Evaluation of the Anxiety and Depression Scores in Women with Uncomplicated Pregnancies in the Era of Coronavirus Disease 2019: The Experience of a Single Tertiary Center

Abstract

Aim: The recent outbreak of coronavirus has become an extremely significant health issue on a global scale, and its impact on the psychological status of pregnant women is still under investigation. This study aimed to assess the anxiety and depression scores of uncomplicated pregnancies in the age of coronavirus disease 2019 (COVID-19). Materials and Method: A total of 98 pregnant women were included in the study. The patients were divided into three groups according to the trimesters of pregnancy. The 21-item Beck anxiety and Beck depression scales were completed by all participants. Anxiety and depression scores and the demographic information of the groups were compared. Results: The anxiety level of group 3 was found to be significantly higher than those of groups 2 and groups 1 (p < 0.001). The mean depression score of group 3 was significantly higher than that of group 1. The depression scores of patients from different educational levels were similar; however, it was observed that the higher educational level of patients was significantly correlated with higher anxiety scores (p < 0.001). Conclusion: Our study showed that during COVID-19, the depression and anxiety scores of pregnant women approaching childbirth may be significantly higher than those of women with early pregnancies. The inclusion of psychological support in routine antenatal care for pregnant women in the third trimester should be considered to improve maternal and fetal outcomes.

Keywords

• Pregnancy
• COVID-19
• Depression
• Anxiety
• Psychology

Koronavirüs 19 Hastalığı Döneminde Komplike Gebeliği Olmayan Kadınlarda Anksiyete ve Depresyon Puanlarının Değerlendirilmesi: Bir Üçüncü Basamak Tek Merkez Deneyimi

Abstract

Amaç: Son zamanlarda meydana gelen koronavirüs salgını küresel ölçekte son derece önemli bir sağlık sorunu haline geldi. Gebe kadınların psikolojik durumu üzerindeki etkisi hala araştırılmaktadır. Bu çalışma, koronavirüs hastalığı döneminde komplike olmayan gebeliklerin anksiyete ve depresyon puanlarını değerlendirmeyi amaçladı. Gereçler ve Yöntem: Çalışmaya toplam 98 gebe dahil edildi. Hastalar gebeliğin trimesterlerine göre üç gruba ayrıldı. 21 maddelik Beck anksiyete ve Beck depresyon ölçekleri tüm katılımcılar tarafından tamamlandı. Anksiyete ve depresyon skorları ile grupların demografik bilgileri karşılaştırıldı. Bulgular: Grup 3'ün anksiyete düzeyi 2. ve 1. gruplardan anlamlı olarak yüksek bulunmuştur (p < 0.001). Grup 3'ün ortalama depresyon skoru grup 1'den anlamlı olarak yüksekti. Farklı eğitim düzeylerinden hastaların depresyon puanları benzerdi. Ancak hastaların eğitim düzeyleri arttıkça anksiyete skorları anlamlı olarak arttığını gözlemledik (p < 0.001). Sonuç: COVID-19 döneminde, doğuma yaklaşan gebe kadınların depresyon ve anksiyete puanlarının erken gebelikleri olan kadınlara göre önemli ölçüde daha yüksek olabileceğini göstermiştir. Üçüncü trimesterde gebe kadınların antenatal dönem izleminde psikolojik desteğe önem verilmesi gebelik ve doğum sonuçlarını iyileştirmek için gereklidir.

Keywords

• Gebelik
• COVID-19
• Depresyon
• Anksiyete
• Psikoloji

References

1. 1. Archer J, Bower P, Gilbody S, Lovell K, Richards D, Gask L, et al. Collaborative care for depression and anxiety problems. Cochrane Database of Systematic Reviews. 2012(10).
2. 2. Bjelica A, Cetkovic N, Trninic-Pjevic A, Mladenovic-Segedi L. The phenomenon of pregnancy—A psychological view. Ginekologia polska. 2018;89(2):102-6.
3. 3. Bayrampour H, Ali E, McNeil DA, Benzies K, MacQueen G, Tough S. Pregnancy-related anxiety: a concept analysis. International journal of nursing studies. 2016;55:115-30.
4. 4. Staneva A, Bogossian F, Pritchard M, Wittkowski A. The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: A systematic review. Women and Birth. 2015;28(3):179-93.
5. 5. Schetter CD, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Current opinion in psychiatry. 2012;25(2):141.
6. 6. Grigoriadis S, VonderPorten EH, Mamisashvili L, Tomlinson G, Dennis C-L, Koren G, et al. The impact of maternal depression during pregnancy on perinatal outcomes: a systematic review and meta-analysis. The Journal of clinical psychiatry. 2013;74(4):0-.
7. 7. Pearlstein T. Depression during pregnancy. Best Practice & Research Clinical Obstetrics & Gynaecology. 2015;29(5):754-64.
8. 8. Wallace AE, Anderson GM, Dubrow R. Obstetric and parental psychiatric variables as potential predictors of autism severity. Journal of autism and developmental disorders. 2008;38(8):1542-54.

9. 9. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The lancet. 2020;395(10223):507-13.
10. 10. Di Franco S, Alfieri A, Petrou S, Damiani G, Passavanti MB, Pace MC, et al. Current status of COVID-19 treatment: An opinion review. World journal of virology. 2020;9(3):27.
11. 11. Simsek Y, Ciplak B, Songur S, Kara M, Karahocagil M. Maternal and fetal outcomes of COVID-19, SARS, and MERS: a narrative review on the current knowledge. European Review for Medical and Pharmacological Sciences. 2020;24(18):9748-52.
12. 12. Şimşek Y, Çelik Ö, Yılmaz E, Karaer A, Yıldırım E, Yoloğlu S. Assessment of anxiety and depression levels of pregnant women with hyperemesis gravidarum in a case-control study. Journal of the Turkish German Gynecological Association. 2012;13(1):32.
13. 13. Beck AT, Ward C, Mendelson M, Mock J, Erbaugh J. Beck depression inventory (BDI). Arch Gen Psychiatry. 1961;4(6):561-71.
14. 14. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. Journal of consulting and clinical psychology. 1988;56(6):893.
15. 15. Kamis GZ, Erden Aki SO, Yildiz MI, Docan Varan H, Dolgun AB. The Validity and the Reliability of Turkish Version of the Self-Stigma of Depression Scale. 2019.
16. 16. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. Journal of cognitive psychotherapy. 1998;12(2):163.
17. 17. Mappa I, Distefano FA, Rizzo G. Effects of coronavirus 19 pandemic on maternal anxiety during pregnancy: a prospectic observational study. Journal of Perinatal Medicine. 2020;48(6):545-50.
18. 18. Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. Journal of affective disorders. 2020;277:5-13.
19. 19. Taubman–Ben-Ari O, Chasson M, Abu Sharkia S, Weiss E. Distress and anxiety associated with COVID-19 among Jewish and Arab pregnant women in Israel. Journal of reproductive and infant psychology. 2020;38(3):340-8.
20. 20. Durankuş F, Aksu E. Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: a preliminary study. The Journal of Maternal-Fetal & Neonatal Medicine. 2020:1-7.
21. 21. Moghanibashi-Mansourieh A. Assessing the anxiety level of Iranian general population during COVID-19 outbreak. Asian journal of psychiatry. 2020;51:102076.
22. 22. Wang Y, Di Y, Ye J, Wei W. Study on the public psychological states and its related factors during the outbreak of coronavirus disease 2019 (COVID-19) in some regions of China. Psychology, health & medicine. 2021;26(1):13-22.