Gebelerin Emosyonel Durumları ile Yaşam Memnuniyetlerinin İncelenmesi

Öz

Amaç: Araştırma gebelerde depresyon, anksiyete ve stress düzeyleri ile yaşam memnuniyeti arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı-kesitsel nitelikteki bu araştırma, 12.07.2021-24.12.2021 tarihleri arasında 375 gebe ile Doğu Anadolu Bölgesinde yer alan bir üniversite hastanesinde yer alan kadın doğum polikliniğinde tamamlanmıştır. Çalışma verileri Tanıtıcı Bilgi Formu, Yaşam Memnuniyeti ölçeği ve Depresyon Anksiyete Stres Ölçeği kullanılarak yüz yüze toplanmıştır. Verilerin analizi SPSS 24 programında sayı, yüzde, ortalama ve standart sapma cronbach alfa katsayısı ve Pearson'ın korelasyon analiz testleri kullanılmış ve p<0,05 anlamlılık olarak kabul edilmiştir. Bulgular: Gebelerin %13,6'sının hafif düzeyde depresyon, %56,8'inin çok ileri düzeyde anksiyete ve %21,9'unun orta düzeyde stres yaşadığı belirlenmiştir. Gebelerde depresyon ve stresle yaşam memnuniyeti arasında negatif yönde anlamlı ilişki bulunmuştur. (p < 0,05). Sonuç: Araştırma sonucunda gebelerde depresyon, anksiyete ve stresin yaşam memnuniyetini etkilediği belirlenmiştir.

Anahtar Kelimeler

• Depresyon
• anksiyete
• stres
• yaşam memnuniyeti

Examination of Pregnancy's Emotional Status and Life Satisfaction

Öz

Aim: The study was conducted to determine the relationship between depression, anxiety and stress levels and life satisfaction in pregnant women. Method: This descriptive cross-sectional study was completed with 375 pregnant women between 12.07.2021 and 24.12.2021 in the obstetrics clinic of a university hospital in the Eastern Anatolia Region. Study data were collected face-to-face using the Introductory Information Form, the Life Satisfaction Scale, and the Depression Anxiety Stress Scale. Data analysis Number, percentage, mean and standard deviation Cronbach's alpha coefficient and Pearson's correlation analysis tests were used in SPSS 24 program and p<0,05 was accepted as significance. Results: It was determined that 13,6% of the pregnant women experienced mild depression, 56,8% had very severe anxiety and 21,9% had moderate stress. A significant negative correlation was found between depression and stress and life satisfaction in pregnant women (p < 0,05). Conclusion: As a result of the research, it was determined that depression, anxiety and stress affect life satisfaction in pregnant women.

Anahtar Kelimeler

• Depression
• anxiety
• stress
• life satisfaction

Kaynakça

1. Azami M, Badfar G, Shohani M, et al. A meta-analysis of mean vitamin d concentration among pregnant women and newborns in Iran. IJOGI. 2017;20(4):76-87.
2. Sun F, Zhu J, Tao H, Ma Y, Jin W. A systematic review involving 11 187 participants evaluating the impact of COVID-19 on anxiety and depression in pregnant women. Journal of Psychosomatic Obstetrics & Gynecology. 2021;42(2):91-99.
3. Güleç D, Eminov A, Kavlak O. Yüksek riskli gebelerde anksiyete ve depresyon ile hemşirelik bakım memnuniyetinin incelenmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2021;7(1):70-75.
4. Azami M, Badfar G, Shohani M, Mansuri A, Süleymani A, Shamloo MBB. The prevalence of depression in pregnant Iranian women: A systematic review and meta-analysis. Iran J Psychiatry Behav Sci. 2018;12(3):e9975.
5. Bahrami N, Bahrami S. Correlation between prenatal depression with delivery type and neonatal anthropometric indicators. Koomesh. 2013;15(1):39-45.
6. Misrawati, Afiyanti Y. Antenatal depression and its associated factors among pregnant women in Jakarta, Indonesia. Enferm Clin. 2020;30:96-101.
7. Faisal-Cury A, Menezes PR. Antenatal depression strongly predicts postnatal depression in primary health care. Brazilian Journal of Psychiatry. 2012;34:446-450.
8. Yanikkerem E, Ay S, Mutlu S, Goker A. Antenatal depression: prevalence and risk factors in a hospital based Turkish sample. J Pak Med Assoc. 2013;63(4):472-477.

9. Yanikkerem E, Ay S, Piro N. Planned and unplanned pregnancy: effects on health practice and depression during pregnancy. J. Obstet. Gynaecol. Res. 2013;39(1):180-187.
10. Verbeek T, Arjadi R, Vendrik J, Burger H, Berger M. Anxiety and depression during pregnancy in Central America: a cross-sectional study among pregnant women in the developing country Nicaragua. BMC Psychiatry. 2015;15(1):1-6.
11. Vizzini L, Popovic M, Zugna D, et al. Maternal anxiety, depression and sleep disorders before and during pregnancy, and preschool ADHD symptoms in the NINFEA birth cohort study. Epidemiology and Psychiatric Sciences. 2019;28(5):521-531.
12. Yonkers KA, Gilstad-Hayden K, Forray A, Lipkind HS. Association of panic disorder, generalized anxiety disorder, and benzodiazepine treatment during pregnancy with risk of adverse birth outcomes. JAMA Psychiatry. 2017;74(11):1145-1152.
13. Durankuş F, Aksu E. Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: a preliminary study. The Journal of Maternal-Fetal & Neonatal Medicine. 2022;35(2):205-211.
14. Radoš SN, Tadinac M, Herman R. Anxiety during pregnancy and postpartum: course, predictors and comorbidity with postpartum depression. Acta Clin Croat. 2018;57(1):39-51.
15. Sasaki TK, Yoshida A, Kotake K. Attitudes about the 2009 H1N1 influenza pandemic among pregnant Japanese women and the use of the Japanese municipality as a source of information. Southeast Asian J Trop Med Public Health. 2013;44(3):388-399.
16. Nath S, Ryan EG, Trevillion K, et al. Prevalence and identification of anxiety disorders in pregnancy: the diagnostic accuracy of the two-item Generalised Anxiety Disorder scale (GAD-2). BMJ Open. 2018;8(9):e023766.
17. Craske MG, Stein MB. Anxiety. Lancet. 2016;388(10063):3048-3059.
18. Sinesi A, Maxwell M, O'Carroll R, Cheyne H. Anxiety scales used in pregnancy: systematic review. BJPsych Open. 2019;5(1).
19. Milgrom J, Gemmill AW, Bilszta JL, et al. Antenatal risk factors for postnatal depression: a large prospective study. Journal of Affective Disorders. 2008;108(1-2):147-157.
20. Verreault N, Da Costa D, Marchand A, Ireland K, Dritsa M, Khalifé S. Rates and risk factors associated with depressive symptoms during pregnancy and with postpartum onset. Journal of Psychosomatic Obstetrics & Gynecology. 2014;35(3):84-91.
21. Kashanian M, Faghankhani M, YousefzadehRoshan M, EhsaniPour M, Sheikhansari N. Woman’s perceived stress during pregnancy; stressors and pregnancy adverse outcomes. The Journal of Maternal-Fetal & Neonatal Medicine. 2021;34(2):207-215.
22. Elkin N. Gebelerin stresle başa çıkma düzeyleri ve bunları etkileyen faktörler. Mersin Univ Saglık Bilim Derg. 2015;8(1):22-31.
23. Dunkel Schetter C. Psychological science on pregnancy: stress processes, biopsychosocial models, and emerging research issues. Annual Review of Psychology. 2011;62:531-558.
24. Lancaster C, Gold K, Flynn H, Yoo H, Marcus S, Davis M. Erratum: Risk factors for depressive symptoms during pregnancy: A systematic review. American Journal of Obstetrics and Gynecology. 2011;205(3):236.
25. Norhayati M, Hazlina NN, Asrenee A, Emilin WW. Magnitude and risk factors for postpartum symptoms: a literature review. Journal of Affective Disorders. 2015;175:34-52.
26. Skurzak A, Zarajczyk M, Iwanowicz-Palus G, Korzynska-Pietas M, Lewicka M, Wiktor H. Life satisfaction of the pregnant women. Pielegniarstwo Xxi Wieku-Nursing in the 21 Century. 2019;18(4):207-213.
27. Yu M, Qiu T, Liu C, Cui Q, Wu H. The mediating role of perceived social support between anxiety symptoms and life satisfaction in pregnant women: a cross-sectional study. Health and Quality of Life Outcomes. 2020;18(1):1-8.
28. Wu YT, Nelis SM, Quinn C, et al. Factors associated with self-and informant ratings of quality of life, well-being and life satisfaction in people with mild-to-moderate dementia: Results from the Improving the experience of Dementia and Enhancing Active Life programme. Age and Ageing. 2020;49(3):446-452.
29. Dyrdal G M, Røysamb E, Nes RB, Vittersø J. Can a happy relationship predict a happy life? A population-based study of maternal well-being during the life transition of pregnancy, infancy, and toddlerhood. J Happiness Stud. 2011;12(6):947-962.
30. Gebuza G, Kaźmierczak M, Mieczkowska E, Gierszewska M. Social support as a determinant of life satisfaction in pregnant women and women after surgical delivery. Psychiatr Pol. 2018;52(3):585-598.
31. Gebuza G, Kaźmierczak M, Mieczkowska E, Gierszewska M, Kotzbach R. Life satisfaction and social support received by women in the perinatal period. Adv Clin Exp Med. 2014;23(4):611-619.
32. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scale. Sydney: The Psychological Foundation of Australia, Inc. 1995.
33. Akın A, Çetin B. Depression, Anxiety and Stress Scale (DASS): The study of validity and reliability. Educational Science: Theory & Practice. 2007;7(1):241-268.
34. Lavallee LF, Hatch PM, Michalos AC. Mckinley T. Development of the contentment with life assessment scale (CLAS): Using daily life experiences to verify levels of self-reported life satisfaction. Social Indicators Research. 2007;83:201-244.
35. Akın A, Yalnız A. Yaşam Memnuniyeti Ölçeği Türkçe Formu: Geçerlik ve güvenirlik çalışması. Elektronik Sosyal Bilimler Dergisi. 2015;14(54):95-102.
36. Coşansu G. Verilerin Analizi ve Yorumlanması, Erdoğan S, Nahcivan N, Esin N, Hemşirelikte Araştırma Süreç, Uygulama ve Kritik, 2. Baskı, Nobel Tıp Kitapevi, 2015.
37. Zhang Y, Muyiduli X, Wang S, et al. Prevalence and relevant factors of anxiety and depression among pregnant women in a cohort study from south-east China. Journal of Reproductive and Infant Psychology. 2018;36(5):519-529.
38. Bilgel N, Bayram N. Depresyon Anksiyete Stres Ölçeğinin (DASS-42) Türkçeye uyarlanmış şeklinin psikometrik özellikleri. Nöropsikiyatri Arşivi. 2010;47:118-26.
39. Yüksel A, Dabanlı Z, Bahadır Yılmaz E. Gebelerde bilinçli farkındalık ile depresyon, anksiyete ve stres düzeyleri arasındaki ilişkinin belirlenmesi. Jaren. 2020;6(2):195-202.
40. Fışkın G, Işık C. Gebelikte yaşanan görsel ve bedensel değişikliklerin postpartum dönemdeki bedeni beğenme ve psikolojik yakınmalarla ilişkisi. DEUHFED. 2022;15(3):307-315.
41. Shahsavan F, Akbari N, Gharraee B, Abolghasemi J, Khedmat L. The effect of internet‐based guided self‐help cognitive‐behavioral therapies on Iranian women's psychological symptoms and preferred method of childbirth. Perspectives in Psychiatric Care. 2021;57(1):138-147.
42. Priya A, Chaturvedi S, Bhasin SK, Bhatia MS, Radhakrishnan G. Depression, anxiety and stress among pregnant women: A community-based study. Indian Journal of Psychiatry. 2018;60(1):151.
43. Nafei Z, Zare E, Sadeghieh T. Maternal anxiety, depression, and stress during pregnancy and neonatal growth ındices at birth. World Journal of Peri and Neonatology. 2021;4(1):1-6.
44. Nwafor JI, Okedo-Alex IN, Ikeotuonye AC. Prevalence and predictors of depression, anxiety, and stress symptoms among pregnant women during COVID-19-related lockdown in Abakaliki, Nigeria. Malawi Medical Journal. 2021;33(1):54-58.
45. Çiler EE, Gümüş ŞS. Hamile kadınlarda COVID-19 pandemisinin depresyon, anksiyete ve stres düzeyleri üzerine etkisi. Bagcilar Med Bull. 2021;6:306-313.
46. Alvi SM, Ali SAEZ, Shah RA, Jabeen T, Gul N, Afridi M. Internalizing psychological problems as predictor of mental wellbeing and life satisfaction among pregnant women. Pakistan Journal of Physiology. 2018;14(3):28-32.
47. Martins V, Serrão C, Teixeira A, Castro L, Duarte I. The mediating role of life satisfaction in the relationship between depression, anxiety, stress and burnout among Portuguese nurses during COVID-19 pandemic. BMC Nursing. 2022;21(1):1-11.
48. Oosterveer DM, Mishre RR, Van Oort A, Bodde K, Aerden LA. Depression is an independent determinant of life satisfaction early after stroke. Journal of Rehabilitation Medicine. 2017;49(3):223-227.
49. Steca P, Greco A, Monzani D, et al. How does illness severity influence depression, health satisfaction and life satisfaction in patients with cardiovascular disease? The mediating role of illness perception and self-efficacy beliefs. Psychology & Health. 2013;28(7):765-783.
50. Smorti M, Guarnieri S, Bergesio F, Perfetto F, Cappelli F. Anxiety and depression among amyloid light-chain cardiac amyloidosis patients: The role of life satisfaction. European Journal of Cardiovascular Nursing. 2016;15(4), 269-275.
51. Blanchflower DG, Oswald AJ. Hypertension and life satisfaction across nations. Journal of Health Economics. 2008;27:218–233.
52. Arslan B, Arslan A, Kara S, Öngel K, Mungan MT. Gebelik anksiyete ve depresyonunda risk faktörleri: 452 olguda değerlendirme. Tepecik Eğitim Hastanesi Dergisi. 2011;21.2:79-84.