COVID-19 Pandemisinde Gebelerin Psikolojik Sağlık Sonuçları: Tanımlayıcı Çalışmaların Sistematik Bir Derlemesi

Yıl 2022, Cilt: 17 Sayı: 1, 193 - 201, 21.03.2022

Pınar Kara , Evşen Nazik

https://doi.org/10.17517/ksutfd.849930

Cited By: 3

Öz

Amaç: Bu çalışma, 2019 koronavirüs pandemisinde gebelerin psikolojik sağlık (stres, anksiyete ve depresyon) sonuçlarına ilişkin çalışmaları değerlendirmek amacıyla yapılmıştır.
Gereç ve Yöntemler: Çalışma, sistematik derleme niteliğinde olup, 15 Mayıs-10 Haziran 2020 tarihleri arasında İngilizce dilinde yayınlanan makaleler taranarak gerçekleştirilmiştir. Araştırmada, "COVID-19", “gebelik”, “stres”, “anksiyete” ve “depresyon” için referans anahtar kelimelerinin kombinasyonu oluşturularak, PubMed, Scopus, EBSCOHost, Web of Science ve Science of Direct elektronik veritabanları taraması 2019-2020 tarihleri arasında yapılmıştır.
Bulgular: Tarama sonucunda tanımlayıcı/kesitsel çalışmalar ve editöre mektuplara ulaşılmıştır. Bağımsız iki araştırmacı tarafından yapılan kalite değerlendirmesi sonrası tam metnine ulaşılan toplam 6 makale bu sistematik derlemeye alınmıştır. Çalışmalar toplam 6.392 gebe ile yapılmış ve örneklem büyüklüğü 11-4124 arasında değişmektedir. Edinburgh Postnatal Depresyon Skalası (EPDS)’nın en sık kullanılan bireysel değerlendirme aracı olduğu görülmüştür. COVID-19 tanısı olan gebelerle yapılan bir çalışma bulunmaktadır. Gebelerin travma sonrası stres bozukluğunun, yaşanan travmaya bağlı olarak gelişen saldırı belirtileri ve kaçınma davranışları olduğu belirlenmiştir. Çalışmalarda depresyon riski prevalansının %26.0 (EPDS≥10) ile %34.2 (EPDS>13) arasında değiştiği, gebelerin anksiyete semptomlarının ve yüksek prenatal distres düzeylerinin olduğu tespit edilmiştir.
Sonuç: Koronavirüs pandemisindeki gebelerin stres ve travma sonrası stres bozukluğu yaşadığı, anksiyete semptomları gösterdiği ve depresyon açısından risk altında olduğu sonucuna ulaşılmıştır.

Anahtar Kelimeler

COVID-19, Pandemi, Gebelik, Stres, Anksiyete, Depresyon

Destekleyen Kurum

Yok

Proje Numarası

Yok

Psychological Health Outcomes of Pregnant Women in the COVID-19 Pandemic: A Systematic Review of Descriptive Studies

Öz

Objective: This study is showed the psychological health (stress, anxiety and depression) results of pregnant women in the 2019 coronavirus pandemic.
Material and methods: The study is a systematic review and was conducted by screening articles published in English language between 15 May and 10 June 2020. PubMed, Scopus, EBSCOHost, Web of Science and Science of Direct electronic databases between the dates 2019-2020 were screened by creating a combination of keywords for "COVID-19", "pregnancy", "stress", "anxiety" and "depression".
Results: This systematic review were included descriptive/cross-sectional studies and letters to the editor after the quality evaluation results reaching six full text articles. The studies were performed with 6,392 pregnant women and the sample size ranged from 11 to 4124. The Edinburgh Postnatal Depression Scale (EPDS) was found to be the most frequently used individual assessment tool and a study with pregnant women with COVID-19. The prevalence of depression risk of pregnant women have ranged 26.0% (EPDS≥10) and 34.2% (EPDS>13), and they have anxiety symptoms and high prenatal distress levels, and post-traumatic stress disorders the symptoms of intrusion and avoidance behaviors related to trauma.
Conclusions: Pregnant women have experienced stress and post-traumatic stress disorder, and have anxiety symptoms and are at risk for depression in coronavirus pandemic.

Anahtar Kelimeler

COVID-19, Pandemic, Pregnancy, Stress, Anxiety, Depression

Proje Numarası

Yok

Kaynakça

• Wu YC, Chen CS, Chan YJ. The Outbreak of COVID-19: An Overview. J Chin Med. Assoc 2020;83:217-220.
• http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-a-pandemic Son Erişim Tarihi: 29.12.2020.
• http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/novel-coronavirus-2019-ncov Son Erişim Tarihi: 29.12.2020.
• https://covid19.who.int/ Son Erişim Tarihi: 29.12.2020.
• Elshafeey F, Magdi R, Hindi N, Elshebiny M, Farrag N, Mahdy S, et al. A Systematic Scoping Review of COVID-19 During Pregnancy and Childbirth. Int J Gynecol Obstet. 2020;1–6.
• Qianchenga X, Jianb S, Linglingc P, Leib H, Xiaogana J, Weihua L. Coronavirus Disease 2019 in Pregnancy. International Journal of Infectious Diseases 2020;95:376–383.
• Della Gatta AN, Rizzo R, Pilu G, Simonazzi G. Coronavirus Disease 2019 During Pregnancy: A Systematic Review of Reported Cases. American Journal of Obstetrics & Gynecology 2020 June;36-41.
• 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 2020. [Epub ahead of print] Doi: https://doi.org/10.1080/14767058.2020.1763946.
• Wu Y, Zhang C, Liu H, Duan C, Li C, Fan J, et al. Perinatal Depressive and Anxiety Symptoms of Pregnant Women Along with COVID-19 Outbreak in China. American Journal of Obstetrics and Gynecology 2020 August;240.e1-240.e2.
• Kotabagi P, Fortune L, Essien S, Nauta M, Yoong W. Anxiety and Depression Levels Among Pregnant Women with COVID-19. Acta Obstetricia et Gynecologica Scandinavica 2020;99:953–954.
• Corbett GA, Milne SJ, Hehir MP, Lindow SW, O’Connell MP. Health Anxiety and Behavioural Changes of Pregnant Women During The COVID-19 Pandemic. European Journal of Obstetrics & Gynecology and Reproductive Biology 2020;249:96–97.
• Yassa M, Birola P, Yirmibes C, Usta C, Haydar A, Yassa A, et al. Near-term Pregnant Women’s Attitude Toward, Concern About and Knowledge of the COVID-19 Pandemic. The Journal of Maternal-Fetal & Neonatal Medicine 2020;33(22):3827-3834.
• Berthelot N, Lemieux R, Garon-Bissonnette J, Drouin-Maziade C, Martel É, Maziade M. Uptrend in Distress and Psychiatric Symptomatology in Pregnant Women During the Coronavirus Disease 2019 Pandemic. Acta Obstet Gynecol Scand. 2020;99:848–855.
• Bjelica A, Cetkovic N, Trninic-Pjevic A, Mladenovic-Segedi L. The Phenomenon of Pregnancy-A Psychological View. Ginekologia Polska 2018;89(2):102–106.
• https://www.who.int/news-room/feature-stories/detail/facing-mental-health-fallout-from-the-coronavirus-pandemic Son Erişim Tarihi: 29.12.2020.
• Ergin E, Akın B. The Turkish Adaptation of a Quality Assessment Tool for Quantitative Studies: Validity and Reliability Analyses. Turkiye Klinikleri J Nurs Sci. 2018;10(4):292-308.16.
• Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A. Petticrew M. Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) 2015 Statement. Systematic reviews 2015;4(1):1.
• Watson D, Clark LA, Tellegen A. Development and Validation of Brief Measures of Positive and Negative Affect: the PANAS Scales. J Pers Soc Psychol. 1988;54:1063.
• Larøi F, Billieux J, Defeldre AC, Ceschi G, Van der Linden M. Factorial Structure and Psychometric Properties of the French Adaptation of the Dissociative Experiences Scale (DES) in Non-Clinical Participants. Eur Rev Appl Psychol. 2013;63:203-208.
• Bucci P. ICD-11 Draft Diagnostic Guidelines Open to Input by Mental Health Professionals. World Psychiatry 2017;16:115-116.
• https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/pregnancy-breastfeeding.html Son Erişim Tarihi: 29.12.2020.
• https://www.who.int/maternal_child_adolescent/links/covid-19-mncah-resources-for-pregnancy-childbirth-postnatalcare/en/ Son Erişim Tarihi: 29.12.2020.
• https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy/ Son Erişim Tarihi: 29.12.2020.
• https://www.gfmer.ch/Guidelines/Maternal_neonatal_infections/Coronavirus.htm Son Erişim Tarihi: 29.12.2020.