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Publication
Influência da depressão perinatal na saúde oral pediátrica : uma revisão sistemática
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| 3.33 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Objetivo: Fazer o levantamento bibliográfico, de forma sistemática, da evidência disponível sobre a influência que a depressão perinatal, a ansiedade e os níveis de stress a que as mães são expostas no decorrer da gravidez e no seu pós-parto, poderão ter na saúde oral dos seus filhos.
Materiais e Métodos: A pesquisa foi desenvolvida até fevereiro de 2024, a partir de cinco bases de dados eletrónicas: PubMed, B-on, Web of Science, Cochrane e Scopus. Foram incluídos 23 artigos, respeitando todos os critérios de inclusão e exclusão definidos. Para a avaliação do risco de viés foi utilizada a ferramenta Checklist for Analytical Cross Sectional Studies, para os estudos transversais, a Checklist for Cohort
Studies, para os estudos longitudinais prospetivos e a Checklist for Case Control Studies, para o estudo longitudinal retrospetivo. Os gráficos foram produzidos nos programas Microsoft Excel e Robvis tool.
Resultados: A relação entre a saúde mental das mães e as alterações orais e psicológicas dos filhos foi estudada principalmente no período pós-parto. Enquanto a depressão materna não apresentou relação com a experiência de cáries nas crianças, ansiedade dentária materna mostrou influência, tanto na cárie, como no medo dentário dos filhos.
Já a ansiedade generalizada materna não apresentou uma relação clara com a cárie, mas mostrou forte ligação com o medo dentário das crianças. O stress materno, por sua vez, apresentou uma relação positiva com a cárie dentária nas crianças, mas não foi associado ao medo dentário.
Conclusões: A maioria dos resultados obtidos nesta revisão sistemática evidenciam uma correlação pouco relevante entre a depressão perinatal e a saúde oral dos filhos, apesar de alguns estudos incluídos aferirem que há associação, no entanto não apresentaram dados suficientes. Deste modo, devido à persistência de controvérsias nas conclusões, ainda é necessária a realização de estudos adicionais, seguindo padrões metodológicos mais rigorosos.
Aim: A systematic bibliographical survey of the evidence published to date on the influence that perinatal depression, anxiety, both generalized and dental, and the levels of stress to which mothers are exposed during pregnancy and in the postpartum period, may have on the oral health of their children. Methodology: The search was carried out until February 2024, using five electronic databases: PubMed, B-on, Web of Science, Cochrane, and Scopus. 23 articles were included, respecting all the inclusion and exclusion criteria defined. To assess the risk of bias, the Checklist for Analytical Cross-sectional Studies tool was used for cross-sectional studies, the Checklist for Cohort Studies for prospective longitudinal studies and the Checklist for Case Control Studies for retrospective longitudinal studies. The graphs were produced using Microsoft Excel and Robvis tool. Results: The relationship between mother´s mental health and their children’s oral and psychological changes was studied mainly in the postpartum period. While maternal depression showed no relationship with children’s caries experience, maternal dental anxiety showed an influence on both caries and children’s dental fear. Maternal generalized anxiety, on the other hand, did not show a clear relationship with caries, but did show a strong link with children’s dental fear. Maternal stress, on the other hand,showed a positive relationship with dental caries in children, but was not associated with dental fear. Conclusions: Most of the findings from this systematic review indicate a not very relevant correlation between the influence of perinatal depression and children's oral health, although some studies included in this review found an association but did not present sufficient data. Therefore, further studies adhering to more rigorous methodological standards are necessary due to the ongoing controversies surrounding the conclusions.
Aim: A systematic bibliographical survey of the evidence published to date on the influence that perinatal depression, anxiety, both generalized and dental, and the levels of stress to which mothers are exposed during pregnancy and in the postpartum period, may have on the oral health of their children. Methodology: The search was carried out until February 2024, using five electronic databases: PubMed, B-on, Web of Science, Cochrane, and Scopus. 23 articles were included, respecting all the inclusion and exclusion criteria defined. To assess the risk of bias, the Checklist for Analytical Cross-sectional Studies tool was used for cross-sectional studies, the Checklist for Cohort Studies for prospective longitudinal studies and the Checklist for Case Control Studies for retrospective longitudinal studies. The graphs were produced using Microsoft Excel and Robvis tool. Results: The relationship between mother´s mental health and their children’s oral and psychological changes was studied mainly in the postpartum period. While maternal depression showed no relationship with children’s caries experience, maternal dental anxiety showed an influence on both caries and children’s dental fear. Maternal generalized anxiety, on the other hand, did not show a clear relationship with caries, but did show a strong link with children’s dental fear. Maternal stress, on the other hand,showed a positive relationship with dental caries in children, but was not associated with dental fear. Conclusions: Most of the findings from this systematic review indicate a not very relevant correlation between the influence of perinatal depression and children's oral health, although some studies included in this review found an association but did not present sufficient data. Therefore, further studies adhering to more rigorous methodological standards are necessary due to the ongoing controversies surrounding the conclusions.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Depressão Depressão perinatal Depressão pós-parto Saúde oral pediátrica