Clinical Research
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A Comparison Of Healthy Lifestyle Behaviors And Depression In Pre-Eclampsy Pregnancy

Year 2024, Volume: 14 Issue: 6, 294 - 299, 30.11.2024
https://doi.org/10.16899/jcm.1446507

Abstract

Purpose: It is thought that there is a relationship between healthy lifestyle behaviors and depression in preeclampsia, which is frequently encountered during pregnancy.
Materials and Methods: This is a descriptive design study. The sample comprised 168 pregnant women, including pregnant women with preeclampsia and healthy pregnant women. The data were collected with the Descriptive Information Form, the Healthy Lifestyle Behavior Scale-II, and the Beck Depression Scale. Appropriate statistical methods were utilized in the evaluation of the study.
Results: According to the results, the healthy lifestyle behaviors scale mean scores of pregnant women with preeclampsia were higher than those of healthy pregnant women. No statistically significant difference was seen between preeclampsia and healthy pregnant women in terms of the mean Beck depression scores. A negative, weak, linear relationship was found between Beck scores and healthy lifestyle behaviors scale total scores in pregnant women with. As Beck scale scores increased, healthy lifestyle behaviors scale total scores decreased.
Conclusion: The mean scores of health responsibility, spiritual development, and stress management sub-scales of healthy lifestyle behaviors were higher in preeclamptic pregnant women than healthy pregnant women. It is recommended to determine women's pre-pregnancy health behaviors and explore their negative behaviors for maternal and infant health.

Ethical Statement

To conduct the research, institutional permission was obtained from Istanbul X Training and Research Hospital, and ethics committee approval was received from Health Sciences University X Ethics Committee (No: 46418926, Date: 28.06.2019-19/88). Our research was conducted in accordance with the provisions of the 1995 Declaration of Helsinki. The participants were informed about the purpose of the study, that their data would be kept confidential and that they could withdraw the study whenever they wanted, and their oral and written consents were obtained. As the study was conducted only in one hospital, the results cannot be generalized to the whole population, and they are based on the personal reports of pregnant women.

Supporting Institution

Institute of Health Sciences, Department of Midwifery

Project Number

-

Thanks

The authors would like to thank all the participants for their collaboration.

References

  • 1. Değirmenci H. Current approach to hypertension in pregnant women. Erzincan Medical Journal. 2018; 1(1): 20–27.
  • 2. Say L, Chou D, Gemmill A, Tunçalp Ö, Moller A, Daniels JD et al. Global causes of maternal death: a WHO systematic analysis. Lancet Global Health. 2014; 2(6): 323–33.
  • 3. World Health Organization (WHO). Recommendations for prevention and treatment of pre-eclampsia and eclampsia 2011. Available from: https://apps.who.int/iris/bitstream/handle/10665/44703/9789241548335_eng.pdf?sequence=1 (Accessed March 7, 2021)
  • 4. Celik HT, Yiğit S, Turgal M, Deren O. Babies born from high-risk pregnancies. In: Yurdakök M, Deren O, Yiğit S, Ozyüncü O, Korkmaz A. (eds): Prenatal Pediatric. Ankara: Sun Medical Bookstores; 2012: 33-48.
  • 5. Brown HL, Small MJ. Overview of maternal mortality, and morbidity. Up To Date. 2018. Available from: https://www.uptodate.com/contents/overview-of-maternal-mortality (Accessed March 7, 2021).
  • 6. T.R. Ministry of Health: Health statistics yearbook 2016 newsletter. General Directorate of Health Research Ankara, 2017. Available from: https://dosyasb.saglik.gov.tr/Eklenti/13183,sy2016turkcepdf.pdf?0 (Accessed March 7, 2021).
  • 7. Madazlı R. Preeclampsia. Turkey Clinics J Gynecol Obst-Special Topics. 2010; 3(1): 45-52.
  • 8. Mol WJ, Roberts CT. Thangaratinam S, Magee LA, Groot CJM, Hofmery GJ. Pre-eclampsia. Lancet. 2016; 387(10022), 999-1011.
  • 9. English FA, Kenny LC, McCarthy FP. Risk factors and effective management of preeclampsia. Integrated Blood Pressure Control. 2015; 8: 7-12.
  • 10. Zhang J, Meikle S, Trumble A. Severe maternal morbidity associated with hypertensive disorders in pregnancy in the United States. Hypertension in Pregnancy. 2003; 22(2): 203-12.
  • 11. Monte S. Biochemical markers for prediction of preclampsia: review of the literature. J Prenat Med. 2011; 5(3): 69-77.
  • 12. Ozer DP. Placental Apoptosis Presenting with Autoantibodies and Proinflammatory Cytokines in Severe Preeclampsia [Master's Thesis]. Edirne: Trakya University Faculty of Medicine. Department of Obstetrics and Gynecology; 2015.
  • 13. Aksoy YE, Turfan EC, Yılmaz SD. Evaluation of healthy lifestyle behaviors in normal and risky pregnancies. Perinatal Journal. 2017; 25(1): 26-31.
  • 14. Bahtiyar T. Healthy Lifestyle Behaviors of Adolescents Followed up With the Diagnosis of Hypertension [Master's Thesis]. Istanbul: Okan University Institute of Health Sciences, Department of Nursing; 2017.
  • 15. Lindgren K. Relationships among maternal-fetal attachment, prenatal depression, and health practices in pregnancy. Research in Nursing & Health. 2001; 24(3): 203–217.
  • 16. Borgan K. Anxiety beyond perinatal depression, and psychopharmacology. Psychiatric Clinics of North America. 2013; 36(1): 183–188.
  • 17. Sağduyu A, Ogel K, Ozmen E, Boratay C. Depression in primary health care. Turkish Journal of Psychiatry. 2000; 11(1): 3-16.
  • 18. Stewart D. Depression during pregnancy. Can Fam Physician. 2005; 51(8): 1061-1063.
  • 19. Muzik M, Marcus SM, Heringhausen JE, Synn HA. When depression complicates child bearing: guidelines for screening and treatment during antenatal, and postpartum obstetric care. Obstet Gynecol Clin North Am. 2009; 36(4): 771–788.
  • 20. Urun O. Family Matters and Considerations from and Derived from Cases in the Major General Areas [Specialization Thesis in Medicine]. Istanbul: Department of Psychiatry, Prof. Dr. Mazhar Osman Mental Health and Neurological Diseases Training and Research Hospital; 2012.
  • 21. Marakoglu K, Sahsivar MS. Depression in pregnancy. Turkey Clinics J Med Sci. 2008; 28: 525-532.
  • 22. Walker SN, Sechrist KR, Pender NJ. The Health Promoting Lifestyle Profile development and psychometric characteristics. Nursing Research. 1987; 36(2): 76-80.
  • 23. Bahar Z, Beser A, Gördes N, Ersin F, Kıssal A. Validity and reliability study of healthy lifestyle behaviors-2. Journal of Cumhuriyet University School of Nursing. 2008; 12(1): 1-13.
  • 24. Beck AT, Ward CH, Mehdelson M, Mosk J, Erbaugh J. An inventory for measuring depresssion. Arch Gen Psychiatry. 1961; 4(6), 561-571.
  • 25. Hisli N. The validity and reliability of the Beck depression inventory for university students. Journal of Psychology. 1989; 7(23): 3-13.
  • 26. Savasır I, Sahin N. Evaluation in Cognitive Behavioral Therapies: Frequently Used Scales. Ankara: Turkish Psychological Association Publications; 1997.
  • 27. Pandian Z, Bhattacharya S, Templeton A. Review of unexplained infertility and obstetric outcome: a 10 year review. Human Reproduction. 2001; 16(12): 2593-2597.
  • 28. Koenig MD. Nutrient intake during pregnancy. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2017; 46 (3): 120-122.
  • 29. Catalano P, Ehrenberg H. The short- and long-term implications of maternal obesity on the mother and her offspring. BJOG An International Journal of Obstetrics and Gynaecology. 2006; 113(10): 1126-1133.
  • 30. Sak S, Erdemoğlu M, Ağacayak E, Yalınkaya A, Gül T: Evaluation of serum troponin I level in preeclampsia. Dicle Medical Journal. 2015; 42: 186-191.
  • 31. Yılmaz YG. Investigation of Healthy Lifestyle Behaviors in Pregnant Women with and without Preeclampsia: A Comparative Study [Master's Thesis]. Konya: Turkey: T.R. Necmettin Erbakan University, Institute of Health Sciences, Department of Nursing; 2019.
  • 32. Altın DR. Determining the Risk Factors of Women Diagnosed with Preeclampsia During Pregnancy: A Hospital-Based Study [Master's Thesis]. Karabuk: Karabuk University Institute of Health Sciences, Department of Midwifery; 2019.
  • 33. Gül O, Oztürk E, Uğur MG, Cebesoy FB, Kurtul N, Pence S et al. Serum total sialic acid levels and sialic acid esterase gene variation in preeclamptic pregnant women. J Turk Soc Obstet Gynecol. 2012; 9(2): 99-105.
  • 34. Toker E: The effect of musicotherapy on prenatal anxiety and postpartum mother-infant communication and satisfaction in pregnant women with preeclampsia. [Doctoral Thesis]. Istanbul: T.R. Marmara University Institute of Health Sciences, Department of Obstetrics and Gynecology Nursing; 2014.
  • 35. Onat G, Aba YA. Healthy lifestyle behaviors and related factors in pregnant women. Turk J Public Health. 2014; 12 (2): 69-79.
  • 36. Auerbach MV, Lobel M, Cannella DT. Psychosocial correlates of health-promoting and healthimpairing behaviors in pregnancy. J Psychosom Obstet Gynaecol. 2014; 35(3): 76-83.
  • 37. Pisirgen TN. Evaluation of Depression and Anxiety Levels in Risky Pregnancies. [Specialization Thesis in Medicine]. Eskisehir: Eskisehir Osmangazi University Faculty of Medicine; 2011.
  • 38. Altshuler LL, Cohen LS, Moline ML, Kahn DA: Carpenter D, Docherty JP: Expert consensus panel for depression in women. the expert consensus guideline series. treatment of depression in women; 2001. Postgrad Med, (Spec No): 1-107.

Preeklampsi Gebelerde Sağlıklı Yaşam Biçimi Davranışları ve Depresyonun Karşılaştırılması

Year 2024, Volume: 14 Issue: 6, 294 - 299, 30.11.2024
https://doi.org/10.16899/jcm.1446507

Abstract

Amaç: Araştırmanın amacı preeklampsi gebelerde sağlıklı yaşam biçimi davranışları ve depresyon bulgularının değerlendirilmesidir.
Gereç ve Yöntem: Çalışma tanımlayıcı niteliktedir. Araştırma örneklemini preeklampsi tanısını alan gebeler ile sağlıklı gebeler olmak üzere toplam 168 gebe oluşturmaktadır. Veriler; Tanıtıcı Bilgi Formu, Sağlıklı Yaşam Biçimi Davranışları Ölçeği II ve Beck Depresyon Ölçeği ile toplandı. Çalışmanın değerlendirilmesinde uygun istatistiki yöntemler yapıldı.
Bulgular: Çalışmada preeklampsi gebelerin sağlıklı yaşam biçimi davranışları ölçek puan ortalamalarının sağlıklı gebelere oranla daha yüksek olduğu tespit edildi (p = .03). Preeklampsi ve sağlıklı gebeler arasında BECK depresyon puan ortalamaları arasında istatistiksel olarak anlamlı bir fark tespit edilmedi (p = .278). Preeklampsi gebelerde BECK puanlarıyla sağlıklı yaşam biçimi davranışları ölçek toplam puanları arasında; negatif yönlü, zayıf derecede, doğrusal bir ilişki saptandı (r = .243; p = .026). BECK puanları arttıkça sağlıklı yaşam biçimi davranışları ölçek toplam puanları azalmaktadır.
Sonuç: Preeklampsi gebelerde sağlıklı yaşam biçimi davranışlarının alt boyutlarından sağlık sorumluluğu, manevi gelişim, stres yönetimi puan ortalamaları sağlıklı gebelere göre daha yüksektir. Kadınların gebelik öncesi sağlık davranışlarının belirlenmesinin, olumsuz davranışlarının sorgulanmasının, anne ve bebek sağlığı için önemli olduğu düşünülmektedir.

Project Number

-

References

  • 1. Değirmenci H. Current approach to hypertension in pregnant women. Erzincan Medical Journal. 2018; 1(1): 20–27.
  • 2. Say L, Chou D, Gemmill A, Tunçalp Ö, Moller A, Daniels JD et al. Global causes of maternal death: a WHO systematic analysis. Lancet Global Health. 2014; 2(6): 323–33.
  • 3. World Health Organization (WHO). Recommendations for prevention and treatment of pre-eclampsia and eclampsia 2011. Available from: https://apps.who.int/iris/bitstream/handle/10665/44703/9789241548335_eng.pdf?sequence=1 (Accessed March 7, 2021)
  • 4. Celik HT, Yiğit S, Turgal M, Deren O. Babies born from high-risk pregnancies. In: Yurdakök M, Deren O, Yiğit S, Ozyüncü O, Korkmaz A. (eds): Prenatal Pediatric. Ankara: Sun Medical Bookstores; 2012: 33-48.
  • 5. Brown HL, Small MJ. Overview of maternal mortality, and morbidity. Up To Date. 2018. Available from: https://www.uptodate.com/contents/overview-of-maternal-mortality (Accessed March 7, 2021).
  • 6. T.R. Ministry of Health: Health statistics yearbook 2016 newsletter. General Directorate of Health Research Ankara, 2017. Available from: https://dosyasb.saglik.gov.tr/Eklenti/13183,sy2016turkcepdf.pdf?0 (Accessed March 7, 2021).
  • 7. Madazlı R. Preeclampsia. Turkey Clinics J Gynecol Obst-Special Topics. 2010; 3(1): 45-52.
  • 8. Mol WJ, Roberts CT. Thangaratinam S, Magee LA, Groot CJM, Hofmery GJ. Pre-eclampsia. Lancet. 2016; 387(10022), 999-1011.
  • 9. English FA, Kenny LC, McCarthy FP. Risk factors and effective management of preeclampsia. Integrated Blood Pressure Control. 2015; 8: 7-12.
  • 10. Zhang J, Meikle S, Trumble A. Severe maternal morbidity associated with hypertensive disorders in pregnancy in the United States. Hypertension in Pregnancy. 2003; 22(2): 203-12.
  • 11. Monte S. Biochemical markers for prediction of preclampsia: review of the literature. J Prenat Med. 2011; 5(3): 69-77.
  • 12. Ozer DP. Placental Apoptosis Presenting with Autoantibodies and Proinflammatory Cytokines in Severe Preeclampsia [Master's Thesis]. Edirne: Trakya University Faculty of Medicine. Department of Obstetrics and Gynecology; 2015.
  • 13. Aksoy YE, Turfan EC, Yılmaz SD. Evaluation of healthy lifestyle behaviors in normal and risky pregnancies. Perinatal Journal. 2017; 25(1): 26-31.
  • 14. Bahtiyar T. Healthy Lifestyle Behaviors of Adolescents Followed up With the Diagnosis of Hypertension [Master's Thesis]. Istanbul: Okan University Institute of Health Sciences, Department of Nursing; 2017.
  • 15. Lindgren K. Relationships among maternal-fetal attachment, prenatal depression, and health practices in pregnancy. Research in Nursing & Health. 2001; 24(3): 203–217.
  • 16. Borgan K. Anxiety beyond perinatal depression, and psychopharmacology. Psychiatric Clinics of North America. 2013; 36(1): 183–188.
  • 17. Sağduyu A, Ogel K, Ozmen E, Boratay C. Depression in primary health care. Turkish Journal of Psychiatry. 2000; 11(1): 3-16.
  • 18. Stewart D. Depression during pregnancy. Can Fam Physician. 2005; 51(8): 1061-1063.
  • 19. Muzik M, Marcus SM, Heringhausen JE, Synn HA. When depression complicates child bearing: guidelines for screening and treatment during antenatal, and postpartum obstetric care. Obstet Gynecol Clin North Am. 2009; 36(4): 771–788.
  • 20. Urun O. Family Matters and Considerations from and Derived from Cases in the Major General Areas [Specialization Thesis in Medicine]. Istanbul: Department of Psychiatry, Prof. Dr. Mazhar Osman Mental Health and Neurological Diseases Training and Research Hospital; 2012.
  • 21. Marakoglu K, Sahsivar MS. Depression in pregnancy. Turkey Clinics J Med Sci. 2008; 28: 525-532.
  • 22. Walker SN, Sechrist KR, Pender NJ. The Health Promoting Lifestyle Profile development and psychometric characteristics. Nursing Research. 1987; 36(2): 76-80.
  • 23. Bahar Z, Beser A, Gördes N, Ersin F, Kıssal A. Validity and reliability study of healthy lifestyle behaviors-2. Journal of Cumhuriyet University School of Nursing. 2008; 12(1): 1-13.
  • 24. Beck AT, Ward CH, Mehdelson M, Mosk J, Erbaugh J. An inventory for measuring depresssion. Arch Gen Psychiatry. 1961; 4(6), 561-571.
  • 25. Hisli N. The validity and reliability of the Beck depression inventory for university students. Journal of Psychology. 1989; 7(23): 3-13.
  • 26. Savasır I, Sahin N. Evaluation in Cognitive Behavioral Therapies: Frequently Used Scales. Ankara: Turkish Psychological Association Publications; 1997.
  • 27. Pandian Z, Bhattacharya S, Templeton A. Review of unexplained infertility and obstetric outcome: a 10 year review. Human Reproduction. 2001; 16(12): 2593-2597.
  • 28. Koenig MD. Nutrient intake during pregnancy. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2017; 46 (3): 120-122.
  • 29. Catalano P, Ehrenberg H. The short- and long-term implications of maternal obesity on the mother and her offspring. BJOG An International Journal of Obstetrics and Gynaecology. 2006; 113(10): 1126-1133.
  • 30. Sak S, Erdemoğlu M, Ağacayak E, Yalınkaya A, Gül T: Evaluation of serum troponin I level in preeclampsia. Dicle Medical Journal. 2015; 42: 186-191.
  • 31. Yılmaz YG. Investigation of Healthy Lifestyle Behaviors in Pregnant Women with and without Preeclampsia: A Comparative Study [Master's Thesis]. Konya: Turkey: T.R. Necmettin Erbakan University, Institute of Health Sciences, Department of Nursing; 2019.
  • 32. Altın DR. Determining the Risk Factors of Women Diagnosed with Preeclampsia During Pregnancy: A Hospital-Based Study [Master's Thesis]. Karabuk: Karabuk University Institute of Health Sciences, Department of Midwifery; 2019.
  • 33. Gül O, Oztürk E, Uğur MG, Cebesoy FB, Kurtul N, Pence S et al. Serum total sialic acid levels and sialic acid esterase gene variation in preeclamptic pregnant women. J Turk Soc Obstet Gynecol. 2012; 9(2): 99-105.
  • 34. Toker E: The effect of musicotherapy on prenatal anxiety and postpartum mother-infant communication and satisfaction in pregnant women with preeclampsia. [Doctoral Thesis]. Istanbul: T.R. Marmara University Institute of Health Sciences, Department of Obstetrics and Gynecology Nursing; 2014.
  • 35. Onat G, Aba YA. Healthy lifestyle behaviors and related factors in pregnant women. Turk J Public Health. 2014; 12 (2): 69-79.
  • 36. Auerbach MV, Lobel M, Cannella DT. Psychosocial correlates of health-promoting and healthimpairing behaviors in pregnancy. J Psychosom Obstet Gynaecol. 2014; 35(3): 76-83.
  • 37. Pisirgen TN. Evaluation of Depression and Anxiety Levels in Risky Pregnancies. [Specialization Thesis in Medicine]. Eskisehir: Eskisehir Osmangazi University Faculty of Medicine; 2011.
  • 38. Altshuler LL, Cohen LS, Moline ML, Kahn DA: Carpenter D, Docherty JP: Expert consensus panel for depression in women. the expert consensus guideline series. treatment of depression in women; 2001. Postgrad Med, (Spec No): 1-107.
There are 38 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other), Health Services and Systems (Other)
Journal Section Original Research
Authors

Ebru Kumru 0000-0002-0169-4089

Handan Özcan 0000-0002-7131-1856

Project Number -
Early Pub Date September 11, 2024
Publication Date November 30, 2024
Submission Date March 3, 2024
Acceptance Date August 30, 2024
Published in Issue Year 2024 Volume: 14 Issue: 6

Cite

AMA Kumru E, Özcan H. A Comparison Of Healthy Lifestyle Behaviors And Depression In Pre-Eclampsy Pregnancy. J Contemp Med. November 2024;14(6):294-299. doi:10.16899/jcm.1446507