The Effects of Prenatal Depression Levels on Prenatal Attachment: The Moderating Role of Childhood Trauma Experiences

Yıl 2024, Cilt: 13 Sayı: 2, 268 - 275, 28.08.2024

Cansu Akdağ Topal , Merve Mert Karadaş , İrem Karakurt , Handan Boztepe

https://doi.org/10.53424/balikesirsbd.1335795

Öz

Objective: This study was conducted to determine the effects of childhood traumas (ACE) and prenatal depression (BECK) on prenatal attachment. Materials and Methods: The study population consisted of 277 women in Ankara, Turkey who were pregnant from 05/01/2022 to 09/01/2022. The pregnant women in the sample were administered the prenatal attachment scale, prenatal depression scale, and childhood trauma scale. The data were analyzed using the descriptive statistics and quantile regression analysis. Results: The women's childhood trauma experiences mean score was 2.25±1.47 (min-max: 0.00-6.00), prenatal attachment mean score was 42.50±9.82 (min-max: 21.00-67.00), and depression mean score was 7.44±8.45 (min-max: 0.00-37.00). In terms of tau values, the R2 values for the 1st, 2nd, and 3rd quantile values were found to be 0.014, 0.016 and 0.007, respectively. According to these results, while the BECK variable was statistically significant for tau=0.25, the ACE variable was not. In the model, the BECK and ACE variables are statistically significant for tau=0.50 but not for tau=0.75. Conclusion: Our study has demonstrated that prenatal attachment levels can be negatively impacted by childhood traumas and prenatal depression. By taking necessary precautions and implementing programs, it is possible to positively impact prenatal attachment.

Anahtar Kelimeler

depression, prenatal attachment, adverse childhood experiences, pregnancy, nursing

Doğum Öncesi Depresyon Düzeylerinin Doğum Öncesi Bağlanmaya Etkisi: Çocukluk Çağı Travma Yaşantılarının Düzenleyici Rolü

Öz

Amaç: Bu çalışma, çocukluk çağı travmalarının ve prenatal depresyonun, prenatal bağlanma üzerindeki etkilerini belirlemek amacıyla yapılmıştır Gereç ve Yöntem: Araştırmanın örneklemini Ankara'da 05/01/2022- 09/01/2022 tarihleri arasında gebe olan 277 kadın oluşturmuştur. Gebelere prenatal bağlanma ölçeği, prenatal depresyon ölçeği ve çocukluk çağı travma ölçeği uygulandı. Veriler, tanımlayıcı istatistikler ve kantil regresyon analizi kullanılarak analiz edildi. Bulgular: Kadınların çocukluk çağı travma puan ortalamaları 2.25±1.47 (min-maks: 0.00-6.00), prenatal bağlanma puan ortalamaları 42.50±9.82 (min-maks: 21.00-67.00), depresyon puan ortalamaları 7.44±8.45 (min-maks: 0.00-37.00) olarak bulundu. Tau değerleri açısından 1., 2. ve 3. kantil değerleri için R2 değerleri sırasıyla 0.014, 0.016 ve 0.007 olarak bulunmuştur. Bu sonuçlara göre tau=0.25 için BECK değişkeni istatistiksel olarak anlamlı bulunurken, ACE değişkeni anlamlı çıkmamıştır. Modelde BECK ve ACE değişkenleri tau=0.50 için istatistiksel olarak anlamlı iken tau=0.75 için anlamlı değildir. Sonuç: Bu çalışma prenatal bağlanma düzeylerinin çocukluk çağı travmaları ve prenatal depresyondan olumsuz etkilenebileceğini göstermiştir.

Anahtar Kelimeler

depresyon, prenatal bağlanma, olumsuz çocukluk çağı deneyimleri, gebelik, hemşirelik

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