Abstract
Amaç: Bu çalışmanın amacı, Türkiye'de SARS-CoV-2 pandemisi sırasında doğum için hastaneye yatırılan düşük riskli, termde doğum yapmış gebelerin anksiyete durumlarını araştırmaktır.
Gereçler ve Yöntem: Bu kesitsel anket çalışması, doğum için hastaneye yatırılan 200 düşük riskli, term hamile kadını içermektedir. Sosyodemografik ve obstetrik veriler toplandı. Başvuruda kadınların anksiyetesi Spielberger Durumluk-Sürekli Kaygı Envanteri anket formu ile incelendi. Toplam 50'den büyük puanlar patolojik anksiyete düzeyleri olarak sınıflandırıldı.
Bulgular: Ortalama sürekli kaygı ölçek puanı 36,99 ± 10,08 ve ortalama durumluk kaygı ölçek puanı 41,03 ± 8,89 idi ve bu iki puan arasındaki fark istatiksel olarak anlamlı bulundu. Durumluk ve sürekli kaygı ölçek puanları, covid ile enfekte kişilerle teması olan kadınlarda, olmayanlara göre daha yüksek bulundu. Durumluk ve sürekli kaygı ölçek puanları arasında anlamlı bir pozitif korelasyon tespit edildi. COVID 19 enfekte kişi ile temas öyküsü ve patolojik sürekli kaygı varlığı, SARS-CoV-2 pandemisine bağlı patolojik durumluk kaygısının varlığı için önemli faktörler olarak belirlendi.
Sonuç: COVID-19 ile enfekte kişi ile temas öyküsü olan veya patolojik sürekli kaygısı olan hamile kadınlar, COVID-19 salgını sırasında daha yüksek durumluk kaygısına sahiptir. Anksiyete geliştirme riski taşıyan kadınları belirlemek, psikolojik olarak erken müdahale edebilme imkanı sağladığı için önemlidir.
References
- 1. Cucinotta D, Vanelli M. WHO Declares COVID-19 a Pandemic. Acta Biomed. 2020;91(1):157-60.
- 2. Altshuler LL, Hendrick V, Cohen LS. Course of mood and anxiety disorders during pregnancy and the postpartum period. J Clin Psychiatry. 1998;59 Suppl 2:29-33.
- 3. Lee DT, Sahota D, Leung TN, Yip AS, Lee FF, Chung TK. Psychological responses of pregnant women to an infectious outbreak: a case-control study of the 2003 SARS outbreak in Hong Kong. J Psychosom Res. 2006;61(5):707-13.
- 4. Woody CA, Ferrari AJ, Siskind DJ, Whiteford HA, Harris MG. A systematic review and meta-regression of the prevalence and incidence of perinatal depression. J Affect Disord. 2017;219:86-92.
- 5. Delgado AM, Freire AD, Wanderley EL, Lemos A. Analysis of the Construct Validity and Internal Consistency of the State-Trait Anxiety Inventory (STAI) State-Anxiety (S-Anxiety) Scale for Pregnant Women during Labor. Rev Bras Ginecol Obstet. 2016;38(11):531-7.
- 6. Ryu YJ, Chun EM, Lee JH, Chang JH. Prevalence of depression and anxiety in outpatients with chronic airway lung disease. Korean J Intern Med. 2010;25(1):51-7.
- 7. Donzuso G, Cerasa A, Gioia MC, Caracciolo M, Quattrone A. The neuroanatomical correlates of anxiety in a healthy population: differences between the State-Trait Anxiety Inventory and the Hamilton Anxiety Rating Scale. Brain Behav. 2014;4(4):504-14.
- 8. 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.
- 9. Lee CH, Huang N, Chang HJ, Hsu YJ, Wang MC, Chou YJ. The immediate effects of the severe acute respiratory syndrome (SARS) epidemic on childbirth in Taiwan. BMC Public Health. 2005;5:30.
- 10. Mappa I, Distefano FA, Rizzo G. Effects of coronavirus 19 pandemic on maternal anxiety during pregnancy: a prospectic observational study. J Perinat Med. 2020;48(6):545-50.
- 11.. Corbett GA, Milne SJ, Hehir MP, Lindow SW, O'Connell M P. Health anxiety and behavioural changes of pregnant women during the COVID-19 pandemic. Eur J Obstet Gynecol Reprod Biol. 2020;249:96-7.
Abstract
Aim: The aim of this study is to investigate the anxiety conditions of low-risk term pregnant women hospitalized for labor during the SARS-CoV-2 pandemic.
Materials and Method: This cross-sectional survey study includes 200 low-risk term pregnant women hospitalized for delivery. Sociodemographic and obstetric data were collected. Women's anxiety were examined using Spielberger State-Trait Anxiety Inventory questionnaire form at admission. Total scores greater than 50 were classified as pathological levels of anxiety.
Results: The mean trait score was 36.99±10.08 and the mean state score was 41.03±8.89, and the difference between these two scores was statistical significant. State and trait scores were higher in women who had contact with covid-infected people than those who did not. There was a significant positive correlation between state and trait scores. The history of contact with covid 19 infected person and the presence of pathological trait anxity were determined as significant factors for the presence of pathological state anxiety related to SARS-CoV-2 pandemic.
Conclusion: Pregnant women with history of contact with covid 19 infected person or with pathological trait anxiety have higher state anxiety during COVID-19 outbreak. It is important to identify women with high risk of developing anxiety in order to provide early psychological interventions.
References
- 1. Cucinotta D, Vanelli M. WHO Declares COVID-19 a Pandemic. Acta Biomed. 2020;91(1):157-60.
- 2. Altshuler LL, Hendrick V, Cohen LS. Course of mood and anxiety disorders during pregnancy and the postpartum period. J Clin Psychiatry. 1998;59 Suppl 2:29-33.
- 3. Lee DT, Sahota D, Leung TN, Yip AS, Lee FF, Chung TK. Psychological responses of pregnant women to an infectious outbreak: a case-control study of the 2003 SARS outbreak in Hong Kong. J Psychosom Res. 2006;61(5):707-13.
- 4. Woody CA, Ferrari AJ, Siskind DJ, Whiteford HA, Harris MG. A systematic review and meta-regression of the prevalence and incidence of perinatal depression. J Affect Disord. 2017;219:86-92.
- 5. Delgado AM, Freire AD, Wanderley EL, Lemos A. Analysis of the Construct Validity and Internal Consistency of the State-Trait Anxiety Inventory (STAI) State-Anxiety (S-Anxiety) Scale for Pregnant Women during Labor. Rev Bras Ginecol Obstet. 2016;38(11):531-7.
- 6. Ryu YJ, Chun EM, Lee JH, Chang JH. Prevalence of depression and anxiety in outpatients with chronic airway lung disease. Korean J Intern Med. 2010;25(1):51-7.
- 7. Donzuso G, Cerasa A, Gioia MC, Caracciolo M, Quattrone A. The neuroanatomical correlates of anxiety in a healthy population: differences between the State-Trait Anxiety Inventory and the Hamilton Anxiety Rating Scale. Brain Behav. 2014;4(4):504-14.
- 8. 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.
- 9. Lee CH, Huang N, Chang HJ, Hsu YJ, Wang MC, Chou YJ. The immediate effects of the severe acute respiratory syndrome (SARS) epidemic on childbirth in Taiwan. BMC Public Health. 2005;5:30.
- 10. Mappa I, Distefano FA, Rizzo G. Effects of coronavirus 19 pandemic on maternal anxiety during pregnancy: a prospectic observational study. J Perinat Med. 2020;48(6):545-50.
- 11.. Corbett GA, Milne SJ, Hehir MP, Lindow SW, O'Connell M P. Health anxiety and behavioural changes of pregnant women during the COVID-19 pandemic. Eur J Obstet Gynecol Reprod Biol. 2020;249:96-7.
Details
| Primary Language | English |
|---|---|
| Subjects | Obstetrics and Gynaecology |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | April 1, 2021 |
| Submission Date | October 30, 2020 |
| Acceptance Date | January 17, 2021 |
| Published in Issue | Year 2021 Volume: 18 Issue: 1 |
