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Coping Style and Depressive Symptomatology during Pregnancy in a Private Setting Sample

  • Alexandre Faisal-Cury (a1), Mariangela Gentil Savoia (a1) and Paulo Rossi Menezes (a1)
Abstract
Aim:

to evaluate the association of antenatal depressive symptomatology (AD) with life events and coping styles, the hypothesis was that certain coping strategies are associated to depressive symptomatology.

Methods:

we performed a cross sectional study of 312 women attending a private clinic in the city of Osasco, São Paulo from 27/05/1998 to 13/05/2002. The following instruments were used: Beck Depression Inventory (BDI), Holmes and Rahe Schedule of Recent Events (SSRS), Folkman and Lazarus Ways of Coping Questionnaire and questionnaire with social-demographic and obstetric data. Inclusion criteria: women with no past history of depression, psychiatric treatment, alcohol or drug abuse and no clinical-obstetrical complications. Odds ratios and 95% CI were used to examine the association between AD (according to BDI) and exposures variables. Hypothesis testing was done with X2 tests and a p value < .05.

Results:

AD occurred in 21.1% of pregnant women. By the univariate analyses, education, number of pregnancies, previous abortion, husband income, situation of marriage and score of SSRS were associated with AD. All coping styles were associated with AD, except seeking support and positive reappraisal. By the multivariate analyses, four coping styles were kept in the final model: confront (p = .039), accepting responsibility (p < .001), escape-avoidance (p = .002), problem-solving (p = .005).

Conclusions:

AD was highly prevalent and was associated with maladaptive coping styles.

Objetivo:

evaluar la asociación de la sintomatología depresiva antenatal (AD), con acontecimientos de la vida y estilos de afrontamiento, la hipótesis era que ciertas estrategias de afrontamiento se asocian a síntomas depresivos.

Método:

Se realizó un estudio transversal con 312 mujeres que asistían a una clínica privada en la ciudad de Osasco, São Paulo desde 27/05/1998 a 13/05/2002. Los instrumentos utilizados fueron: el Inventario de Depresión de Beck (BDI), la escala de reajuste social de Holmes y Rahe (SRRS), la escala de estrategias de afrontamiento (ways of Coping)de Folkman y Lazarus y un cuestionario de datos socio-demográficos y obstétricos. Criterios de inclusión: mujeres sin antecedentes de depresión, tratamiento psiquiátrico, o de abuso de drogas o alcohol y sin complicaciones clínico-obstétricas. Se utilizaron Odds ratios y IC del 95% para examinar la asociación entre AD (según BDI) y las variables de exposición. La prueba de hipótesis se llevó a cabo con tests de ⊠2 y un valor de p < ,05.

Resultados:

AD se produjo en el 21,1% de las mujeres embarazadas. Con el análisis univariado, la educación, el número de embarazos, abortos anteriores, los ingresos del marido, la situación del matrimonio y la puntuación de SRRS se relacionan con AD. Todos los estilos de afrontamiento se asocian con AD, con excepción de la búsqueda de apoyo y la reevaluación positiva. Utilizando el análisis multivariado, cuatro estilos de afrontamiento se mantuvieron en el modelo final: enfrentamiento (p = ,039), aceptar responsabilidad (p < ,001), huida-evitación (p = ,002), y resolución de problemas (p = ,005).

Conclusiones:

La AD fue altamente prevalente y se asocia con conductas de afrontamiento mal adaptadas.

Copyright
Corresponding author
Correspondence concerning this article should be addressed to Alexandre Faisal-Cury. Rua Mário Ferraz, 135/32, J. Europa, São Paulo (Brazil) 01453-010. Phone/Fax: +055 011 36838196. E-mail: lim39@usp.br
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