Investigation of Attention Levels Through Cancellation Test in Third Trimester of Pregnancy

Yıl 2019, , 73 - 79, 28.01.2019

Seval Keloğlan , Duygu Murat Öztürk , Leyla Şahin , Ayşegül Küçük

https://doi.org/10.31020/mutftd.482648

Öz

Aim: Increased metabolic needs and hyperactive hormones during pregnancy can cause some psychological changes in pregnant women. In this study, attention levels in third stages of pregnancy are aimed to investigate.

Materials and Methods: This descriptive study was conducted among women who applied to Amasya Sabuncuoğlu Şerefeddin State Hospital Obstetrics and Gynaecology Clinic between 01.05.2016 and 01.03.2017. The research population consisted of women (n=60) who non-pregnant women in the control (n=30) and 3rd trimester pregnants in the case group (n=30). The Marking Test was used to determine attentional levels.

Results: When the data were evaluated, there was no statistically significant difference between the groups in terms of the number of targets marked, number of missed targets and number of missed target numbers (p> 0.05). The duration of the scan was significantly longer in Group 2 than Groups 1 (respectively; p = 0.011 for Test 3 and p = 0.014 for Test 4).

Conclusions: It’s seen that, the length of time needed for attention got longer in the last days of the pregnancy. For this reason, it is recommended to take this situation into consideration during the last trimester trainings.

Anahtar Kelimeler

Pregnancy, Trimester, Cancellation test, Attention

Üçüncü Trimesterdeki Gebelerin Dikkat Düzeylerinin İşaretleme Testi İle Araştırılması

Öz

Amaç: Gebelik süresince artan metabolik ihtiyaçlar ve hiperaktif hormonlar gebelerde bazı psikolojik değişikliklere neden olabilirler.
Bu çalışma gebeliğin üçüncü trimesterinde dikkat düzeylerinin araştırılması amacıyla yapılmıştır.

Gereç ve Yöntem: Tanımlayıcı nitelikte olan bu araştırma, Amasya Sabuncuoğlu Şerefeddin Devlet Hastanesi Kadın Hastalıkları ve
Doğum Polikliniğine 01.05.2016 ile 01.03.2017 tarihleri arasında başvuran kadınlarda gerçekleştirildi. Çalışma gruplarını; kontrol
grubu kadınlar (n=30); ve 3. Trimester de ki gebeler (n=30) olmak üzere toplam n=60 kadın oluşturdu. Dikkat düzeylerini belirlemek
için İşaretleme Testi kullanıldı.

Bulgular: İşaretlenen hedef sayısı, atlanan hedef sayısı ve yanlış işaretlenen hedef sayısı ortalamaları açısından gruplar arasında
istatistiksel olarak anlamlı bir fark bulunmadı (p>0.05). Tarama süresinin gebeliğin son trimesterinde kontrol grubuna göre daha
uzun olduğu bulundu (sırasıyla; Test 3 için, p = 0.011 and Test 4 için, p = 0.014).

Sonuç: Gebeliğin son dönemlerinde dikkatin sağlanması için gereken sürenin uzadığı görüldü. Son trimesterde uygulanılacak
eğitimlerde bu durumun göz önünde bulundurulması önerilmektedir. 

Anahtar Kelimeler

Gebelik, Trimester, İşaretleme Testi, Dikkat

Kaynakça

• Alemu A, Terefe B et al. Thyroid Hormone Dysfunction During Pregnancy: A Review. International Journal of Reproductive Biomedicine (Yazd. Iran) 2016;14(11):677-686.
• Newbern D, Freemark M. Placental Hormones and The Control of Maternal Metabolism and Fetal Growth. Current Opinion in Endocrinology Diabetes and Obesity 2011;18(6):409-16.doi: 10.1097/MED.0b013e32834c800d.
• Kinsley CH, Amory-Meyer E. Why the Maternal Brain? Journal of Neuroendocrinology 2011;23(11):974-83. doi: 10.1111/j.1365-2826.2011.02194.x.
• Glover V. Maternal Depression. Anxiety And Stres During Pregnancy and Child Outcome; What Needs to Be Done. Best Practice and Research. Clinical Obstetrics Gynaecology 2014;28(1):25-35. doi: 10.1016/j.bpobgyn.2013.08.017.
• Krassas G, Karras SN, Pontikides N. Thyroid Diseases During Pregnancy: A Number of Important Issues. Hormones (Athens Greece) 2015;14(1):59-69.
• Banikowski AK, Mehring TA. Strategies to Enhange Memory Based on Brain-Research. Focus on Exceptional Children 1999;32(2):1-16.
• Duncan J. Coorperating Brain Systems in Selective Perception and Action. InT. Inui. & J.L. Mc Clelland (Eds.). Attention and Performance. XVI. London. The MIT Press. 1996. pp:549-578.
• De Groot RH, Adam JJ, Hornstra G. Selective Attention Deficits During Human Pregnancy. Neuroscience Letters 2003;340(1):21-4. doi: 10.1016/S0304-3940(03)00034-X.
• Baymur F. General Psychology. 22. Press. Istanbul. Turkey: Inkilap Bookstore 2004. pp:133-156.
• Buckwalter JG, et al. Pregnancy The Postpartum. and Steroid Hormones: Effects on Cognition and Mood. Psychoneuroendocrinology 1999;24(1):69-84. doi:10.1016/S0306-4530(98)00044-4.
• Kataja EL, et al. Pregnancy-Related Anxiety And Depressive Symptoms Are Associated With Visuospatial Working Memory Errors During Pregnancy. Journal of Affective Disorders 2017;15(218):66-74.doi: 10.1016/j.jad.2017.04.033.
• Matier K, Wolf LE, Halperin JM. The Psychometric Properties and Clinical Utility of A Cancellation Test in Children. Developmental Neuropsychology 1994;10(2):165-167. doi: 10.1080/87565649409540575.
• Karakas S, Eskı R, Basar E. A Neuropsychological Test Battery Standardised to The Turkish Culture: BILNOT Battery. Handbook of the 32nd National Congress of Neurology. Printing Istanbul: Ufuk Press Publishing 1996.
• Ataklı A, Ekncı S, Kafadar H. Evaluation Of Memory. Attention. Learning. Thinking And Mental Activity Speed Of Medical Secretary Candidates (Tıbbi Sekreter Adaylarının Bellek, Dikkat, Öğrenme, Düşünme ve Zihinsel Faaliyet Hızının Değerlendirilmesi). Hacettepe Journal of Health Administration 2005;8(2):189-213.
• Karakas S, Yalın A. Normative Study of Visual Aural Digit Span Test Form-B On Turkish Adolescents And Adults (Ages 13-54) (Görsel İşitsel Sayı Dizileri Testi B Formunun 13-54 Yaş Grupları Üzerindeki Standardizasyon Çalışması). Turkish Journal of Psychology 1995;10(34):20-31.
• Kucuk A, Dolu N, Erdogan H. The Effect of Age. Sex and Socio-Economic Status Differences on Attention Levels in Primary School Students (İlköğretim Öğrencilerinde Yaş. Cinsiyet ve Sosyo-Ekonomik Seviye Farklılıklarının Dikkat Düzeyine Etkileri). Journal of Health Sciences 2009;18(1):18-24.
• Silber M, et al. Temporary Peripartal Impairment in Memory and Attention and its Possible Relation to Oxytocin Concentration. Life Sciences 1990;47(1):57-65.
• Kortepeter N, Macmillan M, Ferrell R. Possible Short-Term Memory Loss Associated With Nefarelin Acetate. The Annals of in Pharmacotherapy 1992;26(2):169-171. doi: 10.1177/106002809202600203.
• Brett M, Baxendale S. Motherhood and Memory: A Review. Psychoneuroendocrinology 2001;26(4):339-62.
• Parsons C, Redman S. Self-Reported Cognitive Change During Pregnancy. The Australian Journal of Advanced Nursing 1991;9(1):20-9.
• Glynn LM. Giving Birth To A New Brain: Hormone Exposures Of Pregnancy Influence Human Memory. Psychoneuroendocrinology 2010;35(8):1148-55. doi: 10.1016/j.psyneuen.2010.01.015.
• Kurt M, Karakas S. The Right Cerebral Hemisphere Sensitive to The Cognitive Characteristics of Three Neuropsychological Tests and The Relationships Between Them. (Sağ Serebral Hemisferin Bilişsel İşlevlerine Duyarlı Üç Nöropsikolojik Testin Özellikleri ve Aralarındaki İlişkiler). Journal of Psychiatry Psychology Psychopharmacology 2000;8(4):251-265.
• Crawley RA, Dennıson K, Carter C. Cognition in Pregnancy and The First Year Post-Partum. Psychology Psychotherapy 2003;76(1):69-84. doi: 10.1348/14760830260569265.
• Keenan PD, et al. Explicit Memory In Pregnant Women. American Journal of Obstetrics and Gynecology 1998;179(3):731-737. doi: 10.1016/S0002-9378(98)70073-0.
• Lee AM, et al. Prevalence, Course and Risk Factors for Antenatal Anxiety and Depression. Obstetrics and Gynecology 2007;110(5):1102-12. doi: 10.1097/01.AOG.0000287065.59491.70.