Gebelerde Coronavirus ilişkili anksiyete sıklığı ve etkileyen faktörlerin değerlendirilmesi: Kesitsel çalışma

Yıl 2022, Cilt: 16 Sayı: 4, 805 - 812, 23.12.2022

Remzi Süntar , Melike Mercan Başpınar , Süleyman Salman , Okcan Basat

https://doi.org/10.21763/tjfmpc.1124982

Cited By: 2

Öz

Amaç: Araştırmamız, gebelerde Covid nedenli anksiyete sıklığı ve etkili faktörlerin tespit edilmesini amaçlamıştır. Yöntem: Gözlemsel (kesitsel) tipte olan çalışma Eylül 2020- Aralık 2020 tarihlerinde bir pandemi hastanesi Aile Hekimliği ve Gebe İzlem Polikliniklerine başvuran 1027 gebe ile gerçekleşmiştir. Katılımcılara demografik soru formu ve Covid anksiyete ölçeği uygulanmıştır. Covid anksiyetesi sıklığını arttıran risk faktörlerinin tespitinde lojistik regresyon testleri kullanılmıştır. Bulgular: Gebelerde, Covid anksiyete sıklığı %13,24 olup birinci, ikinci ve üçüncü trimesterde benzer oranda saptanmıştır (sırasıyla %14,0, %13,8, %12,4 ve p=0,783). Anksiyete ilgili en sık semptom %40,51 ile uyku bozukluğu olarak tespit edilmiştir. Ailede Covid pozitif birey olması 2,470 kat (p<0,001; %95GA:1,584-3,851), bilinen kronik hastalık varlığı 2,726 kat (p<0,001; %95GA:1,627-4,569) Covid nedenli anksiyete görülme sıklığını arttıran risk faktörü olarak izlenmiştir. Sonuç: Çalışmamızda, pandemi gibi beklenmedik acil bir durumda gebelerde nedene özel anksiyetenin belirleyicileri mevcut kronik hastalık varlığı ve yakınlarının etkene maruziyeti olmuştur. Bu durum gelecek yeni afet ve acil durumlarda gebe ruh sağlığında kontrol edilebilir risk faktörü olduğu için gebede kronik hastalık yönetimine dikkat çekmiştir.

Anahtar Kelimeler

Gebelik, gebe kadın, Coronavirus, anksiyete

Destekleyen Kurum

yoktur

Proje Numarası

yoktur

Teşekkür

Tüm katılımcılara teşekkür ederiz

Evaluation of the frequency of anxiety related coronavirus and affecting factors in pregnant women: A cross-sectional study

Öz

Objective: Our search aimed to determine the prevalence of Covid-induced anxiety and effective factors in pregnant women. Method: The observational (cross-sectional) type study, was carried out with 1027 pregnant women who applied to the Family Medicine and Pregnant Follow-up Clinics of a pandemic hospital between September 2020 and December 2020. Demographic questionnaire and Covid anxiety scale were applied to the participants. Logistic regression tests were used to identify risk factors that increase the frequency of Covid anxiety. Results: The presence of Covid anxiety in pregnant women was 13,24%, and it was found at a similar rate in the first, second and third trimesters (14.0%, 13.8%, 12.4%, and p=0.783, respectively). The most common symptom related to anxiety was found to be sleep disorder with 40.51%. The presence of a Covid positive individual in the family was 2,470 times (p<0.001; 95%CI: 1,584-3,851) and the presence of a known chronic disease 2.726 times (p<0.001; 95%CI: 1.627-4,569) was observed as a risk factor that increased the presence of Covid-induced anxiety. Conclusion: In our study, the determinants of cause-specific anxiety in pregnant women in an unexpected emergency situation such as a pandemic were the presence of a chronic disease and the exposure of relatives to the agent. This situation has drawn attention to chronic disease management in pregnant women, as it is a controllable risk factor in pregnant mental health in future disasters and emergencies.

Anahtar Kelimeler

Pregnancy, pregnant woman, Coronovirus, anxiety

Proje Numarası

yoktur

Kaynakça

• 1. Cohen S, Abukhalaf A. COVID-19's negative mental health impact goes well beyond standard at-risk populations: Action needs to be taken to combat long-term nationwide emotional disruption. Academia Letters. 2021:2. https://doi.org/10.20935/AL3621 https://doi.org/10.20935/AL3621
• 2. Bo H-X, Li W, Yang Y, et al. Posttraumatic stress symptoms and attitude toward crisis mental health services among clinically stable patients with COVID-19 in China. Psychological medicine. 2021;51(6):1052-3. https://doi.org/10.1017/S0033291720000999
• 3. Davies SE, Bennett B. A gendered human rights analysis of Ebola and Zika: locating gender in global health emergencies. International Affairs. 2016;92(5):1041-60. https://doi.org/10.1111/1468-2346.12704
• 4. World Health Organization (WHO). Gender disparities and mental health: The facts. Gender and Women's Mental Health. 2016. https://www.euro.who.int/en/health-topics/health-determinants/gender/activities/gender-and-non-communicable-diseases/gender-and-mental-health Access Date:01/06/2022
• 5. Carter D, Kostaras X. Psychiatric disorders in pregnancy. British Columbia Medical Journal. 2005;47(2):96.
• 6. Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. Journal of affective disorders. 2020;277:5-13. https://doi.org/10.1016/j.jad.2020.07.126
• 7. 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. International journal of environmental research and public health. 2020;17(5):1729. https://doi.org/10.3390/ijerph17051729
• 8. Lee SA. Coronavirus anxiety scale: A brief mental health screener for COVID-19 related anxiety. Death studies. 2020;44(7):393-401. https://doi.org/10.1080/07481187.2020.1748481
• 9. Biçer İ, Çakmak C, Demir H, Kurt Me. Koronavirüs anksiyete ölçeği kısa formu: Türkçe geçerlik ve güvenirlik çalışması. Anatolian Clinic the Journal of Medical Sciences. 2020;25(Special Issue on COVID 19):216-25.
• 10. Karaçam Z, Ançel G. Depression, anxiety and influencing factors in pregnancy: a study in a Turkish population. Midwifery. 2009;25(4):344-56. https://doi.org/10.1016/j.midw.2007.03.006
• 11. Caliskan D, Oncu B, Kose K, Ocaktan ME, Ozdemir O. Depression scores and associated factors in pregnant and non-pregnant women: a community-based study in Turkey. Journal of Psychosomatic Obstetrics & Gynecology. 2007;28(4):195-200. https://doi.org/10.1080/01674820701450649
• 12. Alberque C, Bianchi-Demicheli F, Andreoli A, Epiney M, Irion O. Management of severe antepartum depression: an update. Revue medicale suisse. 2008;4(144):392, 4, 6-7.
• 13. Lucchini M, Shuffrey LC, Firestein M, et al. The impact of covid-related stress on maternal sleep during pregnancy. Biological Psychiatry. 2022;91(9):S25-S6. https://doi.org/10.1016/j.biopsych.2022.02.080
• 14. Yildirim H, Işik K, Aylaz R. The effect of anxiety levels of elderly people in quarantine on depression during covid-19 pandemic. Social Work in Public Health. 2021;36(2):194-204. https://doi.org/10.1080/19371918.2020.1868372
• 15. Ding W, Lu J, Zhou Y, Wei W, Zhou Z, Chen M. Knowledge, attitudes, practices, and influencing factors of anxiety among pregnant women in Wuhan during the outbreak of COVID-19: a cross-sectional study. BMC pregnancy and childbirth. 2021;21(1):1-9. https://doi.org/10.1186/s12884-021-03561-7
• 16. Dennis C-L, Falah-Hassani K, Shiri R. Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. The British Journal of Psychiatry. 2017;210(5):315-23. https://doi.org/10.1192/bjp.bp.116.187179
• 17. Fullana MA, Hidalgo-Mazzei D, Vieta E, Radua J. Coping behaviors associated with decreased anxiety and depressive symptoms during the COVID-19 pandemic and lockdown. Journal of Affective Disorders. 2020;275:80-1. https://doi.org/10.1016/j.jad.2020.06.027
• 18. Guo Y, Cheng C, Zeng Y, et al. Mental health disorders and associated risk factors in quarantined adults during the COVID-19 outbreak in China: cross-sectional study. Journal of medical Internet research. 2020;22(8):e20328. https://doi.org/10.2196/20328
• 19. Hyland P, Shevlin M, McBride O, et al. Anxiety and depression in the Republic of Ireland during the COVID‐19 pandemic. Acta Psychiatrica Scandinavica. 2020;142(3):249-56. https://doi.org/10.1111/acps.13219
• 20. Rodríguez-Rey R, Garrido-Hernansaiz H, Collado S. Psychological impact and associated factors during the initial stage of the coronavirus (COVID-19) pandemic among the general population in Spain. Frontiers in psychology. 2020 Jun;11:1540. https://doi.org/10.3389/fpsyg.2020.01540
• 21. Ng J, Sham A, Tang PL, Fung S. SARS: pregnant women's fears and perceptions. British Journal of Midwifery. 2004;12(11):698-702. https://doi.org/10.12968/bjom.2004.12.11.16710
• 22. Shevlin M, McBride O, Murphy J, et al. Anxiety, depression, traumatic stress and COVID-19-related anxiety in the UK general population during the COVID-19 pandemic. BJPsych open. 2020;6(6). https://doi.org/10.1192/bjo.2020.109
• 23. Bozkurt N. Bir grup üniversite öğrencisinin depresyon ve kaygı düzeyleri ile çeşitli değişkenler arasındaki ilişkiler. Eğitim ve Bilim. 2004;29(133):52-59
• 24. Özdin S, Bayrak Özdin Ş. Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. International Journal of Social Psychiatry. 2020;66(5):504-11. https://doi.org/10.1177/0020764020927051
• 25. Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. The Lancet. 2020;395(10229):1054-62. https://doi.org/10.1016/S0140-6736(20)30566-3
• 26. Cansel N, Ucuz İ, Arslan AK, et al. Prevalence and predictors of psychological response during immediate COVID‐19 pandemic. International Journal of Clinical Practice. 2021;75(5):e13996. https://doi.org/10.1111/ijcp.13996
• 27. Bitan DT, Grossman-Giron A, Bloch Y, Mayer Y, Shiffman N, Mendlovic S. Fear of COVID-19 scale: Psychometric characteristics, reliability and validity in the Israeli population. Psychiatry research. 2020;289:113100. https://doi.org/10.1016/j.psychres.2020.113100