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Evaluation of Depression and Pregnancy Distress Levels of Pregnants in the COVID-19 Pandemic

Yıl 2024, Cilt: 40 Sayı: 2, 197 - 205, 29.08.2024
https://doi.org/10.53490/egehemsire.1159960

Öz

Objective: The aim of this study is to evaluate the depression and distress levels in pregnant women during the COVID-19 pandemic.
Methods: Our study is a descriptive and cross-sectional study. Between May 2021 and October 2021, 466 people who were Turkish citizens and were pregnant for at least 3 months were included in the study. The study material consists of three parts. The first part includes the descriptive information form, the second part includes the Beck Depression Inventory, and the third part includes the Tilburg Pregnancy Distress Scale.
Results: It was determined that 22.5% of the pregnant women who participated in the study were in the 33-37 age group, 39.5% were high school graduates, almost all of them were married, more than half were housewives, 34.3% perceived their income as medium, 34.5% were between 13-25 weeks of gestation. In addition, it was determined that 76.2% of them did not have coronavirus, but almost all of them had the fear of catching the coronavirus, and nearly half of them were afraid of catching the coronavirus due to the fear of losing their baby. It was determined that 27.5% of the pregnant women who participated in the study experienced severe depression. Depression of varying severity was found in a significant portion of the pregnant women included in the study. In addition, it was determined that more than half of the pregnant women experienced negative affect, did not participate in the spouse and experienced distress.
Conclusion: Evaluation of severe distress and depressive disorders, which may have important perinatal consequences; It is suggested that it a convenient and necessary step should be included in routine pregnancy follow-up in the current COVID-19 pandemic and future pandemic processes.

Kaynakça

  • Aydın Doğan, R., Kızılkaya, T., Hancıoğlu Aytaç, S. ve Taşlar, N. (2020). COVID-19 pandemisinde; gebelik, doğum ve doğum sonu dönemde kadınların sosyal destek gereksinimi ve ebelik yaklaşımları. Turkish Studies, 15(4), 679-690.
  • Berthelot, N., Lemieux, R., Garon-Bissonnette, J., Drouin-Maziade, C., Martel, E. ve Maziade, M. (2020). Uptrend in distress and psychiatric symptomatology in pregnant women during the COVID-19 pandemic. Acta Obstet Gynecol Scand, 99(7), 848-855.
  • Bayrampour, H., Tomfohr, L. ve Tough, S. (2016). Trajectories of perinatal depressive and anxiety symptoms in a community cohort. J Clin Psychiatry, 77(11), e1467-e1473.
  • Cascella, M., Rajnik, M., Cuomo, A., Dulebohn, S.C. ve Di Napoli, R. (2020). Features, Evaluation, and Treatment of Coronavirus (COVID-19). NCBI Bookshelf. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.
  • Çapık, A. (2013). Tilburg gebelikte distres ölçeği’ nin geçerlilik ve güvenilirlik çalışması. Doktora Tezi. Atatürk Üniversitesi, Sağlık Bilimleri Enstitüsü. Erzurum, Türkiye.
  • Geren, A. (2020). Covıd-19 Pandemisinin gebelerde oluşturduğu depresyon ve anksiyete şiddetinin değerlendirilmesi. Uzmanlık Tezi. Akdeniz Üniversitesi, Tıp Fakültesi. Antalya, Türkiye.
  • Ghazanfarpour, M., Bahrami, F., Fakari, F.R., Ashrafinia, F., Babakhanian, M., Dordeh, M. ve Abdi, F. (2021). Prevalence of anxiety and depression among pregnant women during the COVID-19 pandemic: a meta-analysis. J Psychosom Obstet Gynecol, 1-12.
  • Hisli, N. (1989). Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği ve güvenirliği. Psikoloji Dergisi, 7(23), 3-13.
  • Huang, Y. ve Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res, 288, 112954.
  • Kajdy, A., Feduniw, S., Ajdacka, U., Modzelewski, J., Baranowska, B., Sys, D., … Poon, L.C. (2020). Risk factors for anxiety and depression among pregnant women during the COVID-19 pandemic: A web-based crosssectional survey. Medicine (Baltimore), 99(30), e21279.
  • Knight, M., Bunch, K., Vousden, N., Morris, E., Simpson, N., Gale, C., … Kurinczuk, J.J. (2020). Characteristics and outcomes of pregnant women admitted to hospital with confirmed SARS-CoV-2 infection in UK: national population based cohort study. BMJ. 369, m2107.
  • Lebel, C., MacKinnon, A., Bagshawe, M., Tomfohr-Madsen, L. ve Giesbrecht, G. (2020). Elevated depression and anxiety among pregnant individuals during the COVID-19 pandemic. J Affect Disord, 277, 5-13.
  • Lima, C.K.T., de Medeiros Carvalho, P.M., de Araujo Araruna Silva Lima, I., de Oliveira Nunes, J.V.A., Saraiva, J.S., de Souza, R.I., … Neto, M.L.R. (2020). The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease). Psychiatry Res, 287, 112915.
  • Novel Coronavirus 2019 (COVID-19). Erişim tarihi: 28.09.2021. https://www.acog.org/ clinical/clinical-guidance/ practiceadvisory/articles/2020/03/novel-coronavirus-2019.
  • Özdin, S. ve Bayrak Özdin, Ş. (2020). Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. Int J Soc Psychiatry, 66(5), 504-511.
  • Panagiotakopoulos, L., Myers, T.R., Gee, J., Lipkind, H.S., Kharbanda, E.O., Ryan, D.S., … Weintraub, E.S. (2020). SARS-CoV-2 Infection among hospitalized pregnant women: Reasons for admission and pregnancy characteristics- Eight U.S. Health Care Centers., Morb Mortal Wkly Rep (MMWR), 69(38), 1355–1359.
  • Ran, L., Wang, W., Ai, M., Kong, Y., Chen, J. ve Kuang, L. (2020). Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: A study of the general population in China at the peak of its epidemic. Soc Sci Med, 262, 113261.
  • Rasmussen, S.A., Smulian, J.C., Lednicky, J.A., Wen, T.S. ve Jamieson, D.J. (2020). Coronavirus Disease 2019 (COVID-19) and pregnancy: What obstetricians need to know. Am J Obstet Gynecol, 222(5), 415-426.
  • Schwartz, D.A. (2020). An analysis of 38 pregnant women with COVID-19, their newborn infants, and maternal-fetal transmission of SARS-CoV-2: Maternal coronavirus infections and pregnancy outcomes. Arch Pathol Lab Med, 144(7), 799-805.
  • Shi, L., Lu, Z.A., Que, J.Y., Huang, X.L., Liu, L., Ran, M.S., … Lu, L. (2020). Prevalence of and risk factors associated with mental health symptoms among the general population in China during the coronavirus disease 2019 pandemic. JAMA Netw Open, 3(7), e2014053.
  • Stepowicz, A., Wencka, B., Bienkiewicz, J., Horzelski, W. ve Grzesiak, M. (2020). Stress and anxiety levels in pregnant and post-partum women during the COVID-19 pandemic. Int J Environ Res Public Health, 17(24), 9450.
  • Şen, E. ve Şirin, A. (2013). Preterm eylem tanısı alan gebelerin kaygı, depresyon ve algılanan sosyal destek düzeyini etkileyen faktörler. Gaziantep Medical Journal, 19(3), 159-163.
  • Verbeek, T., Arjadi, R., Vendrik, J.J., Burger, H. ve Berger, M.Y. (2015). Anxiety and depression during pregnancy in Central America: a cross-sectional study among pregnant women in the developing country Nicaragua. BMC Psychiatry, 15, 292.
  • Vizzini, L., Popovic, M., Zugna, D., Vitiello, B., Trevisan, M., Pizzi, C., … Richiardi, L. (2019). Maternal anxiety, depression and sleep disorders before and during pregnancy, and preschool ADHD symptoms in the NINFEA birth cohort study. Epidemi Psychiatr Sci, 28(5), 521-531.
  • Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C.S. ve Ho, R.C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health, 17(5), 1729.
  • Woody, C.A., Ferrari, A.J., Siskind, D.J., Whiteford, H.A. ve Harris, M.G. (2017). A systematic review and meta-regression of the prevalence and incidence of perinatal depression. J Affect Disord, 219, 86- 92.
  • Yonkers, K.A., Gilstad-Hayden, K., Forray, A. ve Lipkind, H.S. (2017). Association of panic disorder, generalized anxiety disorder, and benzodiazepine treatment during pregnancy with risk of adverse birth outcomes. JAMA Psychiatry, 74(11), 1145-1152.
  • Zhong, B.L., Luo, W., Li, H.M., Zhang, Q.Q., Liu, X.G., Li, W.T. ve Li, Y. (2020). Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci, 16(10), 1745-1752.

COVID-19 Pandemisinde Gebelerin Depresyon ve Gebelik Distres Düzeylerinin Değerlendirilmesi

Yıl 2024, Cilt: 40 Sayı: 2, 197 - 205, 29.08.2024
https://doi.org/10.53490/egehemsire.1159960

Öz

Amaç: Bu çalışmanın amacı, COVID-19 pandemisi döneminde gebelerdeki depresyon ve distres düzeylerinin değerlendirilmesidir.
Yöntem: Çalışmamız tanımlayıcı ve kesitsel tipte bir araştırmadır. Mayıs 2021-Ekim 2021 tarihleri arasında T.C. vatandaşı olan en az 3 aylık gebe olan 466 kişi çalışmaya dahil edilmiştir. Çalışma materyali üç bölümden oluşmaktadır. Birinci kısımda tanımlayıcı bilgi formu, ikinci kısımda Beck Depresyon Envanteri, üçüncü kısımda ise Tilburg Gebelikte Distres Ölçeği yer almaktadır.
Bulgular: Araştırmaya katılan gebelerin %22.5’inin 33-37 yaş grubunda, %39.5’inin lise mezunu, tamamına yakınının evli olduğu, yarıdan fazlasının ev hanımı olduğu, %34.3’ünün gelir durumunu orta algıladığı, %34.5’inin 13-25 arası gebelik haftasında olduğu belirlenmiştir. Ayrıca %76.2’sinin koronavirüs geçirmediği ancak tamamına yakınının koronavirüse yakalanma korkusu yaşadığı ve yarısına yakınının bebeğini kaybetme korkusundan dolayı koronavirüse yakalanma korkusu yaşadığı belirlenmiştir. Çalışmaya katılan gebelerin %27.5’inde şiddetli düzeyde depresyon yaşadığı belirlenmiştir. Çalışmaya dahil edilen gebelerin önemli bir bölümünde değişen şiddetlerde depresyon saptanmıştır. Ayrıca gebelerin yarısından fazlasının olumsuz duygulanım yaşadıkları, eş katılımının olmadığı ve distres yaşadıkları belirlenmiştir.
Sonuç: Önemli perinatal sonuçları olabilecek ciddi distres ve depresif bozuklukların değerlendirilmesi; mevcut COVID-19 pandemisi ve gelecekteki pandemi süreçlerinde rutin gebelik takibine uygun ve gerekli bir adım olarak dahil edilmesi önerilmektedir.

Teşekkür

Çalışmamıza destek veren tüm gebelere teşekkür eder, sağlık ve mutluluklar dileriz.

Kaynakça

  • Aydın Doğan, R., Kızılkaya, T., Hancıoğlu Aytaç, S. ve Taşlar, N. (2020). COVID-19 pandemisinde; gebelik, doğum ve doğum sonu dönemde kadınların sosyal destek gereksinimi ve ebelik yaklaşımları. Turkish Studies, 15(4), 679-690.
  • Berthelot, N., Lemieux, R., Garon-Bissonnette, J., Drouin-Maziade, C., Martel, E. ve Maziade, M. (2020). Uptrend in distress and psychiatric symptomatology in pregnant women during the COVID-19 pandemic. Acta Obstet Gynecol Scand, 99(7), 848-855.
  • Bayrampour, H., Tomfohr, L. ve Tough, S. (2016). Trajectories of perinatal depressive and anxiety symptoms in a community cohort. J Clin Psychiatry, 77(11), e1467-e1473.
  • Cascella, M., Rajnik, M., Cuomo, A., Dulebohn, S.C. ve Di Napoli, R. (2020). Features, Evaluation, and Treatment of Coronavirus (COVID-19). NCBI Bookshelf. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.
  • Çapık, A. (2013). Tilburg gebelikte distres ölçeği’ nin geçerlilik ve güvenilirlik çalışması. Doktora Tezi. Atatürk Üniversitesi, Sağlık Bilimleri Enstitüsü. Erzurum, Türkiye.
  • Geren, A. (2020). Covıd-19 Pandemisinin gebelerde oluşturduğu depresyon ve anksiyete şiddetinin değerlendirilmesi. Uzmanlık Tezi. Akdeniz Üniversitesi, Tıp Fakültesi. Antalya, Türkiye.
  • Ghazanfarpour, M., Bahrami, F., Fakari, F.R., Ashrafinia, F., Babakhanian, M., Dordeh, M. ve Abdi, F. (2021). Prevalence of anxiety and depression among pregnant women during the COVID-19 pandemic: a meta-analysis. J Psychosom Obstet Gynecol, 1-12.
  • Hisli, N. (1989). Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği ve güvenirliği. Psikoloji Dergisi, 7(23), 3-13.
  • Huang, Y. ve Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res, 288, 112954.
  • Kajdy, A., Feduniw, S., Ajdacka, U., Modzelewski, J., Baranowska, B., Sys, D., … Poon, L.C. (2020). Risk factors for anxiety and depression among pregnant women during the COVID-19 pandemic: A web-based crosssectional survey. Medicine (Baltimore), 99(30), e21279.
  • Knight, M., Bunch, K., Vousden, N., Morris, E., Simpson, N., Gale, C., … Kurinczuk, J.J. (2020). Characteristics and outcomes of pregnant women admitted to hospital with confirmed SARS-CoV-2 infection in UK: national population based cohort study. BMJ. 369, m2107.
  • Lebel, C., MacKinnon, A., Bagshawe, M., Tomfohr-Madsen, L. ve Giesbrecht, G. (2020). Elevated depression and anxiety among pregnant individuals during the COVID-19 pandemic. J Affect Disord, 277, 5-13.
  • Lima, C.K.T., de Medeiros Carvalho, P.M., de Araujo Araruna Silva Lima, I., de Oliveira Nunes, J.V.A., Saraiva, J.S., de Souza, R.I., … Neto, M.L.R. (2020). The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease). Psychiatry Res, 287, 112915.
  • Novel Coronavirus 2019 (COVID-19). Erişim tarihi: 28.09.2021. https://www.acog.org/ clinical/clinical-guidance/ practiceadvisory/articles/2020/03/novel-coronavirus-2019.
  • Özdin, S. ve Bayrak Özdin, Ş. (2020). Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. Int J Soc Psychiatry, 66(5), 504-511.
  • Panagiotakopoulos, L., Myers, T.R., Gee, J., Lipkind, H.S., Kharbanda, E.O., Ryan, D.S., … Weintraub, E.S. (2020). SARS-CoV-2 Infection among hospitalized pregnant women: Reasons for admission and pregnancy characteristics- Eight U.S. Health Care Centers., Morb Mortal Wkly Rep (MMWR), 69(38), 1355–1359.
  • Ran, L., Wang, W., Ai, M., Kong, Y., Chen, J. ve Kuang, L. (2020). Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: A study of the general population in China at the peak of its epidemic. Soc Sci Med, 262, 113261.
  • Rasmussen, S.A., Smulian, J.C., Lednicky, J.A., Wen, T.S. ve Jamieson, D.J. (2020). Coronavirus Disease 2019 (COVID-19) and pregnancy: What obstetricians need to know. Am J Obstet Gynecol, 222(5), 415-426.
  • Schwartz, D.A. (2020). An analysis of 38 pregnant women with COVID-19, their newborn infants, and maternal-fetal transmission of SARS-CoV-2: Maternal coronavirus infections and pregnancy outcomes. Arch Pathol Lab Med, 144(7), 799-805.
  • Shi, L., Lu, Z.A., Que, J.Y., Huang, X.L., Liu, L., Ran, M.S., … Lu, L. (2020). Prevalence of and risk factors associated with mental health symptoms among the general population in China during the coronavirus disease 2019 pandemic. JAMA Netw Open, 3(7), e2014053.
  • Stepowicz, A., Wencka, B., Bienkiewicz, J., Horzelski, W. ve Grzesiak, M. (2020). Stress and anxiety levels in pregnant and post-partum women during the COVID-19 pandemic. Int J Environ Res Public Health, 17(24), 9450.
  • Şen, E. ve Şirin, A. (2013). Preterm eylem tanısı alan gebelerin kaygı, depresyon ve algılanan sosyal destek düzeyini etkileyen faktörler. Gaziantep Medical Journal, 19(3), 159-163.
  • Verbeek, T., Arjadi, R., Vendrik, J.J., Burger, H. ve Berger, M.Y. (2015). Anxiety and depression during pregnancy in Central America: a cross-sectional study among pregnant women in the developing country Nicaragua. BMC Psychiatry, 15, 292.
  • Vizzini, L., Popovic, M., Zugna, D., Vitiello, B., Trevisan, M., Pizzi, C., … Richiardi, L. (2019). Maternal anxiety, depression and sleep disorders before and during pregnancy, and preschool ADHD symptoms in the NINFEA birth cohort study. Epidemi Psychiatr Sci, 28(5), 521-531.
  • Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C.S. ve Ho, R.C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health, 17(5), 1729.
  • Woody, C.A., Ferrari, A.J., Siskind, D.J., Whiteford, H.A. ve Harris, M.G. (2017). A systematic review and meta-regression of the prevalence and incidence of perinatal depression. J Affect Disord, 219, 86- 92.
  • Yonkers, K.A., Gilstad-Hayden, K., Forray, A. ve Lipkind, H.S. (2017). Association of panic disorder, generalized anxiety disorder, and benzodiazepine treatment during pregnancy with risk of adverse birth outcomes. JAMA Psychiatry, 74(11), 1145-1152.
  • Zhong, B.L., Luo, W., Li, H.M., Zhang, Q.Q., Liu, X.G., Li, W.T. ve Li, Y. (2020). Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci, 16(10), 1745-1752.
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Özgün Araştırma
Yazarlar

Sema İçel 0000-0002-5106-4552

Arzu Aydoğan 0000-0001-9924-0589

Nesibe Günay Molu 0000-0002-2452-6205

Yayımlanma Tarihi 29 Ağustos 2024
Gönderilme Tarihi 9 Ağustos 2022
Kabul Tarihi 20 Şubat 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 40 Sayı: 2

Kaynak Göster

APA İçel, S., Aydoğan, A., & Günay Molu, N. (2024). COVID-19 Pandemisinde Gebelerin Depresyon ve Gebelik Distres Düzeylerinin Değerlendirilmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 40(2), 197-205. https://doi.org/10.53490/egehemsire.1159960