Kovid-19 pandemi sürecinde gebe kadınlarda anksiyete, depresyon ve obsesif kompulsif bozuklukların araştırılması

Abstract

Amaç: Çalışmamızın amacı Kovid-19 Pandemi sürecinde gebe kadınlar arasında anksiyete, depresyon ve Obsesif Kompulsif bozukluklarını (OKB) araştırmaktır. Gereç ve Yöntem: Bu kesitsel çalışmaya, Haziran-Temmuz 2020 tarihleri arasında rutin gebelik muayenesi için Kadın Hastalıkları ve Doğum Kliniği’ne başvuran 71 gebe alınmıştır. Katılımcıların depresyon, anksiyete ve OKB seviyelerinin belirlenmesi için; Beck Anksiyete Envanteri (BAE), Beck Depresyon Envanteri (BDE) ve Maudsley Obsesif Kompulsif Envanter (MOCI) ölçekleri kullanılmıştır. Bulgular: Araştırmaya katılanların yaş ortalaması 30, ortalama Vüvut Kitle İndeksi (VKİ)'si 24.4’dir. Gebelerin %16.9'unun BDE testi normal saptanırken , %46.5'inin hafif, %22.5'inin orta ve %14.1’inin şiddetli depresyonu olduğu saptanmıştır. Gebelerin %31'inde hafif, %45.1'inde orta, %23.9’unde ise şiddetli seviyede anksiyete tespit edilmiştir. Gebelerin %25.4'ünde OKB saptanma olasılığının düşük , %31’inde OKB olduğu ve katılımcıların %43.7'nün OKB saptanma olasılığının yüksek olduğunu görülmüştür. BDE ile BAE skoru (r=0.405, 0.000) ve MOCI skoru (r=0.319,sig= 0.007) arasında pozitif anlamlı bir ilişki bulunmuştur. OKB Ölçeği ile VKİ arasında ise negatif anlamlı bir ilişki tespit edilmiştir. (r=-0.268, sig=0.024). Çalışan hamileler ile çalışmayan hamileler arasında depresyon bakımından anlamlı bir fark saptanmamıştır. Sonuç: Gebe kadınlar için ruh sağlığı oldukça önem taşıdığından, Kovid-19 pandemi koşullarında çalışan hamile kadınların ruh sağlığına özellikle dikkat edilmesi gerekmektedir. Bunun nedeni, bu kişilerin bünyelerinin Kovid-19 gibi bulaşıcı hastalıklar karşısında daha savunmasız olmasıdır.

Keywords

• Anksiyete,
• Kovid-19,
• Depresyon,
• Obsesif-Kompulsif Bozukluk,

Investigating anxiety, depression and obsessive-compulsive disorders among the pregnant women during Covid-19 pandemic

Abstract

Aim: Our study was aimed to investigate anxiety, depression, and obsessive-compulsive disorders (OCDs) among the pregnant women during Covid-19 Pandemic. Material and Method: This cross-sectional study was conducted on 71 pregnant women who referred to Gynecology and Obstetrics Clinic between June and July 2020 for routine pregnancy examination. The Beck Anxiety Inventory (BAI), the Beck Depression Inventory (BDI), and the Maudsley Obsessive-Compulsive Inventory (MOCI) were used to assess the rate of depression, anxiety, and OCDs. Results: Mean age was 30 years and the mean Body- Mass Index (BMI) was 24.4. 16.9% of the pregnants were normal, 46.5% were mild depression, 22.5% were moderate and 14.1% were severe depression. 31% of the pregnant women were mild, 45.1% were moderate and 23.9% were severe anxiety. The results also showed that 25.4% of the pregnants have a low probability of detecting OCDs, 31% had OCD detection and 43.7% had a high probability of detecting OCD. A positive significant relationship was found between BDI and BAI score (r=0.405, 0.000) and MOCI scale (r=0.319,sig= 0.007). A negative significant relationship was found between the MCOI scale and BMI (r=-0.268,sig=0.024). There was a significant difference between the working pregnants and non-working pregnants in terms of depression. Conclusion: Since the mental health of the pregnant women is highly important, one should pay special attention to the mental health of the working pregnant women under the Covid-19 pandemic. The reason is that such women are more vulnerable to the infectious diseases such as Covid-19.

Keywords

• Anxiety,
• Covid-19,
• Depression,
• Obsessive-Compulsive Disorder,
• Pandemic ,

References

1. 1. Liu X, Kakade M, Fuller CJ, et al. Depression after exposure to stressful events: Lessons learned from the severe acute respiratory syndrome epidemic. Compr Psychiatry 2012; 53: 15–23.
2. 2. Ahmad T, Khan M, Khan FM, Hui J. Are we ready for the new fatal Coronavirus: scenario of Pakistan? Hum Vacc Immunother. 2020:1–3. doi:10.1080/21645515.2020.1724000.
3. 3. Wang Y, Wang Y, Chen Y, Qin Q. Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID-19) implicate special control measures. J Med Virol. 2020 Mar 5. doi: http://10.1002/jmv.25748.
4. 4. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395(10223):497-506.
5. 5. Bouey, Jennifer, From SARS to 2019-Coronavirus (nCoV): U.S.-China Collaborations on Pandemic Response: Addendum. Santa Monica, CA: RAND Corporation, 2020; https://www.rand.org/pubs/testimonies/CT523z2.html.
6. 6. Yang Y, Peng F, Wang R, Guan K, Jiang T, Xu G &Chang C. The deadly coronaviruses: The 2003 SARS pandemic and the 2020 novel coronavirus epidemic in China. J. Autoimmun. 2020; 102434.
7. 7. World Health Organization Mental health and psychosocial considerations during the COVID-19 outbreak. https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations.pdf?sfvrsn=6d3578af_16
8. 8. Robinson G. UK poll finds young people's mental health hit by coronavirus. The Guardian [Internet] 2020 Mar 30.

9. 9. Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): the epidemic and the challenges. Int J Antimicrob Agents. 2020; 55:105924. doi: 10.1016/j.ijantimicag.2020.105924.
10. 10. Vaira LA, Salzano G, Deiana G, De Riu G. Anosmia and ageusia: common findings in COVID-19 patients. Laryngoscope. 2020; doi: 10.1002/lary.28692. [Epub ahead of print].
11. 11. Bo HX, Li W, Yang Y, Wang Y, Zhang Q, Cheung T, et al.Posttraumatic stress symptoms and attitude toward crisis mental health services among clinically stable patients with COVID-19in China. Psychol Med. 2020; 1–7. doi: 10.1017/S0033291720000999.
12. 12. Kong X, Zheng K, Tang M, Kong F, Zhou J, Diao L, et al. Prevalence and factors associated with depression and anxiety of hospitalized patients with COVID-19. MedRxiv [preprint]. 2020. doi: 10.1101/2020.03.24.20043075.
13. 13. Stockman LJ, Lowther SA, Coy K, et al. SARS during pregnancy, United States. Emerging Infect Dis. 2004;10(9):1689–1690.
14. 14. Dashraath P, Jing Lin Jeslyn W, Mei Xian Karen L, et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol. 2020; In Press.
15. 15. Li Z, Ge J, Yang M, et al. Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behav Immun. 2020;[PMID: 32169498] doi:10.1016/j.bbi.2020.03.007
16. 16. Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. IJERPH. 2020;17(5):1729.
17. 17. Chen H, Guo J, Wang C, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet. 2020;395(10226):809–815.
18. 18. Liu W, Wang Q, Zhang Q, et al. Coronavirus disease 2019 (COVID-19) during pregnancy: a case series. Preprints. 2020;2020020373.
19. 19. Durankuş F., Aksu E. Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: a preliminary study. J Matern Fetal Neonatal Med. 2020:1–7.
20. 20. Mirzadeh M, Khedmat L. Pregnant women in the exposure to COVID-19 infection outbreak: the unseen risk factors and preventive healthcare patterns. J Matern Neonatal Med. 2020;7:1–2.
21. 21. Saccone G, Florio A, Aiello F, Venturella R, De Angelis MC,Locci M, et al. Psychological impact of coronavirus disease 2019 in pregnant women. Am J Obstet Gynecol 2020;S0002-9378(20)30527–5.
22. 22. Spiniello L, Di Mascio D, Bianco C, Esposito O, Giangiordano I, Muzii L, Giancotti A, Brunelli R, Saccone G. All we know about COVID-19 in pregnancy: from perinatal to ethical and psychological perspective. Perinatal Journal 2020;28(2):120–126. doi:10.2399/prn.20.0282008.
23. 23. Grigoriadis S, Graves L, Peer M, et al. A systematic review and meta-analysis of the effects of antenatal anxiety on postpartum outcomes. Arch Womens Ment Health. 2019;22(5):543-556. doi:10.1007/s00737-018-0930-2
24. 24. Muzic M, Borovska S. Perinatal depression: implications for child mental health. Mental Health Fam Med. 2010;7(4):239–47.
25. 25. Corbett GA, Milne SJ, Hehir MP, Lindow SW, O'connell MP. Health anxiety and behavioural changes of pregnant women during the COVID-19 pandemic. Eur J Obstet Gynecol Reprod Biol. 2020;249:96-97. doi:10.1016/j.ejogrb.2020.04.022.
26. 26. Wu Y, Zhang C, Liu H, et al. Perinatal depressive and anxiety symptoms of pregnant women along with COVID-19 outbreak in China [published online ahead of print, 2020 May 10]. Am J Obstet Gynecol. 2020;S0002-9378(20)30534-2. doi:10.1016/j.ajog.2020.05.009.
27. 27. Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395: 912–20.