Banca de DEFESA: ANDERSON BRITO DE MEDEIROS

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : ANDERSON BRITO DE MEDEIROS
DATE: 20/10/2023
TIME: 14:00
LOCAL: Departamento de Enfermagem - DENF
TITLE:

Prevalence of mental disorders in pregnant and lactating women deprived of liberty in the prison system: systematic review.

KEY WORDS:

Prison, Mental Disorders, Pregnancy, Prisoners, Women's Health

PAGES: 104
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

Introduction: Female incarceration has increased due to several factors, including changes in criminal policies, social and economic inequalities, abuse of psychoactive substances and issues related to gender and mental health. Being a woman and experiencing pregnancy or lactation in the prison system can be an even more challenging and difficult experience due to precarious sanitary conditions, lack of adequate medical care, stigma, isolation and separation from the child. The restrictions of the prison environment can increase the risk of problems related to the mental health of these women. Objective: To evaluate the prevalence of mental disorders among pregnant and breastfeeding women in the female prison system. Method: This is a systematic review, which evaluates and brings together similar studies for statistical analysis. To write this review, the PRISMA checklist guidelines were followed. Furthermore, the protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO) platform, under registration number CRD42022350737. Using the PECOT strategy (Population, Exposure, Control, Outcomes/Outcomes and Types of Studies/Observational), the research question was constructed: “What is the prevalence of pregnant and lactating women with mental disorders in the female prison system?” Included were studies on pregnant women and the development of mental disorders (depression, anxiety, stress and insomnia, postpartum depression) during incarceration in comparison to pregnant women not exposed to incarceration or deprivation of liberty in the prison system. Literature reviews, case series, case reports and qualitative studies were not considered. Searches were carried out in the following databases: PubMed, Web of Science, Embase, Latin American and Caribbean Literature in Health Sciences (LILACS), Scopus and Nursing Database (BDENF), without restriction on the language of the articles or of the year of publication. The search strategy used medical subjective vocabularies (MeSH) and a variety of other keywords. To assess the risk of bias, the Newcastle Ottawa Scale was used to assess the methodological quality of the research, while the Grading of Recommendations Assessment, Developing and Evaluation (GRADE) method was used to classify the evidence into the quality levels of the studies. As these are secondary and public data, submission to the Research Ethics Committee was waived. Results: Of the 2165 studies found, the final sample consisted of four articles. The analysis and level of methodological quality were carried out, as well as the strength of recommendation of the evidence with the GRADE system. The studies were carried out in the last decade, in the United States and Canada and evaluated regarding characteristics, implementation and evaluation of the evidence. The prevalent mental disorders found in pregnant and lactating women in the women's prison system were anxiety, common mental disorders, schizophrenia, self-harm, and postpartum depression. The Risk of Bias assessment of the included studies was essentially classified as low, which demonstrates the quality of the research regarding bias, making the results provocative for carrying out interventions in the scenario. Final considerations: It was concluded that the prevalence of mental disorders in pregnant and lactating women in the prison system indicates a growth trend, as the context of imprisonment increases illness and psychological suffering. However, it is suggested that new studies be carried out to better elucidate the prison scenario, as well as to develop measurement instruments/scales aimed at the prison scenario due to the uniqueness of the environment.

COMMITTEE MEMBERS:
Interno - 396864 - FRANCISCO ARNOLDO NUNES DE MIRANDA
Externo à Instituição - GLAUBER WEDER DOS SANTOS SILVA - UNINASSAU
Externo à Instituição - JAIME ALONSO CARAVACA-MORERA - UCR
Externa ao Programa - 1774309 - JANMILLI DA COSTA DANTAS SANTIAGO - nullPresidente - 2344942 - JOVANKA BITTENCOURT LEITE DE CARVALHO
Externo à Instituição - KLEYTON SANTOS DE MEDEIROS - LNRCC
Externa à Instituição - THAIS ROSENTAL GABRIEL LOPES