Anxiety And Depression Levels In Individuals With Twin Pregnancy

Öz

Anxiety and Depression Levels in Individuals with Twin Pregnancy Objective: The aim of this study was to compare the anxiety and depression levels of women with twin pregnancies and women with singleton pregnancy without using assisted reproduction technique. Methods: Thirty-six women with twin pregnancies and between 30-34 weeks of gestation were included in the study. Thirty-five women with single pregnancy were included as a control group. Sociodemographic data form and the Hospital Anxiety Depression Scale (HADS) were applied to both groups by evaluating them by the psychiatrist. The sociodemographic characteristics and HADS scores of women with twin and singleton pregnancy were compared. Results: When women with twin pregnancies were compared with women with single pregnancies, no significant difference was found between the two groups in terms of age, educational status, employment status, economic status and miscarriage, while gravida and number of children were significantly different between the two groups. When the HADS scale scores were evaluated, it was found to be that the levels of anxiety and depression were significantly higher in twin pregnancies. Conclusions: Based on the present clinical results, it was found that the levels of anxiety and depression are higher in women with spontaneous twin pregnancy compared to single pregnancy.

Anahtar Kelimeler

• twin pregnancy
• anxiety
• depression

İkiz Gebeliği Olan Bireylerde Anksiyete Ve Depresyon Düzeyleri

Öz

İkiz Gebeliği Olan Bireylerde Anksiyete ve Depresyon Düzeyleri Öz (tr) Amaç: Bu çalışmada yardımcı üreme tekniği kullanılmadan ikiz gebeliği olan kadınlar ile tekil gebeliği olan kadınların anksiyete ve depresyon düzeylerinin karşılaştırılması amaçlanmıştır. Yöntem: Çalışmaya ikiz gebeliği olan ve 30-34 hafta arası gebeliğe sahip 36 kadın dahil edildi. Kontrol grubu olarak tekil gebeliği olan 35 kadın dahil edildi. Her iki grup ile psikiyatrist tarafından değerlendirmeleri yapılarak sosyodemografik veri formu ve Hastane Anksiyete Depresyon Ölçeği (HADS) uygulanmıştır. İkiz ve tekil gebeliği olan kadınların sosyodemografik özellikleri ve HADS skorları karşılaştırılmıştır. Bulgular: İkiz gebeliği olan kadınlar tekil gebeliği olan kadınlar ile karşılaştırıldığında yaş,eğitim durumu, çalışma durumu, ekonomik durum ve düşük öyküsü iki grup arasında anlamlı bir farklılık saptanmazken, gravida ve çocuk sayısı iki grup arasında anlamlı olarak farklıdır. HADS ölçek skorları değerlendirildiğinde ikiz gebeleri olanlarda anksiyete ve depresyon düzeyleri anlamlı olarak yüksek saptanmıştır. Sonuç: Mevcut klinik bulgular ile spontan ikiz gebeliği olan kadınlarda anksiyete ve depresyon düzeylerinin tekil gebeliğe oranla daha yüksek olduğunu saptanmıştır.

Anahtar Kelimeler

• ikiz gebelik
• anksiyete
• depresyon

Kaynakça

1. 1. Bursalioglu FS, Aydin N, Yazici E, Yazici AB. The correlation between psychiatricdisorders and women’s lives. J Clin Diagnostic Res. 2013;7(4):695–9.
2. 2. Alipour Z, Lamyian M, Hajizadeh E. Anxiety and fear of childbirth as predictors of postnatal depression in nulliparous women. Women and Birth. 2012;25(3):e37–43.
3. 3. Pavy TJG. Psychiatric disorders in pregnancy. Obstet Anesth Uncommon Disord 2nd Ed. 2008;(March):363–70.
4. 4. Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: A systematic review. J Affect Disord. 2016;191:62–77.
5. 5. Uguz F, Gezginc K, Kayhan F, Sar S, Büyüköz D. Is pregnancy associated with mood and anxiety disorders? A cross-sectional study. Gen Hosp Psychiatry. 2010;32(2):213–5.
6. 6. Stuart S, Couser G, Schilder K, O’Hara MW G, L. Postpartum anxiety and depression: onset and comorbidity in a community sample. J Nerv Ment Dis. 1998;186(7):420–4.
7. 7. Norhayati MN, Nik Hazlina NH, Asrenee AR, Wan Emilin WMA. Magnitude and risk factors for postpartum symptoms: A literature review. J Affect Disord. 2015;175:34–52.
8. 8. Özdamar Ö, Yılmaz O, Beyca Hh, Muhcu M. Gebelik ve Postpartum Dönemde Sık Görülen Ruhsal Bozukluklar (Common Psychiatric Disorders in Pregnancy and Postpartum Period). Zeynep Kamil Tıp Bülteni. 2014;45(2):71.

9. 9. Fisher J, Stocky A. Maternal Perinatal Mental Health and Multiple Births: Implications for Practice. Twin Res. 2003;6(6):506–13.
10. 10. D’alton ME SL. Syndromes in twins. Semin Perinatol. 1995;19:375–86.
11. 11. Wenze SJ, Battle CL, Tezanos KM. Raising multiples: mental health of mothers and fathers in early parenthood. Arch Womens Ment Health. 2015;18(2):163–76.
12. 12. Leonard LG. Depression and anxiety disorders during multiple pregnancy and parenthood. J Obstet Gynecol Neonatal Nurs. 1998;27(3):329–37.
13. 13. Hay DA, Gleeson C, Davies C, Lorden B, Mitchell D, Paton L. What information should the multiple birth family receive before, during and after the birth? Acta Genet Med Gemellol (Roma). 1990;39(2):259–69.
14. 14. First MB, Gibbon M SR ve ark. User’s guide for the structured clinical interview for DSM-IV axis I Disorders—Research version. Biometrics Research Department, New York State Psychiatric Institute; 1996.
15. 15. Özkürkçügil A, Aydemir Ö, Yıldız M, Esen Danacı A KE. DSM-IV eksen I bozuklukları için yapılandırılmış klinik görüşmenin türkçeye uyarlanması ve güvenilirlik çalışması. İlaç ve Tedavi Derg. 1999;12:233–6.
16. 16. Cantwell R, Cox JL. Psychiatric disorders in pregnancy and the puerperium. Curr Obstet Gynaecol. 2006;16(1):14–20.
17. 17. Chamberlain G LJ. Prepregnancy Care - A Manual for Practice. Brisbane: Wiley. 1986;
18. 18. Vilska S, Unkila-Kallio L, Punamäki RL, Poikkeus P, Repokari L, Sinkkonen J, et al. Mental health of mothers and fathers of twins conceived via assisted reproduction treatment: A 1-year prospective study. Hum Reprod. 2009;24(2):367–77.
19. 19. Glazebrook C, Cox S, Oates M NG. Psychological adjustment during pregnancy and the postpartum period in single and multiple in vitro fertilization births: a review and preliminary findings from an ongoing study. Reprod Technol. 2001;10:112–119.
20. 20. Jahangiri F, Hirschfeld-Cytron J, Goldman K, Pavone ME, Gerber S K, SC. Correlation between depression, anxiety, and nausea and vomiting during pregnancy in an in vitro fertilization population-a pilot study. J Psychosom Obs Gynaecol. 2011;32:113–118.
21. 21. Thorpe K, Greenwood R, Goodenough T. Does a Twin Pregnancy Have a Greater Impact on Physical and Emotional Well-Being than a Singleton Pregnancy ? 1995;(September):148–52.
22. 22. Colpin H, De Munter A, Nys K, Vandemeulebroecke L. Parenting stress and psychosocial well-being among parents with twins conceived naturally or by reproductive technology. Hum Reprod. 1999;14(12):3133–7.
23. 23. Saigal S. Maternal psychological distress and parenting stress after the birth of a very low-birth-weight infant. J Pediatr. 1999;135(3):397.
24. 24. Multiple Gestation: Complicated Twin, Triplet, and High-Order Multifetal Pregnancy. Am Coll Obstet Gynecol Pract Bull. 2004;56:104.
25. 25. Robin M, Bydiowski M, Cahen F, Josse D. Maternal Reactions to the Birth of Triplets. 1991;51(July 1989):41–51.
26. 26. Åkerman BA. The psychology of triplets. In: (Ed.) IACS, editor. New York: Routledge.; 1999. p. 100–18.
27. 27. Weigel DJ, Auxier CR, Frye TM. Multiple-birthing trends: Impact on couples and families. Fam J. 2000;8(4):380–6.
28. 28. Sbaragli C, Morgante G, Goracci A, Hofkens T, De Leo V, Castrogiovanni P. Infertility and psychiatric morbidity. Fertil Steril. 2008;90(6):2107–11.
29. 29. Berkenkotter E. Prenatal maternal adjustment after infertility. Diss Abstr Int,. 2002;62(9-B):4209.
30. 30. Lin YN, Tsai YC, Lai pi H. The Experience of Taiwanese Women Achieving Post-Infertility Pregnancy Through Assisted Reproductive Treatment. Fam J. 2013;21(2):189–97.
31. 31. Goldfarb J, Kinzer DJ, Boyle M, Kurit D. Attitudes of in vitro fertilization and intrauterine insemination couples toward multiple gestation pregnancy and multifetal pregnancy reduction. Fertil Steril. 1996;65(4):815–20.
32. 32. Leiblum SR, Kemmann E, Taska L. Attitudes toward multiple births and pregnancy concerns in infertile and non-infertile women. J Psychosom Obstet Gynecol. 1990;11(3):197–210.
33. 33. Malmstrom PM, Biale R. An Agenda for Meeting the Special Needs of Multiple Birth Families. 1990;514(87):507–14.