Common mental disorders and perinatal depressive symptoms: an integrative review

ABSTRACT Objective: to investigate occurrence and risk factors for common mental disorders and perinatal depressive symptoms. Methods: an integrative literature review using CINAHL, Embase, PubMed, PsycINFO, and LILACS, looking for studies conducted between 2014 and 2019. Data collection took place between June and July 2019. Health Sciences Descriptors (DeCS) and Medical Subject Heading (MeSH) were used in the search strategies employed in each database. Results: thirteen articles were included. Most studies were conducted in Brazil and with a cross-sectional design. The highest prevalence of common mental disorders (63%) and depressive symptoms (30%) were found in Brazilian studies. Conclusion: high frequencies were found for perinatal mental disorder, with emphasis on studies carried out in Brazil. Low socioeconomic status, being a single mother, history of mental disorder, unplanned pregnancy and multiparity were risk factors for the investigated disorders.摘要 目的：探讨常见精神障碍与围产期抑郁症状的发生情况及危险因素。 方法：本研究采用整合性文献回顾方法，检索CINAHL、Embase、PubMed、PsycINFO及LILACS数据库，筛选2014至2019年间开展的相关研究，数据采集工作于2019年6月至7月进行。各数据库的检索策略均采用卫生科学叙词表（Health Sciences Descriptors，DeCS）与医学主题词表（Medical Subject Headings，MeSH）。 结果：共纳入13篇文献，多数研究于巴西开展且采用横断面研究设计。巴西相关研究中，常见精神障碍最高患病率达63%，抑郁症状患病率达30%。 结论：围产期精神障碍检出频率较高，其中以巴西开展的研究尤为突出。低社会经济地位、未婚母亲身份、精神障碍病史、意外妊娠及多产次为上述精神障碍的危险因素。