{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T13:45:16Z","timestamp":1788875116191,"version":"build-2803163510"},"reference-count":30,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"04","license":[{"start":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T00:00:00Z","timestamp":1644364800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To evaluate the emotional and clinical aspects observed in women with gestational trophoblastic disease (GTD) followed-up in a reference center (RC) by a multidisciplinary team.<\/jats:p><jats:p>\n          Methods\u2003Retrospective cohort study of the clinical records of 186 women with GTD and of the emotional aspects (EA) observed in these women by a team of psychologists and reported by the 389 support groups conducted from 2014 to 2018.<\/jats:p><jats:p>\n          Results\u2003The women were young (mean age: 31.2 years), 47% had no living child, 60% had planned the pregnancy, and 50% participated in two or more SG. Most women (n\u2009=\u2009137; 73.6%) reached spontaneous remission of molar gestation in a median time of 10 weeks and had a total follow-up time of seven months. In the group of 49 women (26.3%) who progressed to gestational trophoblastic neoplasia (GTN), time to remission after chemotherapy was 18 weeks, and total follow-up time was 36 months. EA included different levels of anxiety and depression, more evident in 9.1% of the women; these symptoms tended to occur more frequently in women older than 40 years (p\u2009=\u20090.067), less educated (p\u2009=\u20090.054), and whose disease progressed to GTN (p\u2009=\u20090.018), as well as in those who had to undergo multi-agent chemotherapy (p\u2009=\u20090.028) or hysterectomy (p\u2009=\u20090.001) adjuvant to clinical treatment.<\/jats:p><jats:p>\n          Conclusion\u2003This study found several EA in association with all types of GTD. It also highlights the importance of specialized care only found in a RC, essential to support the recovery of the mental health of these women.<\/jats:p>","DOI":"10.1055\/s-0042-1742681","type":"journal-article","created":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T23:53:28Z","timestamp":1644450808000},"page":"343-351","source":"Crossref","is-referenced-by-count":16,"title":["Emotional and Clinical Aspects Observed in Women with Gestational Trophoblastic Disease: A Multidisciplinary Action"],"prefix":"10.61622","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5092-3653","authenticated-orcid":false,"given":"Ana Carolina Gomes","family":"Fran\u00e7a","sequence":"additional","affiliation":[{"name":"Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3087-8573","authenticated-orcid":false,"given":"Elza Maria Hartmann","family":"Uberti","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa da Miseric\u00f3rdia de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5772-6628","authenticated-orcid":false,"given":"Karine Paiva","family":"Muller","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa da Miseric\u00f3rdia de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7021-4571","authenticated-orcid":false,"given":"Rodrigo Bernardes","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0715-0936","authenticated-orcid":false,"given":"Fabiana","family":"Giguer","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa da Miseric\u00f3rdia de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0431-0690","authenticated-orcid":false,"given":"Patricia","family":"El Beitune","sequence":"additional","affiliation":[{"name":"Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2942-6182","authenticated-orcid":false,"given":"Antonio","family":"Braga","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil"},{"name":"Universidade Federal Fluminense, Niter\u00f3i, RJ, 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