Prevalencia de tamizaje positivo para depresión y ansiedad en gestantes de alto riesgo obstétrico en una clínica de Medellín (Colombia), entre enero y agosto de 2013. factores de riesgo asociados

Objectives: To determine the prevalence of positive screening for depression and anxiety, and associated risk factors. Materials and methods: Cross-sectional study of high obstetric risk pregnant women seen at a referral centre in Medellín, Colombia, between January and August 2013. The Beck Depression inventory version II (BDI-II) was used with a cutoff point of 12, and the Beck Anxiety inventory was used with a cut-off point of 16. Demographic, reproductive, and cultural variables were analysed as well as pregnancy-associated disorders, a history of psychiatric disorders or a history of violence. Odds ratio and its 95% confidence interval were estimated. The prevalence for the period is presented. Results: A total of 189 pregnant women were included. The prevalence of positive screening for depression and anxiety was 61.4% and 40.7%, respectively. An association was found between positive depression screening and a history of depression (OR = 7.1; 95% CI: 2.6:19.2); psychological abuse (OR = 8.7; 95% CI: 2-38.5); having a dysfunctional partner (OR = 5.1; 95% CI: 1.9-13.8); and having children under 5 years of age (OR = 4.9; 95% CI: 1.8-13.4). A statistical risk association was found between positive anxiety screening and having been a victim of adverse social circumstances (OR = 1.85; 95% CI: 1.03 3.34) or having survived a natural disaster (OR = 2.11; 95% CI: 1-4.5). Conclusions: The prevalence of positive screening for depression and anxiety is high among women with high-risk pregnancy. These symptoms must be explored in these patients.