Depresión postparto: factores de riesgo, predisposiciones y enfoques de intervención y tratamiento

Autores/as

DOI:

https://doi.org/10.5281/zenodo.13357352

Palabras clave:

Depresión Postparto, Diagnóstico, Factores de Riesgo, Intervención, Tratamiento

Resumen

La Depresión Postparto (DPP) es una condición emocional compleja que puede surgir en mujeres después del parto, influenciada por una combinación de factores de riesgo y predisposiciones individuales. En este artículo, exploramos de manera integral la epidemiología, los factores de riesgo y los enfoques más recientes para la intervención y el tratamiento de la DPP, adoptando un lenguaje accesible y humanizado. Inicialmente, es esencial comprender la distribución de la DPP entre las nuevas madres, prestando especial atención a su prevalencia en mujeres que enfrentan desafíos emocionales o físicos durante el embarazo, o que tienen antecedentes de depresión u otras condiciones de salud mental. La DPP se manifiesta de diversas maneras, a menudo caracterizada por sentimientos intensos de tristeza, ansiedad y agotamiento, lo que puede dificultar la capacidad de la madre para cuidar de sí misma y del bebé. Los factores de riesgo incluyen, entre otros, cambios hormonales abruptos después del parto, falta de apoyo social, antecedentes personales o familiares de depresión y situaciones de estrés crónico, como problemas financieros o relacionales. Estos factores contribuyen a la vulnerabilidad de una mujer a la DPP, haciendo indispensable el reconocimiento temprano de los signos y síntomas. Los enfoques de intervención y tratamiento para la DPP han evolucionado significativamente, con un énfasis en terapias personalizadas que atienden a las necesidades individuales de cada mujer. El tratamiento puede incluir desde intervenciones psicosociales, como la terapia cognitivo-conductual (TCC), hasta el uso de medicamentos antidepresivos, siempre considerando la seguridad durante la lactancia. El apoyo social, incluidos los grupos de apoyo y la participación de la familia, también desempeña un papel crucial en la recuperación. Concluimos que, aunque la concienciación sobre la DPP está en aumento, existe una necesidad continua de mejorar los métodos de diagnóstico y tratamiento, con el fin de ofrecer cuidados más efectivos y personalizados. La investigación continua es vital para mejorar el bienestar materno, reduciendo el impacto de la Depresión Postparto en la vida de las mujeres y sus familias, y promoviendo un entorno de apoyo y comprensión para aquellas que enfrentan esta desafiante condición.

Referencias

BABBAR, S.; OYARZABAL, A. J.; OYARZABAL, E. A. Meditation and mindfulness in pregnancy and postpartum: a review of the evidence. Clinical obstetrics and gynecology, v. 64, n. 3, p. 661-682, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34162788/. Acesso em 15 jul. 2024.

BETCHER, H. K.; WISNER, K. L. Psychotropic treatment during pregnancy: research synthesis and clinical care principles. Journal of Women's Health, v. 29, n. 3, p. 310-318, 2020. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7207058/. Acesso em 22 jul. 2024.

CERNADAS, J. M. C. Postpartum depression: Risks and early detection. Archivos argentinos de pediatria, v. 118, n. 3, p. 154-155, 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32470247/. Acesso em 27 jul. 2024.

DAVIS, E. P.; NARAYAN, A. J. Pregnancy as a period of risk, adaptation, and resilience for mothers and infants. Development and psychopathology, v. 32, n. 5, p. 1625-1639, 2020. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863987/. Acesso em 22 jul. 2024.

DING, X. et al. Prenatal stressful life events increase the prevalence of postpartum depression: Evidence from prospective cohort studies. Journal of psychiatric research, v. 160, p. 263-271, 2023. Disponível em: https://pubmed.ncbi.nlm.nih.gov/36889197/. Acesso em 21 jul. 2024.

DIXON, S.; DANTAS, J. A. R. Best practice for community-based management of postnatal depression in developing countries: A systematic review. Health Care for Women International, v. 38, n. 2, p. 118-143, 2017. Disponível em: https://pubmed.ncbi.nlm.nih.gov/27918855/. Acesso em 16 jul. 2024.

DOMINIAK, M. et al. Recommendations for the prevention and treatment of postpartum depression. Ginekologia polska, v. 92, n. 2, p. 153-164, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33448014/. Acesso em 19 jul. 2024.

DUBEY, A. et al. Risk factors of postpartum depression. Industrial psychiatry journal, v. 30, n. Suppl 1, p. S127-S131, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34908678/. Acesso em 19 jul. 2024.

HOROWITZ, J. A. et al. Introducing mother-baby interaction therapy for mothers with postpartum depression and their infants. Archives of psychiatric nursing, v. 33, n. 3, p. 225-231, 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/31227074/. Acesso em 26 jul. 2024.

JANNATI, N. et al. Effectiveness of an app-based cognitive behavioral therapy program for postpartum depression in primary care: A randomized controlled trial. International Journal of Medical Informatics, v. 141, p. 104145, 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32480319/. Acesso em 22 jul. 2024.

JULIAN, M. et al. The moderating role of resilience resources in the association between stressful life events and symptoms of postpartum depression. Journal of Affective Disorders, v. 293, p. 261-267, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34217964/. Acesso em 21 jul. 2024.

LIU, Y. et al. Postpartum depression and postpartum post-traumatic stress disorder: prevalence and associated factors. BMC psychiatry, v. 21, p. 1-11, 2021. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8491367/. Acesso em 19 jul. 2024.

MARTIN, C. E.; PARLIER-AHMAD, A. B. Addiction treatment in the postpartum period: an opportunity for evidence-based personalized medicine. International Review of Psychiatry, v. 33, n. 6, p. 579-590, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34238101/. Acesso em 15 jul. 2024.

MARTUCCI, M. et al. The mother-baby bond: a systematic review about perinatal depression and child developmental disorders. Rivista di psichiatria, v. 56, n. 5, p. 223-236, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34663989/. Acesso em 22 jul. 2024.

MATRISCIANO, F.; PINNA, G. PPAR and functional foods: Rationale for natural neurosteroid-based interventions for postpartum depression. Neurobiology of Stress, v. 12, p. 100222, 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32426424/. Acesso em 17 jul. 2024.

MIN, W. et al. The effect of mindfulness-based interventions during pregnancy on postpartum mental health: a meta-analysis. Journal of Affective Disorders, v. 331, p. 452-460, 2023. Disponível em: https://pubmed.ncbi.nlm.nih.gov/36963518/. Acesso em 11 ago. 2024.

NAIR, U. et al. The effectiveness of telemedicine interventions to address maternal depression: A systematic review and meta-analysis. Journal of telemedicine and telecare, v. 24, n. 10, p. 639-650, 2018. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30343660/. Acesso em 10 ago. 2024.

OLIVEIRA, T. A. et al. Screening of perinatal depression using the Edinburgh Postpartum Depression Scale. Revista Brasileira de Ginecologia e Obstetrícia/RBGO Gynecology and Obstetrics, v. 44, n. 05, p. 452-457, 2022. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948039/. Acesso em 11 ago. 2024.

PAYNE, J. L.; MAGUIRE, J. Pathophysiological mechanisms implicated in postpartum depression. Frontiers in neuroendocrinology, v. 52, p. 165-180, 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/?term=Pathophysiological+Mechanisms+Implicated+in+Postpartum+Depression&filter=simsearch2.ffrft. Acesso em 10 ago. 2024.

POUDYAL, A. et al. Wearable digital sensors to identify risks of postpartum depression and personalize psychological treatment for adolescent mothers: protocol for a mixed methods exploratory study in rural Nepal. JMIR research protocols, v. 8, n. 9, p. e14734, 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/31512581/. Acesso em 07 ago. 2024.

SHIMPUKU, Y. et al. Prenatal education program decreases postpartum depression and increases maternal confidence: A longitudinal quasi-experimental study in urban Japan. Women and Birth, v. 35, n. 5, p. e456-e463, 2022. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34866021/. Acesso em 13 ago. 2024.

SOLNESS, C. L. et al. Treating postpartum depression in rural veterans using internet delivered CBT: program evaluation of MomMoodBooster. Journal of behavioral medicine, v. 44, n. 4, p. 454-466, 2021. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7556583/. Acesso em 11 ago. 2024.

SURYAWANSHI IV, O.; PAJAI, S. A comprehensive review on postpartum depression. Cureus, v. 14, n. 12, 2022. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9851410/. Acesso em 11 ago. 2024.

THUL, T. A. et al. Oxytocin and postpartum depression: A systematic review. Psychoneuroendocrinology, v. 120, p. 104793, 2020. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526479/. Acesso em 09 ago. 2024.

VAN LIESHOUT, R. J. et al. Effect of online 1-day cognitive behavioral therapy–based workshops plus usual care vs usual care alone for postpartum depression: a randomized clinical trial. JAMA psychiatry, v. 78, n. 11, p. 1200-1207, 2021. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8427485/. Acesso em 10 ago. 2024.

WANG, X. et al. A systematic review of interpersonal psychotherapy for postpartum depression. Journal of Affective Disorders, 2023. Disponível em: https://pubmed.ncbi.nlm.nih.gov/37459968/. Acesso em 29 jul. 2024.

WANG, Z. et al. Mapping global prevalence of depression among postpartum women. Translational psychiatry, v. 11, n. 1, p. 543, 2021. Disponível em: https://www.nature.com/articles/s41398-021-01663-6. Acesso em 11 ago. 2024.

YAHYA, N. F. S. et al. Nutrition and physical activity interventions to ameliorate postpartum depression: A scoping review. Asia Pacific Journal of Clinical Nutrition, v. 30, n. 4, p. 662-674, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34967195/. Acesso em 14 ago. 2024.

YANG, M. et al. Mindfulness-Based Interventions for Postpartum Depression: A Systematic Review and Meta-Analysis. Iranian Journal of Public Health, v. 52, n. 12, p. 2496, 2023. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10903316/. Acesso em 10 ago. 2024.

YU, Y. et al. Postpartum depression: Current status and possible identification using biomarkers. Frontiers in psychiatry, v. 12, p. 620371, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34211407/. Acesso em 28 jul. 2024.

Publicado

2024-08-21

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Cómo citar

DANTAS, Bruno Rafael Chaves et al. Depresión postparto: factores de riesgo, predisposiciones y enfoques de intervención y tratamiento. Journal of Social Issues and Health Sciences (JSIHS), [S. l.], v. 1, n. 5, 2024. DOI: 10.5281/zenodo.13357352. Disponível em: https://ojs.thesiseditora.com.br/index.php/jsihs/article/view/116.. Acesso em: 4 feb. 2026.