Hyperemesis gravidarum, socio-cultural factors and maternal short psychiatric status

Abstract

Objective: This study sought to investigate the associations between Hyperemesis Gravidarum and both sociocultural factors and psychiatric status.

Material and Methods: A prospective non-randomized cohort design was employed. A total of 79 patients with Hyperemesis Gravidarum and 71 healthy pregnant women were enrolled. The study and control groups were compared according to results on the Brief Psychiatric Rating Scale and sociocultural factors specific to the region.

Results: Anxiety, somatic concern, tension, depressive mood, hostility, motor retardation, uncooperativeness, and blunted effect were found to be statistically significantly higher in patients with Hyperemesis Gravidarum(p< 0.01 and p<0.05). Furthermore, pregnant women living in extended families had statistically higher anxiety scores than those residing in nuclear families (p < 0.05).

Conclusion: Psychiatric status as well as sociocultural factors specific to the society in which the individuals live should be taken into account in assessments of patients with Hyperemesis Gravidarum.

Keywords

• Brief Psychiatric Rating Scale; Extended Families; Hyperemesis Gravidarum

Hyperemesis gravidarum, socio-cultural factors and maternal short psychiatric status

Abstract

References

1. Gadsby R, Barnie-Adshead AM, Jagger C. A prospective study of nausea and vomiting during pregnancy Br J Gen Pract. 1993;43:245–8.
2. McCarthy FP, Lutomski JE, Greene RA. Hyperemesis gravidarum: current perspectives. Int J Womens Health 2014:5;6:719-25.
3. Mazzotta P, Stewart D, Atanackovic G, Koren G, Magee LA. Psychosocial morbidity among women with nausea and vomiting of pregnancy: prevalence and association with anti-emetic therapy. J Psychosom Obstet Gynaecol 2000; 21:129–136.
4. Poursharif B, Korst LM, Fejzo MS, MacGibbon KW, Romero R, Goodwin TM. The psychosocial burden of hyperemesis gravidarum. J Perinatol 2008; 28:176–181.
5. Simpson SW, Goodwin TM, Robins SB, Rizzo AA, Howes RA, Buckwalter DK, et all. Psychological factors and hyperemesis gravidarum. J Womens Health Gend Based Med. 2001;10:471-7.
6. Bailit JL. Hyperemesis gravidarium: Epidemiologic findings from a large cohort. Am J Obstet Gynecol 2005;193:811-4.
7. Mazzotta P, Stewart D, Atanackovic G, Koren G, Magee LA. Psychosocial morbidity among women with nausea and vomiting of pregnancy: prevalence and association with anti-emetic therapy. J Psychosom Obstet Gynaecol 2000;21:129-36.
8. McCarthy FP, Khashan AS, North RA, Moss-Morris R, Baker PN,Dekker G, et all. SCOPE Consortium. A prospective cohort study investigating associations between hyperemesis gravidarum and cognitive, behavioural and emotional well-being in pregnancy. PLoS One 2011;6(11):e276-78.

9. Overall JE, Gorham DE The brief psychiatric rating scale. Psychol Rep 1962;10: 799-812.
10. Kim DR, Connolly KR, Cristancho P, Zappone M, Weinrieb RM. Psychiatric consultation of patients with hyperemesis gravidarum. Arch Womens Ment Health 2009;12:61-7.
11. 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(4):398-402.
12. Annagür BB, Tazegül A, Gündüz S. Do psychiatric disorders continue during pregnancy in women with hyperemesis gravidarum: a prospective study. Gen Hosp Psychiatry 2013;35(5):492-6.
13. Paul KI, Moser, K. Unemployment impairs mental health: Meta-analyses. Journal of Vocational Behavior 2009;74, 264-282.
14. Vilming B, Nesheim BI. Hyperemesis gravidarum in a contemporary population in Oslo. Acta Obstet Gynecol Scand 2000;79:640-3.
15. David M, Borde T, Siedentopf F. Do immigration and acculturation have an impact on hyperemesis gravidarum? Results of a study in Berlin/Germany. J Psychosom Obstet Gynaecol 2012;33:78-84.
16. Ezberci I, Güven ES, Ustüner I, Sahin FK, Hocaoğlu C. Disability and psychiatric symptoms in hyperemesis gravidarum patients. Arch Gynecol Obstet 2014;289:55-60.
17. Ozkan M, Altindag A, Oto R, Sentunali E. Mental health aspects of Turkish women from polygamous versus monogamous families. Int J Soc Psychiatry 2006;52(3):214-20