Depression Archives - Page 2 of 3 - Revista Brasileira de Ginecologia e Obstetrícia

  • Original Article01-12-2021

    Effectiveness of Counseling for Infertile Couples on Women’s Emotional Disturbance: A Randomized Clinical Trial

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(11):826-833

    Abstract

    Original Article

    Effectiveness of Counseling for Infertile Couples on Women’s Emotional Disturbance: A Randomized Clinical Trial

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(11):826-833

    DOI 10.1055/s-0041-1736305

    Views251

    Abstract

    Objective

    The psychosocial burden of infertility among couples can be one of the most important reasons for women’s emotional disturbance. The goal of the present study was to investigate the effect of counseling on different emotional aspects of infertile women.

    Methods

    The present randomized clinical trial was performed on 60 couples with primary infertility who were referred for treatment for the first time and did not receive psychiatric or psychological treatment. Samples were allocated to an intervention group (30 couples) and a control group (30 couples) by simple randomization. The intervention group received infertility counseling for 6 45-minute sessions twice a week, and the control group received routine care. The Screening on Distress in Fertility Treatment (SCREENIVF) questionnaire was completed before and after the intervention. Samples were collected from November to December 2016 for 3 months. For the data analysis, we used the Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Armonk, NY, United States) software, version 19.0, and the paired t-test, the independent t-test, the Mann-Whitney test, the Wilcoxon test, and the Chi-squared test.

    Results

    The mean age of the participants was 33.39±5.67 years. All studied couples had primary infertility and no children. The mean duration of the couples’ infertilitywas 3 years. There was a significant difference regarding depression (1.55±1.92; p<0.0001), social support (15.73±3.41; p<0.0001), and cognitions regarding domains of fertility problems (26.48±3.05; p=0.001) between the 2 groups after the intervention, but there was no significant difference regarding anxiety (25.03±3.09; p=0.35).

    Conclusion

    The findings showed that infertility counseling did not affect the total score of infertile women’ emotional status, but improved the domains of it except, anxiety.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Original Article12-17-2021

    The Impact of the COVID-19 Pandemic on Depression and Sexual Function: Are Pregnant Women Affected More Adversely?

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):765-774

    Abstract

    Original Article

    The Impact of the COVID-19 Pandemic on Depression and Sexual Function: Are Pregnant Women Affected More Adversely?

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):765-774

    DOI 10.1055/s-0041-1736174

    Views209

    Abstract

    Objective

    To investigate depression and sexual function among pregnant and nonpregnant women throughout the COVID-19 pandemic.

    Methods

    A total of 188 women, 96 pregnant and 92 non-pregnant were included. The Beck Depression Inventory (BDI) and the Arizona Sexual Experience Scale (ASEX) were applied to the participants after obtaining sociodemographic data.

    Results

    The depression scores of pregnant and non-pregnant women were similar (p = 0.846). We found that the depression scores were significantly higher among the group of participants who have lower economic status (p = 0.046). Moreover, the depression score was significantly higher among women who lost their income during the pandemic (p = 0.027). The score on the ASEX was significantly higher, and sexual dysfunction was more prevalent among women who have lower levels of schooling and income (p < 0.05). Likewise, the ASEX scores were significantly higher (p = 0.019) among the group who experienced greater income loss throughout the pandemic. Upon comparing the pregnant and non-pregnant groups, we detected that sexual dysfunction had a significantly higher rate among pregnant women (p < 0.001).

    Conclusion

    In times of global crisis, such as the current pandemic, low-income families have an increased risk of experiencing depression and sexual dysfunction. When we compared pregnant women with non-pregnant women, depression scores were similar, but pregnant women were at a 6.2 times higher risk of developing sexual dysfunction.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Original Article09-25-2020

    Analysis of Body Composition and Pain Intensity inWomen with Chronic Pelvic Pain Secondary to Endometriosis

    Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(8):486-492

    Abstract

    Original Article

    Analysis of Body Composition and Pain Intensity inWomen with Chronic Pelvic Pain Secondary to Endometriosis

    Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(8):486-492

    DOI 10.1055/s-0040-1713912

    Views298

    Abstract

    Objective

    To determine the average body composition (percentage of body fat), the anthropometric markers, and the intensity of clinical pain in women with a clinical diagnosis of chronic pelvic pain (CPP) secondary to endometriosis.

    Methods

    A case-control study performed with 91 women, 46 of whom with CPP secondary to endometriosis and 45 of whom with CPP secondary to other causes. They underwent an evaluation of the anthropometric parameters by means of the body mass index (BMI), the perimeters (waist, abdomen, hip), and the percentage of body fat (%BF), which were assessed on a body composition monitor by bioimpedance; the intensity of the clinical pain was evaluated using the visual analog scale (VAS), and the symptoms of anxiety and depression, using the hospital’s anxiety and depression scale (HAD).

    Results

    The groups did not differ in terms of mean age, BMI, %BF or regarding the available waist-to-hip ratio (WHR). The mean intensity of the clinical pain by the VAS was of 7.2 ± 2.06 in the group with CPP secondary to endometriosis, and of 5.93 ± 2.64 in the group with CPP secondary to other causes (p = 0.03), revealing significant differences between the groups.

    Conclusion

    We concluded that, despite the difference in the pain score assessed between the two groups, there was no difference regarding body composition and anthropometry.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Original Article12-01-2018

    Sexual Function of Women with Infertility

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(12):771-778

    Abstract

    Original Article

    Sexual Function of Women with Infertility

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(12):771-778

    DOI 10.1055/s-0038-1673699

    Views195

    Abstract

    Objective

    To assess the sexual function, anxiety, and depression of infertile women relative to a control group.

    Methods

    Infertile women (infertile group, IG) of reproductive age were invited to participate in this controlled study. A control group (CG) of women was recruited from the general population of the same city. Sexual function was assessed by the Female Sexual Function Index (FSFI), and anxiety and depression were measured by the Hospital Anxiety and Depression Scale (HADS).

    Results

    A total of 280 women participated in the present study, 140 in the IG and 140 in the CG. The analysis of the FSFI scores showed that 47 women (33.57%) in the IG and 49 women (35%) in the CG had sexual dysfunction (FSFI ≤ 26.55; p = 0.90). Women with anxiety or depression had a greater risk of sexual dysfunction, and sexual dysfunction increased the risk of anxiety and depression. Married women had a lower risk of depression than single women who were living with their partners.

    Conclusion

    Infertilewomenhadno increased riskof sexual dysfunction relativetocontrols. Anxiety and depression increased the risk of sexual dysfunction in the studied population.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Sexual Function of Women with Infertility
  • Original Article10-01-2017

    Clinical Characteristics in a Sample of Transsexual People

    Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(10):545-551

    Abstract

    Original Article

    Clinical Characteristics in a Sample of Transsexual People

    Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(10):545-551

    DOI 10.1055/s-0037-1604134

    Views226

    Abstract

    Purpose

    To assess the clinical characteristics of subjects with gender dysphoria (GD).

    Method

    A cross-sectional study of adults with GD. Symptoms of anxiety and depression were measured using the Hospital Anxiety and Depression Scale (HADS). Sociodemographic data, clinical data and life habits were recorded.

    Results

    Total of 44 subjects participated in the study: 36 (82%) trans women and 8 (18%) trans men. Forty-three (98%) of the GD patients had anxiety (36 [100%] trans women and 7 [87.5%] trans men), and 36 (82%) had depression (29 [80.5%] trans women and 7 [87.5%] trans men). Suicide had been attempted by 32 (73%) subjects. The rates of depression were lower among the subjects living with partners, parents, or other people than among those living alone (p = 0.03), and it was also lower among the subjects who were married compared to those who were dating or single (p = 0.03).

    Conclusion

    Improving the relationship status may reduce the prevalence of depressive symptoms in GD patients. There was a high rate of attempted suicide in this sample.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Original Article01-01-2016

    The Influence of Education and Depression on Autonomy of Women with Chronic Pelvic Pain: A Cross-sectional Study

    Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(1):47-52

    Abstract

    Original Article

    The Influence of Education and Depression on Autonomy of Women with Chronic Pelvic Pain: A Cross-sectional Study

    Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(1):47-52

    DOI 10.1055/s-0035-1570107

    Views118

    Objective

    Patient autonomy has great importance for a valid informed consent in clinical practice. Our objectives were to quantify thedomains of patient autonomy and to evaluate the variables that can affect patient autonomy in women with chronic pelvic pain.

    Methods

    This study is a cross sectional survey performed in a tertiary care University Hospital. Fifty-two consecutive women scheduled for laparoscopic management of chronic pelvic were included. Three major components of autonomy (competence, information or freedom) were evaluated using a Likert scale with 24 validated affirmatives.

    Results

    Competence scores (0.85 vs 0.92; p = 0.006) and information scores (0.90 vs 0.93; p = 0.02) were low for women with less than eight years of school attendance. Information scores were low in the presence of anxiety (0.91 vs 0.93; p = 0.05) or depression (0.90 vs 0.93; p = 0.01).

    Conclusions

    Our data show that systematic evaluation of patient autonomy can provide clinical relevant information in gynecology. Low educational level, anxiety and depression might reduce the patient autonomy in women with chronic pelvic pain.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Original Article04-14-2014

    Sexuality and depression among pregnant women with recurrent spontaneous abortion

    Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(4):152-156

    Abstract

    Original Article

    Sexuality and depression among pregnant women with recurrent spontaneous abortion

    Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(4):152-156

    DOI 10.1590/S0100-720320140050.0004

    Views126

    PURPOSE:

    It was to compare pregnant women who experienced recurrent spontaneous abortion (RSA) and those who did not in terms of the prevalence of depressive symptoms and sexual behavior.

    METHODS:

    A prospective case-control study was carried out. The first group consisted of women with RSA and the second, of primigravidae. The Beck Depression Inventory (BDI), the Female Sexual Function Index (FSFI) and one more questionnaire, developed by the authors themselves, about emotional aspects resulting from sexual intercourse during pregnancy were applied. The Student t-test was used to compare quantitative variables with normal distribution, and categorical variables were compared by the chi-square test or Fisher's exact test. The level of significance was set at p<0.05.

    RESULTS:

    The BDI showed (19.9 versus 10.0%) approximately twice the incidence of depression in the RSA group. Regarding sexual function, the average scores of the FSFI were 21.1 and 16.4 (p<0.05) for the study and control groups, respectively, although no significant difference was observed only in the desire domain (average 3.4±1.3 for the RSA group and 3.7±1.1 for control group) (p=0.1). We observed that, regardless the presence or absence of an RSA history among the pregnant women, the higher the depression score, the lower the sexuality score (r=-0,3).

    CONCLUSIONS:

    The RSA pregnant group often experiences twice higher depression and more impaired sexual function. There is an inverse association between depression and sexual function.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Original Article02-01-2014

    Depressive symptomsin womenwith chronic pelvic pain

    Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(2):79-83

    Abstract

    Original Article

    Depressive symptomsin womenwith chronic pelvic pain

    Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(2):79-83

    DOI 10.1590/S0100-72032014000200006

    Views121

    PURPOSE:

    To investigate the presence of depressive symptoms in women with chronic pelvic
    pain.

    METHODS:

    This descriptive cross-sectional study was performed with women aged 18 years or
    older, diagnosed with chronic pelvic pain, with no pregnancy history in the
    previous year, and with no cancer history. The sample was established by
    calculating the representative sample, estimated as 50 women. All women were
    undergoing treatment at a gynecology outpatient clinic, referred by the primary
    health care network of the Brazilian national health system. Data collection was
    performed from October2009 to May 2010. The women's sociodemographic, economic and
    clinical characteristics were analyzed. Pain intensity was evaluated using a
    visual analogue scale. The depressive symptoms were investigated using Beck's
    Depression Inventory. Statistical analysis was performed using position measures
    (mean, median), dispersion (standard deviation) and the χ2 test. Values
    of p≤ .05 were considered statistically significant.

    RESULTS:

    The participants' mean age was 41.6±9.4 years. The following features
    predominated: secondary education level; pardo (brown) skin color; Catholic
    religion; and living with a steady partner. Most (98%) were economically active
    and worked with general domestic services. Regarding the participants' subjective
    perception of pain, 52% reported experiencing intense pain, while 48% reported
    experiencing moderate pain. Most women (52%) had been living with pain for five
    years or less, and 30%, for over 11 years. The mean BDI score was 17.4 (±9.4). It
    was observed that 58% of the women presented mild, moderate and severe depressive
    symptoms according to the BDI. The most frequent depressive symptoms were
    fatigability, loss of libido, irritability, difficulty to work, somatic
    preoccupations, crying, dissatisfaction, sadness, and insomnia.

    CONCLUSION:

    Depressive symptoms were frequent among these women suffering with chronic pelvic
    pain.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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