PSYCHOLOGICAL COMPONENT OF HYPEREMESIS GRAVIDARUM ETIOLOGY: A CRITICAL REVIEW

Year 2016, , 151 - 156, 15.12.2016

Murat Bulanık , Yavuz Şimşek

https://doi.org/10.24938/kutfd.273864

Cited By: 1

Abstract

Nause and vomiting affect
approximately 75% of pregnant women during the first trimester. Hyperemesis gravidarum
(HG) which characterised by intractable nausea and vomiting especially begins
the first trimester of pregnancy leading to nutritional deficiency, ketonuria,
weight loss, electrolyte imbalance and dehydratation. The etiopathogenesis of
disease which affect 0.5-2% pregnant women is unclear. Gastrointestinal, endocrinological,
infectious and immunological disorders are thought to be cause of hyperemesis
gravidarum. However the exact role in pathogenesis of the condition is unclear,
another suspected condition associated with hyperemesis gravidarum is psychological
factors. In this review, the
presence of the psychological component in the etiopathogenesis and the studies
done in this context are discussed in the light of the current knowledge.

Keywords

hyperemesis gravidarum, anxiety, depression

HİPEREMEZİS GRAVİDARUM ETYOLOJİSİNDE PSİKOLOJİK KOMPONENT: KRİTİK BİR DERLEME

Abstract

Bulantı
ve kusma şikâyeti ilk trimester gebelerin %75 ‘inde görülür. Hiperemezis
gravidarum (HG) ise, gebeliğin ilk trimesterinde başlayan şiddetli bulantı ve
kusmaya ek olarak beslenme bozukluğu, ketonüri, kilo kaybı, dehidratasyonve
elektrolit bozuklukları ile karakterize bir hastalıktır. Hamile kadınların %0.5-2
‘sini etkileyen hastalığın etyopatogenezi tam olarak bilinmemektedir.
Gastrointestinal, endokrinolojik, enfeksiyöz ve immunolojik bozuklukların
hiperemezis gravidaruma yol açtığı düşünülmektedir. Patogenezdeki yeri
tartışmalı olmakla birlikte HG ile ilişkilendirilen bir başka neden psikolojik
etmenlerdir. Bu derlemede HG' un etyopatogenezinde psikolojik komponentin
varlığı ve bu bağlamda yapılan çalışmalar güncel bilgiler ışığında
tartışılmıştır.

Keywords

hiperemezis gravidarum, anksiyete, depresyon

References

• 1. Jewel D, Young G. Intervetions for nausea and vomiting in earlypregnancy. The Cochrane Library, Issue 4. Chichester, UK: John Wiley&Sons, Ltd, 2003.
• 2. Black FO. Maternal susceptibility to nausea and vomiting of pregnancy: Isthe vestibular system involved? Am J Obstet Gynecol.2002; 186: 204-209
• 3. Jarnfelt-Samsioe A. Nausea and vomiting in pregnancy: a review. Obstet Gynecol Surv1987;42:422-427.
• 4. Gadsby R, Barnie-Adshead AM, Jagger C. A prospective study of nauseaand vomiting during pregnancy. Br J Gen Pract 1993; 43:245-248.
• 5. Bailit JL. Hyperemesis gravidarium: epidemiologic findings from a large cohort. Am J ObstetGynecol 2005;193:811-814.
• 6. Niebly JR. Clinical practise. Nause and vomiting in pregnancy. N Eng J Med 2010;363:1544-1550
• 7. Lee NM, Saha S. Nausea and vomiting of pregnancy. Gastroenterol Clin North Am 2011;40:309-334, vii
• 8. Sandven I, Abdelnoor M, Nesheim BI, Melby KK. Helicobacter pylori infection and hyperemesis gravidarum: a systematic review and meta-analysis of case-control studies. Acta Obstet Gynecol Scand 2009;88:1190-1200.
• 9. Katon WJ, Ries RK, Bokan JA, Kleinman A. Hyperemesis gravidarum: a biopsychosocial perspective. Int J Psychiatry Med 980;10:151-162.
• 10. Goodwin TM. Nausea and vomiting of pregnancy: an obstetric syndrome. AmJ Obstet Gynecol 2002;186(suppl):S184-189.
• 11. Andersson L, Sundström-Poromaa I, Bixo M. Point prevalence of psychiatric disorders during the second trimester of pregnancy: A population-based study. Am J Obstet Gynecol 2003; 189: 148-54
• 12. Vythilingum B. Anxiety disorders in pregnancy. Curr Psychiatry Rep 2008; 10: 331-5.
• 13. Iancu I, Kotler M, Spilvak B, Radvan M, VVeizman A:Pyschiatric aspecs of hyperemesis gravidarum. Psychoter Psychom 1994;61:143-149
• 14. Sugiura-Ogasawara M, Furukawara TA, Nakano Y, Hori S, Aoki K, Kitamura T. Depression as a potential causal factor in subsequent miscarriage in recurrent spontaneous abortion. Hum Reprod 2002; 17: 2580-4.
• 15. Nakano Y, Oshima M, Sugiura-Ogasawara M, Aoki K, Kitamura T, Furukawa TA. Psychosocial predictors of successful delivery after unexplained recurrent spontaneous abortions: A cohort study. Acta Psychiatr Scand 2004; 109: 440-6.
• 16. Wadhwa PD, Garite TJ, Porto M, Glynn L, Chicz-DeMet A, Dunkel- Schetter C, et al. Placental corticotropin-releasing hormone (CRH), spontaneous preterm birth, and foetal growth restriction: A prospective investigation. Am J Obst Gynecol 2004; 191: 1063-9.
• 17. Talge NM, Neal C, Glover V. Early stress, translational research and prevention science network: Fetal and neonatal experience on child and adolescent mental health. Antenatal maternal stres and long-term effects on child neurodevelopment: How and why? J Child Psychol Psychiatry 2007; 48: 245-61.
• 18. Vicente B, Kohn R, Rioseco P, Saldivia S, Baker C, Torres S. Population prevalence of psychiatric disorders in Chile: 6-month and 1-month rates. Br J Psychiatry 2004;84:299–305.
• 19. Faravelli C, Abrardi L, Bartolozzi D, Cecchi C, Cosci F, D'Adamo D, et al. The Sesto Fiorentino Study: point and one-year prevalences of psychiatric disorders in an Italian community sample using clinical interviewers. Psychother Psychosoms 2004;73:226–34.
• 20. Uguz F, Gezginc K, Kayhan F, Cicek E, Kantarci AH. Is hyperemesis gravidarum associated with mood, anxiety and personality disorders: A case-control study? Gen Hosp Psychiatry 2012; 34: 398–402.
• 21. 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. J Turkish-German Gynecol Assoc 2012; 13: 32-6
• 22. Mazzotta P, Stewart D, Atanakovic G, Koren G, Magee LA. Psychosocial morbidity among women with nausea and vomiting of pregnancy: Prevalence and association with antiemetic therapy. J Psychosom Obstet Gynaecol 2000; 21: 129–136.
• 23. Tan PC, Vani S, Lim BK, Omar SZ. Anxiety and depression in hyperemesis gravidarum: Prevalence, risk factors and correlation with clinical severity. Eur J Obstet Gynecol Reprod Biol 2010; 149: 153–158.
• 24. Annagur BB, Tazegul A, Gunduz S. Do psychiatric disorders continue during pregnancy in women with hyperemezis gravidarum: a prospective study. General Hospital Psychiatry 2013 35: 492-496
• 25. Simpson SW, Goodwin TM, Robins SB et al. Psychological factors and hyperemesis gravidarum. J Womens Health Gend Based Med 2001; 10: 471–477.
• 26. Bozzo P, Koren G, Nava-Ocampo AA, Einarson A. The incidence of nausea and vomiting of pregnancy (NVP): a comparison between depressed women treated with antidepressants and non-depressed women. Clin Invest Med 2006;29(6): 347–50.
• 27. Jackson HJ, Burgess PM. Personality disorders in the community: a report from the Australian National Survey of Mental Health and Wellbeing. Soc Psychiatry Psychiatr Epidemiol 2000;35:531–8.
• 28. Grant BF, Hasin DS, Stinson FS, Dawson DA, Chou SP, Ruan WJ, et al. Prevalence, correlates, and disability of personality disorders in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry 2004;65:948–58.
• 29. Samuels J, Eaton WW, Bienvenu III OJ, Brown CH, Costa Jr PT, Nestadt G. Prevalence and correlates personality disorders in a community sample. Br J Psychiatry 2002;180:536–42.
• 30. Johnson JG, Cohen P, Kasen S, Skodol AE, Oldham JM. Cumulative prevalence of personality disorders between adolescence and adulthood Acta Psychiatr Scand 2008;118:410–3.
• 31. D'Orazio LM, Meyerowitz BE, Korst LM, Romero R, Goodwin TM. Evidence against a link between hyperemesis gravidarum and personality characteristics from an ethnically diverse sample of pregnant women: a pilot study. J Womens Health 2011;20:137–44.
• 32. Annagur BB, Kerimoglu O, Gunduz S, Tazegul A. Are there any differences in psychiatric symptoms and eating attidudes between pregnant women with hyperemezis gravidarum and healty pregnant women?. J. Obstet Gynaecol. Res Vol.40, 2014;4:1009-1014
• 33. Conrad R, Schablewski J, Schilling G, Liedtke R. Worsening of symptoms of bulimia nervosa during pregnancy. Psychosomatics 2003; 44: 76–78.
• 34. Koubaa S, Hällström T, Lindholm C, Hirschberg AL. Pregnancy and neonatal outcomes in women with eating disorders. Obstet Gynecol 2005; 105: 255–260.
• 35. Morgan JF, Lacey JH, Sedgwick PM. Impact of pregnancy on bulimia nervosa. Br J Psychiatry 1999; 174: 135– 140.
• 36. Mitchell JE, Seim HC, Glotter D, Soll EA, Pyle RL. A retrospective study of pregnancy in bulimia nervosa. Int J Eat Disord 1991; 10: 209–214