<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7450</journal-id>
<journal-title><![CDATA[Revista Colombiana de Psiquiatría]]></journal-title>
<abbrev-journal-title><![CDATA[rev.colomb.psiquiatr.]]></abbrev-journal-title>
<issn>0034-7450</issn>
<publisher>
<publisher-name><![CDATA[Asociacion Colombiana de Psiquiatria.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74502019000100026</article-id>
<article-id pub-id-type="doi">10.1016/j.rcp.2017.06.003</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Gestation-related psychosocial factors in women from Medellin, Colombia]]></article-title>
<article-title xml:lang="es"><![CDATA[Factores psicosociales asociados con la gestación en mujeres de Medellín, Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vergel]]></surname>
<given-names><![CDATA[Juliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gaviria]]></surname>
<given-names><![CDATA[Silvia L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duque]]></surname>
<given-names><![CDATA[Marle]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Restrepo]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rondon]]></surname>
<given-names><![CDATA[Marta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Colonia]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[Medellin ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[Medellin ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[Medellin ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[Medellin ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Peruvian University of Cayetano Heredia Department of Psychiatry and Mental Health ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[Medellin ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>48</volume>
<numero>1</numero>
<fpage>26</fpage>
<lpage>34</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0034-74502019000100026&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0034-74502019000100026&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0034-74502019000100026&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Perinatal stress and the impact generated by adverse conditions could affect fetal development negatively with long term and short term manifestations and could increase the risk of maternal depression.  Objective:  To determine the psychosocial risk factors present in women with high-obstetric risk and hospitalized in a high complexity institution.  Methods:  A cross-sectional study that included 112 pregnant or immediate postpartum women, who were evaluated using a scale designed by the researchers and the Edinburgh Postnatal Depression Scale.  Results:  Median age was 24 (RIC 9) years; 39.3% of the women were pregnant, and 65.9% had a gestational age of more than 28 weeks. The main reason for hospitalization was threat of preterm delivery in 39.2%. 52.4% planned the pregnancy and 22.3% had depressive symptoms compatible with depression. Suicidal ideas and suicide attempts were more prevalent in the first trimester (7.2% and 3.6%).  Discussion:  The high prevalence of depressive symptoms in the population studied coincides with what was reported in similar studies in Latin America. The fact that pregnancy does not protect against suicide was confirmed.  Conclusions:  Psychosocial screening is recommended in every pregnant woman and women in immediate postpartum to detect symptoms and risk factors for depression.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El estrés perinatal y el impacto generado por condiciones adversas, podrían afectar negativamente el desarrollo fetal con manifestaciones a corto y largo plazo, y aumentaría el riesgo de desarrollar depresión materna.  Objetivo:  Determinar los factores de riesgo psicosocial presentes en mujeres con alto riesgo obstétrico hospitalizadas en una institución de alta complejidad.  Metodología:  Estudio transversal que incluyó 112 mujeres embarazadas o en posparto inmediato, evaluadas a través de una escala diseñada por las investigadoras y la Escala de Depresión Posparto de Edimburgo.  Resultados:  La mediana para la edad fue 24 anos (RIC 9). El 39,3% de las mujeres estaban embarazadas. El 65,9% tenía una edad gestacional mayor de 28 semanas. El principal motivo de hospitalización fue la amenaza de aborto en el 39,2%. El 52,4% planeó el embarazo y 22,3% tenía síntomas depresivos compatibles con depresión. Las ideas e intentos suicidas, fueron más prevalentes en el primer trimestre (7,2% y 3,6%).  Discusión: Las características sociodemográficas y clínicas de la población estudiada coinciden con lo reportado previamente. La alta prevalencia de síntomas depresivos en la población estudiada coincide con lo reportado en estudios similares en Latinoamérica. Se confirma que el embarazo no protege contra el suicidio.  Conclusiones:  Se recomienda incluir tamización psicosocial a toda mujer en embarazo y post parto inmediato para detectar síntomas y factores de riesgo susceptibles de ser intervenidos precozmente y evitar desenlaces negativos tanto para la madre como para el neonato.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Risk factors]]></kwd>
<kwd lng="en"><![CDATA[Psychosocial impact]]></kwd>
<kwd lng="en"><![CDATA[Depression]]></kwd>
<kwd lng="es"><![CDATA[Embarazo]]></kwd>
<kwd lng="es"><![CDATA[Factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[Impacto psicosocial]]></kwd>
<kwd lng="es"><![CDATA[Depresión]]></kwd>
</kwd-group>
</article-meta>
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