Yıl: 2020 Cilt: 26 Sayı: 2 Sayfa Aralığı: 75 - 82 Metin Dili: İngilizce İndeks Tarihi: 24-11-2020

Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study

Öz:
OBJECTIVE: Threatened abortion is a stressful condition for a pregnant woman which may influence mental health. This study aims to investigate the relationship between threatened abortion, anxiety, and depression during pregnancy. STUDY DESIGN: Study group consisted of 121 pregnant women <20 weeks of gestation having vaginal bleeding; control group consisted of 129 pregnant women <20 weeks of gestation not having vaginal bleeding in their pregnancy until that time. Hospital anxiety and depression scale was used to assess potential anxiety and depression. RESULTS: Statistical analyses indicated that (i) vaginal bleeding group had significantly higher rates of moderate/ severe anxiety (28.1% vs. 14.7% p=0.010); (ii) there was no statistically significant difference between depression rates of the women according to the presence of vaginal bleeding (38.8% vs. 34.9% p=0.517); (iii) low education (OR=2.233; 95% CI: 1.177-4.236; p=0.014) was possible predictors of antenatal depression. Although in the univariate analyses age, gravidity, and parity were associated with anxiety, only nulliparity was found as possible predictors of anxiety (OR=2.589; 95% CI: 1.362-4.922, p=0.004). CONCLUSION: Pregnant women without obstetric complications had similar rates of depression and anxiety as in women with threatened abortion, although anxiety levels were higher in women with threatened abortion.
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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Sağduyu A, Ögel K, Özmen E, Boratav C. Depression in primary health care. Turk Psikiyatri Derg. 2000;11:3-6
  • 2. Muzik M, Marcus SM, Heringhausen JE, Flynn H. When depression complicates childbearing: guidelines for screening and treatment during antenatal and postpartum obstetric care. Obstet Gynecol Clin North Am. 2009; 36(4):771-88.
  • 3. Çalık YK, Aktaş S. Depression in pregnancy: prevalance, risk factors and treatment. Psikiyatride Güncel Yak la şım lar-Current Approaches in Psychiatry. 2011;3 (1):142-62.
  • 4. Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: a systematic review. J Affect Disord. 2016;191:62-77.
  • 5. Gelaye B, Rondon M, Araya R, Williams MA. Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries. Lancet Psychiatry. 2016;3(10):973-82.
  • 6. Ali NS, Azam IS, Ali BS, Tabbusum G, Moin SS. Frequency and associated factors for anxiety and depression in pregnant women: a hospital-based cross-sectional study. ScientificWorldJournal. 2012;2012:653098.
  • 7. Karmaliani R, Asad N, Bann CM, Moss N, Mcclure EM, Pasha O, et al. Prevalence of anxiety, depression and associated factors among pregnant women of Hyderabad, Pakistan. Int J Soc Psychiatry. 2009;55(5):414-24.
  • 8. Weiss JL, Malone FD, Vidaver J, Ball RH, Nyberg DA, Comstock CH, et al. Threatened abortion: a risk for poor pregnancy outcome,a population-based screening study. Am J Obs Gynecol. 2004;190(3):745-50.
  • 9. Snell BJ. Assesment and management of bleeding in the first trimester of pregnancy. J Midwifery Womens Heal. 2009;54(6):483-91.
  • 10. Blackmore ER, Côté-Arsenault D, Tang W, Glover V, Evans J, Golding J, et al. Previous prenatal loss as a predictor of perinatal depression and anxiety. Br J Psychiatry. 2011;198(5):373-8.
  • 11. Chojenta C, Harris S, Reilly N, Forder P, Austin MP, Loxton D. History of pregnancy loss increases the risk of mental health problems in subsequent pregnancies but not in the postpartum. PLoS One. 2014;9(4):e95038.
  • 12. Zhu CS, Tan TC, Chen HY, Malhotra R, Allen JC, Østbye T. Threatened miscarriage and depressive and anxiety symptoms among women and partners in early pregnancy. J Affect Disord. 2018;237:1-9.
  • 13. Abiodun OA. A validity study of the Hospital Anxiety and Depression Scale in general hospital units and a community sample in Nigeria. Br J Psychiatry. 1994;165(5): 669-72.
  • 14. Zigmond AS, Snaith RS. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70.
  • 15. Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res. 2002;52(2): 69-77.
  • 16. Herrmann C. International experiences with the Hospital Anxiety and Depression Scale--a review of validation data and clinical results. J Psychosom Res. 1997;42(1):17-41.
  • 17. Lee AM, Lam SK, Sze Mun Lau SM, Chong CS, Chui HW, Fong DY. Prevalence, course, and risk factors for antenatal anxiety and depression. Obstet Gynecol. 2007; 110(5):1102-12.
  • 18. Chan CY, Lee AM, Lam SK, Lee CP, Leung KY, Koh YW, et al. Antenatal anxiety in the first trimester: risk factors and effects on anxiety and depression in the third trimester and 6-week postpartum. OJ Psych. 2013;3:301-10.
  • 19. Aydemir Ö, Güvenir T, Küey L. Validity and reliability of Turkish version of Hospital Anxiety and Depression Scale. Turkish Journal of Psychiatry 1997;8(4):280-7.
  • 20. Golbasi Z, Kelleci M, Kisacik G, Cetin A. Prevalence and correlates of depression in pregnancy among Turkish women. Matern Child Health J. 2010;14(4):485-91.
  • 21. Yanikkerem E, Ay S, Mutlu S, Goker A. Antenatal depression: prevalence and risk factors in a hospital based Turkish sample. J Pak Med Assoc. 2013;63(4):472-7.
  • 22. Dagklis T, Tsakiridis I, Chouliara F, Mamopoulos A, Rousso D, Athanasiadis A, et al. Antenatal depression among women hospitalized due to threatened preterm labor in a high-risk pregnancy unit in Greece. J Matern Neonatal Med. 2018;31(7):919-25.
  • 23. Zhao Y, Kane I, Mao L, Shi S, Wang J, Lin Q, et al. The prevalence of antenatal depression and its related factors in Chinese pregnant women who present with obstetrical complications. Arch Psychiatr Nurs. 2016;30(3):316-21.
  • 24. Bödecs T, Szilágyi E, Cholnoky P, Sándor J, Gonda X, Rihmer Z, et al. Prevalence and psychosocial background of anxiety and depression emerging during the first trimester of pregnancy: data from a Hungarian populationbased sample. Psychiatr Danub. 2013;25(4):352-8.
  • 25. Qiao YX, Wang J, Li J, Ablat A. The prevalence and related risk factors of anxiety and depression symptoms among Chinese pregnant women in Shanghai. Aust N Z J Obstet Gynaecol. 2009;49(2):185-90.
  • 26. Balestrieri M, Isola M, Bisoffi G, Calo S, Conforti A, Driul L, et al. Determinants of antepartum depression: a multicenter study. Soc Psychiatry Psychiatr Epidemiol. 2012;47(12):1959-65..
  • 27. Richardson A, Raine-Fenning N, Deb S, Campbell B, Vedhara K. Anxiety associated with diagnostic uncertainty in early pregnancy. Ultrasound Obstet Gynecol. 2017; 50(2):247-54.
  • 28. Rubertsson C, Hellström J, Cross M, Sydsjö G. Anxiety in early pregnancy: prevalence and contributing factors. Arch Womens Ment Health. 2014;17(3):221-8.
  • 29. Shapiro GD, Séguin JR, Muckle G, Monnier P, Fraser W. Previous pregnancy outcomes and subsequent pregnancy anxiety in a Quebec prospective cohort. J Psychosom Obstet Gynaecol. 2017;38(2):121-32.
  • 30. Bicking Kinsey C, Baptiste-Roberts K, Zhu J, Kjerulff KH. Effect of previous miscarriage on the maternal birth experience in the First Baby Study. J Obstet Gynecol Neonatal Nurs. 2013;42(4):442-50.
  • 31. Fisher J, Tran T, La BT, Kriitmaa K, Rosenthal D, Tran T. Common perinatal mental disorders in northern Viet Nam: community prevalence and health care use. Bull World Health Organ. 2010;88(10):737-45.
  • 32. Faisal-Cury A, Rossi Menezes P. Prevalence of anxiety and depression during pregnancy in a private setting sample. Arch Womens Ment Health. 2007;10(1):25-32.
  • 33. Jeong HG, Lim JS, Lee MS, Kim SH, Jung IK, Joe SH. The association of psychosocial factors and obstetric history with depression in pregnant women: focus on the role of emotional support. Gen Hosp Psychiatry. 2013;35(4): 354-8.
  • 34. Lupattelli A, Spigset O, Koren G, Nordeng H. Risk of vaginal bleeding and postpartum hemorrhage after use of antidepressants in pregnancy: a study from the Norwegian Mother and Child Cohort Study. J Clin Psychopharmacol. 2014;34(1):143-8.
  • 35. Parker VJ, Douglas AJ. Stress in early pregnancy: maternal neuro-endocrine-immune responses and effects. J Reprod Immunol. 2010;85(1):86-92.
  • 36. Grant KA, McMahon C, Austin MP. Maternal anxiety during the transition to parenthood: a prospective study. J Affect Disord. 2008;108(1-2):101-11.
  • 37. Robertson E, Grace S, Wallington T, Stewart DE. Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry. 2004;26 (4):289-95.
APA sarıibrahim astepe b, Bosgelmez S (2020). Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study. , 75 - 82.
Chicago sarıibrahim astepe bahar,Bosgelmez Sukriye Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study. (2020): 75 - 82.
MLA sarıibrahim astepe bahar,Bosgelmez Sukriye Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study. , 2020, ss.75 - 82.
AMA sarıibrahim astepe b,Bosgelmez S Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study. . 2020; 75 - 82.
Vancouver sarıibrahim astepe b,Bosgelmez S Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study. . 2020; 75 - 82.
IEEE sarıibrahim astepe b,Bosgelmez S "Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study." , ss.75 - 82, 2020.
ISNAD sarıibrahim astepe, bahar - Bosgelmez, Sukriye. "Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study". (2020), 75-82.
APA sarıibrahim astepe b, Bosgelmez S (2020). Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study. GORM:Gynecology Obstetrics & Reproductive Medicine, 26(2), 75 - 82.
Chicago sarıibrahim astepe bahar,Bosgelmez Sukriye Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study. GORM:Gynecology Obstetrics & Reproductive Medicine 26, no.2 (2020): 75 - 82.
MLA sarıibrahim astepe bahar,Bosgelmez Sukriye Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study. GORM:Gynecology Obstetrics & Reproductive Medicine, vol.26, no.2, 2020, ss.75 - 82.
AMA sarıibrahim astepe b,Bosgelmez S Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study. GORM:Gynecology Obstetrics & Reproductive Medicine. 2020; 26(2): 75 - 82.
Vancouver sarıibrahim astepe b,Bosgelmez S Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study. GORM:Gynecology Obstetrics & Reproductive Medicine. 2020; 26(2): 75 - 82.
IEEE sarıibrahim astepe b,Bosgelmez S "Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study." GORM:Gynecology Obstetrics & Reproductive Medicine, 26, ss.75 - 82, 2020.
ISNAD sarıibrahim astepe, bahar - Bosgelmez, Sukriye. "Antenatal Depression and Anxiety Among Women with Threatened Abortion: A Case-Control Study". GORM:Gynecology Obstetrics & Reproductive Medicine 26/2 (2020), 75-82.