teses/disponiveis/22/22133/tde-16052023-084631/

This study aimed to investigate the occurrence and factors associated with common mental disorders in pregnant and postpartum women treated in Georgetown, Guyana. This is an observational study, with a cross-sectional design, carried out with 200 women aged between 16 and 51 years and living in the city of Georgetown, Guyana, between February and September 2020. Data collection was carried out in the residences, in the places workplaces, clinics, and hospitals, using the SRQ-20, State Anxiety Inventory, and a structured questionnaire for sociodemographic, behavioral, and obstetric characteristics. Data analysis was performed using the Statistical Package for Social Sciences (SPSS), version 23.0. Frequencies and cross tabulation were done to determine patterns and central trends to see variability. Chi-square test and ANOVA were performed. The average age of participants was 26.6 years, with the youngest being 16 years old and the oldest 51 years old. High school was the most popular (24%) in this group. For overall marital status, 77% of mothers were in a union with their partners, while 79% of these mothers were employed. Cross-tabulation shows that the 21- to 25-year-old age group (43.5%) state anxiety scores ranged from 41 to 50. For all martial status categories (in union) 43% achieved anxiety scores above 41-50%. Chi-square indicated significant difference in spousal acceptance of pregnancy and anxiety p≤ 0.009, ANOVA, p=0.001 and 0.099 for spousal acceptance of pregnancy and spousal support respectively. Mothers\' cognitive capital (respect for children), ANOVA test shows a significant difference p= 0.19. The most prevalent somatic symptom was headache (51%) and for reduced energy 51.5% expressed easy tiredness, 55% expressed anxiety and depressive thoughts, while 36 (18%) had suicidal thoughts. More than half (52.5%) of these mothers are nervous and tense. It is evident that social and cognitive capital has a warning about mental disorders common in mothers during their maternity cycles.