Gebelerin COVID-19 pandemi sürecinde yalnızlık ve prenatal bağlanma düzeylerinin belirlenmesi

Yıl 2024, Cilt: 8 Sayı: 2, 157 - 181

Öznur Tiryaki , Hamide Zengin , Nursan Çınar , Mehmet Sühha Bostancı

Öz

Araştırma, pandemi döneminde gebelik yaşayan kadınların prenatal bağlanma ve yalnızlık duyguları arasındaki ilişkisinin incelenmesi amacı ile gerçekleştirildi. Çalışmanın evrenini 2814 gebe, örneklemini ise gebeliğinin 20-38 haftaları arasında olan 360 kadın oluşturdu. Çalışma, bir kadın doğum polikliniğine başvuran gebelerle 1 Eylül-31 Aralık 2021 tarihleri arasında yürütüldü. Veriler, Kişisel Bilgi Formu, Doğum Öncesi Anne Bağlanma Ölçeği (DÖABÖ), UCLA Yalnızlık Ölçeği Versiyon-3 (UCLA LS-3) ölçeği ile toplandı. Gebelerin % 61.1’i 18-30 yaş arasındadır. Gebelerin sigara kullanma durumu ile DÖABÖ-Bağlanma Kalitesi alt boyutu arasında (p=0.025), toplam gebelik sayısı ile DÖABÖ-Bağlanma İçin Harcanan Zaman alt boyutu arasında (p=0.045), gebelikler arasındaki süre ile DÖABÖ toplam puan ve DÖABÖ-Bağlanma İçin Harcanan Zaman alt boyutu arasında (p=0.011; p=0.004), sağlık hizmeti desteği alma durumu ile UCLA-LS3 arasında (p=0.018) istatiksel olarak anlamlı ilişki saptandı. Katılımcıların UCLA LS-3 ile DÖABÖ ölçekleri arasında negatif yönde ilişki olduğu bulundu (r=-0.195; p=0.000). Bu sonuçlar doğrultusunda çok merkezli çalışmalar yapılarak gebelerde yalnızlık ve prenatal bağlanma düzeylerinin belirlenmesi önerilir.

Anahtar Kelimeler

Gebelik, Pandemi, Prenatal Bağlanma, Yalnızlık

Etik Beyan

Sakarya Üniversitesi Tıp Fakültesi Girişimsel Olmayan Etik Kurul

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

yok

The Determination of Loneliness and Prenatal Attachment Levels in Pregnant Women During the COVID-19 Pandemic

Öz

The study was carried out to examine the relationship between prenatal attachment and feelings of loneliness in women who were pregnant during the pandemic period. The population of the study consisted of 2814 pregnant women, and the sample consisted of 360 women between 20-38 weeks of pregnancy. The study was conducted between September 1 and December 31, 2021, with pregnant women who applied to the gynecology clinic. Data were collected with Personal Information Form, Maternal Antenatal Attachment Scale (MAAS), and UCLA Loneliness Scale Version-3 (UCLA LS-3) scale. It was determined that 61.1% of the pregnant women were between the ages of 18-30. Between smoking status and MAAS- Attachment quality sub-dimension (p=0.025), total number of pregnancies and MAAS-Time spent on attachment sub-dimension (p=0.045), time between pregnancies and MAAS Statistically significant correlations were found between total score, MAAS-Time spent on attachment sub-dimension (p=0.011; p=0.004), healthcare support status and UCLA-LS3 (p=0.018).Participants were found to have a negative correlation between UCLA LS-3 and MAAS scales (r= -0.195; p=0.000). It is recommended to determine loneliness and prenatal attachment levels in pregnant women by conducting multi-center studies.

Anahtar Kelimeler

Pregnancy, Pandemic, Prenatal Attachment, Loneliness

Proje Numarası

yok

Kaynakça

• Adlington, K., Vasquez, C., Pearce, E., Wilson, C.A., Nowland, R. Lever-Taylor, B., Spring, S., & Johnson, S. (2023). ‘Just snap out of it’ – the experience of loneliness in women with perinatal depression: a Meta-synthesis of qualitative studies. BMC Psychiatry, 23(1), 110. https://doi.org/10.1186/s12888-023-04532-2
• Agampodi, T.C., Wickramasinghe, N.D., Prasanna, R.I.R., Irangani, M.K.L., Banda, J.M.S., Jayathilake, P.M.B., Hettiarachchi, A., Amarasinghe, G., Jayasinghe, I., Koralagedara, I., Gunarathne, S.P., Wickramage, S., Warnasekara, J., Lokunarangoda, N., Mendis, V., Dissanayaka, A.K., Premadasa, J., Hettigama, N., Koralagedara, D., … Agampodi, S. B. (2020). The Rajarata Pregnancy Cohort (RaPCo): study protocol. BMC Pregnancy and Childbirth, 20(1), 374. https://doi.org/10.1186/s12884-020-03056-x
• Akdağ, B., Erdem, D., Bektaş, M., & Yardımcı, F. (2023). Maternal prenatal attachment during the COVID-19 pandemic: exploring the roles of pregnancy-related anxiety, risk perception, and well-being. Archives Of Women's Mental Health, 26(5), 651–658. https://doi.org/10.1007/s00737-023-01343-y
• Arguz Cildir, D., Ozbek, A., Topuzoglu, A., Orcin, E., & Janbakhishov, C.E. (2020). Association of prenatal attachment and early childhood emotional, behavioral, and developmental characteristics: A longitudinal study. Infant Mental Health Journal, 41(4), 517–529. https://doi.org/10.1002/imhj.21822
• Aslantekin-Özçoban, F., Yalnız-Dilcen, H., Kaynak, S., & Uzel, N. (2020). The effect of smoking during pregnancy on prenatal attachment. Online Türk Sağlık Bilimleri Dergisi, 5(3), 444-454. doi: 10.26453/otjhs.696268
• Badem, A., & Zeyneloğlu, S. (2021). Gebelerin prenatal bağlanma düzeyleri ve etkileyen faktörlerin belirlenmesi. Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 1(1), 37-47.
• Bal, Z., Can-Kantar, E., & Uçar, T. (2021). Lohusalarda yalnızlık hissinin sosyal destek, emzirme ve maternal bağlanma ile ilişkisi. SBÜ Hemşirelik Dergisi, 3(1), 21-28. https://doi.org/10.48071/sbuhemsirelik.833156
• Bernardon, S., Babb, K.A., Hakim-Larson, J., & Gragg, M. (2011). Loneliness, attachment, and the perception and use of social support in university students. Canadian Journal Of Behavioural Science, 43(1), 40–51. https://doi.org/10.1037/a0021199
• Blackburn, C. (2018). How the devastating 1918 flu pandemic helped advance US women’s rights. https://theconversation.com/how-the-devastating-1918-flu-andemic-helped-advanceus-womensrights-91045
• Bloom, K.C. (1995). The development of attachment behaviors in pregnant adolecents. Nursing Research, 44, 284-289.
• Bu, F., Steptoe, A., & Fancourt, D. (2020). Who is lonely in lockdown? Cross-cohort analyses of predictors of loneliness before and during the COVID-19 pandemic. Public Health, 186, 31–34. https://doi.org/10.1016/j.puhe.2020.06.036
• Condon, J. T. (1993). The assessment of antenatal emotional attachment: development of a questionnaire instrument. The British Journal Of Medical Psychology, 66(2), 167–183. https://doi.org/10.1111/j.2044-8341.1993.tb01739.x
• Corbett, G.A., Milne, S.J., Hehir, M.P., Lindow, S.W., & O’Connell, M.P (2020). Health anxiety and behavioural changes of pregnant women during the COVID-19 pandemic. European Journal of Obstetrics & Gynecology and Reproductive Biology, 249, 96-97. https://doi.org/10.1016/j.ejogrb.2020.04.022
• Costa, S.M.M., Ramos, F.C.N., Barbosa, E., & Bahlis, S.N. (2020). Aspectos sociais das relações entre depressão e isolamento dos idosos. Social aspects of the relationship between depression and isolation of the elderly. GIGAPP Estudios Working Papers, 7(155), 292-308.
• Cozby, P., & Bates, S. (2012). Methods in behavioral research. McGraw-Hill.
• da Rosa, K.M., Scholl, C.C., Ferreira, L.A., Trettim, J.P., da Cunha, G.K., Rubin, B.B., & de Matos, M.B. (2021). Maternal-fetal attachment and perceived parental bonds of pregnant women. Early Human Development, 154, 105310. https://doi.org/10.1016/j.earlhumdev.2021.105310
• Della Vedova, A.M., & Burro, R. (2017) Surveying prenatal attachment in fathers: the Italian adaptation of the Paternal Antenatal Attachment Scale (PAAS-IT). Journal of Reproductive and Infant Psychology, 35, 493–508.
• Durak, M., & Senol-Durak, E. (2010). Psychometric Qualities of the UCLA Loneliness Scale-Version 3 as Applied in Turkish Culture. Educational Gerontology, 36 (10-11), 988-1007. https://doi.org/10.1080/03601271003756628
• Elkin, N. (2015). Levels of prenatal attachment in pregnant women and factors affecting. Sted, 24(6), 230-236.
• Erdemoğlu, Ç. (2016). Fetusun cinsiyetinin prenatal bağlanma ve algılanan sosyal destek düzeyi ile ilişkisinin saptanması (Yayın No. 437516) [Yüksek Lisans Tezi, İnönü Üniversitesi]. Yükseköğretim Kurulu Ulusal Tez Merkezi.
• Ergin, I., Hassoy, H., Tanik, F. A., & Aslan, G. (2010). Maternal age, education level and migration: socioeconomic determinants for smoking during pregnancy in a field study from Turkey. BMC Public Health, 10, 325. https://doi.org/10.1186/1471-2458-10-325
• Erözkan, A. (2004). Lise öğrencilerinin bağlanma stilleri ve yalnızlık düzeylerinin bazı değişkenlere göre incelenmesi. Atatürk Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 4, 155-175.
• Ertmann, R. K., Bang, C. W., Kriegbaum, M., Væver, M. S., Kragstrup, J., Siersma, V., Wilson, P., Lutterodt, M. C., & Smith-Nielsen, J. (2021). What factors are most important for the development of the maternal-fetal relationship? A prospective study among pregnant women in Danish general practice. BMC Psychology, 9(1), 2. https://doi.org/10.1186/s40359-020-00499-x
• Feldman, J.B. (2007). The Effect of support expectations on prenatal attachment: An Evidence-based approach for ıntervention in an adolescent population. Child Adolescent Social Work Journal, 24, 209–234. https://doi.org/10.1007/s10560-007-0082-0
• Feng, Y. H., Yue, H. X., Zhan, Y. L., Shi, Y. J., Chen, Y. L., Wang, Y. W., Wu, S. S., Cai, S. Y., & Jiang, Y. (2021). Study on mental health status of pregnant women and its influencing factors in the third trimester. Chinese Journal of Epidemiology, 42(5), 853–858. https://doi.org/10.3760/cma.j.cn112338-20200827-01102
• Gölbası, Z., Uçar, T., & Tuğut, N. (2015). Validity and reliability of the Turkish version of the Maternal Antenatal Attachment Scale. Japan journal of nursing science. Japan Journal of Nursing Science, 12(2), 154–161. https://doi.org/10.1111/jjns.12052
• Houghton, S., Hattie, J., Wood, L., Carroll, A., Martin, K., & Tan, C. (2014). Conceptualising loneliness in adolescents: development and validation of a self-report instrument. Child Psychiatry And Human Development, 45(5), 604–616. https://doi.org/10.1007/s10578-013-0429-z
• Kang, H. W., Park, M., & Wallace Hernandez, J. P. (2018). The impact of perceived social support, loneliness, and physical activity on quality of life in South Korean older adults. Journal of Sport and Health Science, 7(2), 237–244. https://doi.org/10.1016/j.jshs.2016.05.003
• Kapan, M., & Yanıkkerem, E. (2016). Kırsal ve kentsel alanda yaşayan gebelerin depresyon, yalnızlık ve şiddete maruz kalma durumları. TAF Preventive Medicine Bulletin, 15(5), 431-439.
• Keefe, R.H., Brownstein-Evans, C, & Polmanteer, R.R. (2016). “I find peace there”: how faith, church, and spirituality help mothers of colour cope with postpar tum depression. Mental Health, Religion & Culture, 19(7), 722–733. https://doi.org/10.1080/13674676.2016.1244663
• Leondari, A. & Kiosseoglou, G. (2000). The relationship of parental attachment and psychological separation to the psychological functioning of young adults. Journal of Social Psychology, 140, 451-466.
• Lee, Y., & Ko, Y.G. (2018). Feeling lonely when not socially isolated: social isolation moderates the association between loneliness and daily social interaction. Journal of Social and Personal Relationships, 35(10), 1340-1355. https://doi.org/10.1177/0265407517712902
• Lykes, V.A., & Kemmelmeier, M. (2014). What Predicts Loneliness? Cultural Difference Between Individualistic and Collectivistic Societies in Europe. Journal of Cross-Cultural Psychology, 45(3), 468–490. https://doi.org/10.1177/0022022113509881
• Magee, S. R., Bublitz, M. H., Orazine, C., Brush, B., Salisbury, A., Niaura, R., & Stroud, L. R. (2014). The relationship between maternal-fetal attachment and cigarette smoking over pregnancy. Maternal and Child Health Journal, 18(4), 1017–1022. https://doi.org/10.1007/s10995-013-1330-x
• Massey, S. H., Reiss, D., Neiderhiser, J. M., Leve, L. D., Shaw, D. S., & Ganiban, J. M. (2016). Maternal personality traits associated with patterns of prenatal smoking and exposure: Implications for etiologic and prevention research. Neurotoxicology and Teratology, 53, 48–54. https://doi.org/10.1016/j.ntt.2015.11.010
• Mata, L.R.F.D., Kuznier, T.P., Menezes, A.C., Azevedo, C., Amaral, F.M.A., & Chianca, T.C.M. (2021). Validity and reliability of the UCLA Loneliness Scale version 3 among aged Brazilians. Escola Anna Nery, 26(e20210087), 1-8.
• Mutlu, C., Yorbik, O., Tanju, I., Çelikel, F., & Sezer, R. (2015). Doğum öncesi, doğum sırası ve doğum sonrası etkenlerin annenin bağlanması ile ilişkisi. Anatolian Journal of Psychiatry, 16(6), 442-450.
• Müller, M.E. (1996). Prenatal and Postnatal Attachment: A Modest Correlation. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 25(2), 161–166. https://doi.org/10.1111/j.1552-6909.1996.tb02420.x
• Özdemir, H., & Tatar, A. (2019). Genç yetişkinlerde yalnızlığın yordayıcıları: Depresyon, kaygı, sosyal destek, duygusal zekâ. Kıbrıs Türk Psikiyatri ve Psikoloji Dergisi, 1(2), 93-101. https://doi.org/10.35365/ctjpp.19.1.11
• Pagano, R.R. (2009). Understanding statistics in the behavioral sciences. Wadsworth Cengage Learning.
• Perzow, S.E.D., Hennessey, E.P., Hoffman, M.C., Grote, N.K., Davis, E.P., & Hankin, B.L. (2021). Mental health of pregnant and postpartum women in response to the COVID-19 pandemic. Journal of Affective Disorders Reports, 4, 100123. https://doi.org/10.1016/j.jadr.2021.100123
• Recto, P., & Champion, J.D. (2020). Social support and perinatal depression: the perspectives of Mexican-American adolescent mothers. Issues Mental Health Nursing, 41(10), 932–939. https://doi.org/10.1080/01612840. 2020.1731027
• Russell, D.W. (1996). UCLA Loneliness Scale (version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), 20-40. https://doi.org/10.1207/s15327752jpa6601_2
• Schaal, N.K., Marca-Ghaemmaghami, P.L., Märthesheimer, S., Hepp, P., Preis, H., Mahaffey, B., Lobel, M., & Castro, R.A. (2023). Associations of stress, anxiety, and partner satisfaction with maternal-fetal attachment in women pregnant during the COVID-19 pandemic: an online study. BMC Pregnancy Childbirth, 23(1), 483. https://doi.org/10.1186/s12884-023-05804-1
• Skoura, R., Michailidou, E.M., Eskitzis, P., Kalogiannidis, I., Daniilidis, A., Orovou, E., & Paulidou, K. (2023). Stress Pregnancy, Covid-19 And A Solve: Telehealth. International Journal of Advances in Engineering and Management, 5(4), 1798-1801.
• Spence, R., Jacobs, C., & Bifulco, A. (2018). Attachment style, loneliness and depression in older age women. Aging & Mental Health, 24(5), 837–839. https://doi.org/10.1080/13607863.2018.1553141
• Şahin-Bayraktar, H.G., & Seven, S. (2022). The interrelationship of attachment style, sense of loneliness, and social dissatisfaction in children aged 60–72 months. Current Psychology, 41(6), 3751-3759. https://doi.org/10.1007/s12144-020-00888-w
• Şeker, M., Özer, A., Tosun, Z., Korku, C. & Doğrul, M. (2020). COVID-19 Pandemi Değerlendirme Raporu. https://www.tuba.gov.tr/files/images/2020/kovidraporu/Covid-19%20Raporu-Final+.pdf
• Tarhan, P. & Yılmaz, T. (2016). Gebelikte sigara kullanımı ve etkileyen faktörler. Sağlık Bilimleri ve Meslekleri Dergisi, 3(3), 140-147.
• T.C. Sağlık Bakanlığı COVID-19 Bilgilendirme Platformu. (2020). Koronavirüs Riskine Karşı 14 Kural Kamu Spotu. https://covid19.saglik.gov.tr/TR-66177/koronavirus-riskine-karsi-14-kural-kamu-spotu.html
• Turan, Z., Kurt, G., & Arslan, H. (2020). Graviditenin sosyal destek algısı ve prenatal bağlanma düzeyine etkisi. Cukurova Medical Journal, 45(3), 1126-1136. https://doi.org/10.17826/cumj.732070261136
• Ünal, N. (2022). Pandemide Sosyal Hayat ve Aile Yaşam. In F. Kocaay (Ed.), COVID-19 pandemisinin olumlu ve olumsuz etkileri (pp. 53-75). Medipol Üniversitesi Yayınları.
• World Health Organization (WHO) (2023). Coronavirus (COVID-19) Dashboard. https://covid19.who.int/
• Yalnızoğlu Çaka, S., Uslu Yuvacı, H., Pekşen, S., & Çınar, N. (2023). Relationship between loneliness, social support and readiness for hygienic care of the newborn in pregnant women. Online Türk Sağlık Bilimleri Dergisi, 8(1), 59-65. https://doi.org/10.26453/otjhs.1133951
• Yanguas, J., Pinazo-Henandis, S., & Tarazona-Santabalbina, F. J. (2018). The complexity of loneliness. Acta bio-medica: Atenei Parmensis, 89(2), 302–314. https://doi.org/10.23750/abm.v89i2.7404