Pandemi Dönemindeki Gebelerde Obstetrik Özelliklerin Depresyon, Anksiyete ve Stres Düzeyleri Üzerine Etkisi

Öz

Amaç:Bu çalışma, akrabalarında SARS-COV2 (COVID-19) tanısıalmışgebelerinobstetriközelliklerinindepresyon, anksiyetevestresdüzeylerineetkisinibelirlemekamacıylayapılmıştır. GereçveYöntemler:Tanımlayıcıniteliktekibuçalışma, 17 Nisan 2020 - 30 Mayıs 2020 tarihleri arasındaİstanbul'dakiözelbirhastanenin Kadın HastalıklarıveDoğumKliniğinde 450 gebeilegerçekleştirildi. ÇalışmaverileriGirişBilgiFormu, DurumlukSürekliKaygıİndeksi (STAI) veDepresyonKaygısıStresÖlçeği (DASS-21) ileyüzyüzetoplanmıştır. Bulgular:Tümhamilekadınlar COVID-19 salgınınınfarkındaydı (% 100.0) vebunların% 40.0'ına COVID-19 tanısıkonmuşbirakrabavardı. Akrabalarında COVID-19 tanısıolmayanlarıntoplam% 64,4'ü depresyon,% 80,4'ü anksiyeteve% 81,5'i stresyaşıyordu. Akrabalarında COVID-19 teşhisikonanlarıntoplam% 100.0'ında depresyon, anksiyetevestres (DASS) vardı. Sonuç:Yakınlarında COVID-19 tanısıalantümgebelerde DASS-21 puanlarınınyüksekolduğubulundu. Akrabalarında COVID-19 tanısıalangebelerde, almayanlarınaksine, kronikhastalıkvarlığıveparitesayısı, depresyonveanksiyetedüzeylerindebelirleyiciydi. Klinikdeğerlendirmelerbu durum gözönündebulundurularakdikkatlibirşekildeyapılmalıdır.

Anahtar Kelimeler

• COVID-19 salgını
• Depresyon
• Anksiyete
• Durum-Sürekli Kaygı
• Gebelik

The effect of obstetric features on depression, anxiety and stress levels in pregnant women during the SARS-COV 2 (COVID-19)

Öz

Aim:This study was carried out to determine the effect of obstetric characteristics of pregnant women who had relatives diagnosed with SARS-COV2 (COVID-19) on depression, anxiety and stress levels. Material and Methods:This descriptive study was conducted between 17 April 2020 and 30 May 2020 with 450 pregnant women in the Obstetrician Clinic of a private hospital in Istanbul. The study data were collected face-to-face with the Introductory Information Form, State-Trait Anxiety Index (STAI), and the Depression Anxiety Stress Scale (DASS-21). Results:All pregnant women were aware of COVID-19 pandemic (100.0%), and 40.0% of them had a relative diagnosed with COVID-19. A total of 64.4% of those with no relatives diagnosed with COVID-19 had depression, 80.4% had anxiety and 81.5% had stress. A total of 100.0% of those who had relatives diagnosed with COVID-19 had depression, anxiety, and stress (DASS). Conclusions:It was found that DASS-21 scores were high in all pregnant women who had relatives diagnosed with COVID-19. Presence of chronic diseases and parity count were decisive in depression and anxiety levels in pregnant women who had relatives diagnosed with COVID-19, unlike those who did not. Clinical evaluations should be made carefully with this situation in mind..

Anahtar Kelimeler

• COVID-19 pandemic
• Depression
• Anxiety
• State-Trait Anxiety
• pregnant.

Kaynakça

1. 1. WHO, 2020 WH Organization. Novel Coronavirus (2019-nCoV) Situation report-9, 29 January 2020. Geneva, Switzerland: 2020.
2. 2. Turkey Ministry of Health. Management of COVID-19 in people (2020) Available from: URL: https://covid19 bilgi.saglik. gov.tr/depo/rehberler/COVID-19_Rehberi.pdf. Accessed March 22, 2020.
3. 3. Royal Collage of Obstetrician & Gyneacologısts (RCOG) (2020) Educational and support resources for coronavirus (COVID-19). 2020 Information for healthcare professionals Version 10: Published Thursday 4 June 2020.
4. 4. Osborne LM, Brar A, Klein SL. The role of Th17 cells in the pathophysiology of pregnancy and perinatal mood and anxiety disorders. Brain Behav Immun 2019;76:7-16.
5. 5. Somerville LK, Basile K, Dwyer DE, Kok J The impact of influenza virus infection in pregnancy. Future Microbiol 2018;13:263-274.
6. 6. Zhang L, Jiang Y, Wei M, Cheng BH, Zhou XC, Li J, Tian JH, Dong L, Hu RH Analysis of the pregnancy outcomes in pregnant women with COVID-19 in Hubei Province. Zhonghua Fu Chan Ke Za Zhi(2020)
7. 7. Wu Y, Zhang C, Liu H, Duan C, Li C, Fan J, Li H, Chen L, Xu H, Li X, Guo Y, Wang Y, Li X, Li J, Zhang T, You Y, Li H, Yang S, Tao X, Xu Y, Lao H, Wen M, Zhou Y, Wang J, Chen Y, Meng D, Zhai J, Ye Y, Zhong Q, Yang X, Zhang D, Zhang J, Wu X, Chen W, Dennis CL, Huang H (2020) Perinatal depressive and anxiety symptoms of pregnant women along with COVID-19 outbreak in China. Am J Obstet Gynecol 2020;10:S0002-9378(20):30534-42.
8. 8. Akdag Topal C, Terzioglu F Assessment of depression, anxiety, and social support in the context of therapeutic abortion. Perspectives in psychiatric care 2019;55(4):618-623.

9. 9. Shorey S, Chee CYI, Ng ED, Chan YH, Tam WWS, Chong YS Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis.J Psychiatr Res 2018;104:235-248.
10. 10. González-Mesa E, Kabukcuoglu K, Blasco M, Körükcü O, Ibrahim N, González-Cazorla M, Cazorla O. Comorbid anxiety and depression (CAD) at early stages of the pregnancy A multicultural cross-sectional study. J Affect Disord2020;270:85-89.
11. 11. Hasanjanzadeh P, Faramarzi M Relationship between maternal general and specific-pregnancy stress, anxiety, and depression symptoms and pregnancy outcome. J Clin and Diag res (JCDR) 2017;11(4):VC04-VC07.
12. 12. Mah BL, Pringle KG, Weatherall L, Keogh L, Schumacher T, Eades S, Brown A, Lumbers ER, Roberts CT, Diehm C, Smith R, Rae KMJ.Pregnancy stress, healthy pregnancy and birth outcomes - the need for early preventative approaches in pregnant Australian Indigenous women: a prospective longitudinal cohort study. Dev Orig Health Dis 2019;10(1):31-38.
13. 13. Spielberger CD, Gorsuch RL, Lushene RE Manual for the State-Trait Anxiety Inventory. Polo Alto, CA: Consulting Psychologists Press.(1970)
14. 14. Öner N, Le Compte A. Hand Book of State-Trait Anxiety Inventory. Turkey: Bogaziçi University Press. No. 333.(1985).
15. 15. Lovibond PF, Lovibond SH (1995a) The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy 33:335-343. Lovibond SH, Lovibond PF (1995b) Manual for the Depression Anxiety Stress Scales, (2nd ed.) Pychology Foundation of Australia p:35-36.
16. 16. Henry J, Crawford JR The short-form version of the Depression Anxiety Stress Scales (DASS‐21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology2005;44(2):227-239.
17. 17. Sarıçam H.The Psychometric Properties of Turkish Version of Depression Anxiety Stress Scale-21 (DASS-21) in Community and Clinical Samples. JCBPR 2018;7(1):19-30.
18. 18. Tang Y, Lan X, Zhang Y, Zhou F, Cai C, Zhang J, Zeng G. Anxiety and depression on gestational diabetes mellitus in early pregnancy. Wei Sheng yan jiu= Journal of Hygiene Research 2017;49(2):179-184.
19. 19. Martini N, Piccinni C, Pedrini A, Maggioni A CoViD-19 and chronic diseases: current knowledge, future steps and the MaCroScopio project. Recenti progressi in medicina, 2020;111(4):198.
20. 20. Schwartz DA, Graham AL. Potential Maternal and Infant Outcomes from Coronavirus 2019-nCoV (SARS-CoV-2) Infecting Pregnant Women: Lessons from SARS, MERS, and Other Human Coronavirus Infections. Viruses 2020;12(2):194.
21. 21. Yang S, Yang R, Liang S, Wang J, Weaver NL, Hu K, Yin T. Symptoms of anxiety and depression during pregnancy and their association with low birth weight in Chinese women: a nested case control study. Archives of women's mental health 2017;20(2):283-290.
22. 22. Lasater ME, Beebe M, Gresh A, Blomberg K, Warren N. Addressing the unmet need for maternal mental health services in Low- and Middle-Income countries: integrating mental health into maternal health care. J. Midwif. Womens Health. 2017;62:657–660.
23. 23. Marquesim NAQ, Cavassini ACM, Morceli G, Magalhães CG, Rudge MVC, Calderon IDMP, Lima SAM Depression and anxiety in pregnant women with diabetes or mild hyperglycemia. Archives of gynecology and obstetrics 2016;293(4):833-837.
24. 24. Dashraath P, Jing Lin Jeslyn W, Mei Xian Karen L, Li Min L, Sarah L, Biswas A, Arjandas Choolani M, Mattar C, Lin SL. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet and Gynecol 2020;Sooo2- 9378(20):30343-30344.
25. 25. Shahid Z, Kalayanamitra R, McClafferty B, Kepko D, Ramgobin D, Patel R, Jones K COVID‐19 and older adults: what we know. Journal of the American Geriatrics Society 2020;68(5):926-929.
26. 26. She J, Liu L, Liu W. COVID‐19 epidemic: disease characteristics in children. Journal of medical virology 2020;92(7):747-754.