Türkiye'de İleri Yaş Gebelerde Sosyal Destek ile Prenatal Depresyon Arasındaki İlişki: Kesitsel Bir Çalışma

Yıl 2025, Cilt: 5 Sayı: 2, 143 - 153, 28.08.2025

Mehtap Sönmez , Mine Akben

Öz

Amaç: İleri gebelik yaşı gebelikte risklere neden olabilir. Kadınların ileri yaşta fiziksel değişikliklere ek olarak sosyal ve demografik değişiklikler yaşaması, doğum öncesi ve doğum sonrası depresyon riskini artırır. İleri yaştaki gebe kadınlarda depresyon prevalansının ve sosyal desteğin depresyon üzerindeki etkisini belirlemeyi amaçladık. Gereç ve Yöntem: Araştırma örneklemini bir kamu hastanesinde ikinci ve üçüncü trimesterde takip edilen 40 yaş üstü gebeler oluşturdu. Araştırma verileri kişisel form, Beck depresyon ölçeği ve algılanan sosyal desteğin çok boyutlu ölçeğinden oluşan veri formu aracılığıyla yüz yüze toplandı. Bulgular: İleri yaştaki gebelerin %46,3'ünün Beck depresyon envanteri puanının ortalaması 25,95±8,21 olarak bulundu. Yüksek BDI puan ortalamalarıyla ilişkili faktörler; düşük eğitim düzeyi, eşin eğitim düzeyinin düşük olması, işsizlik, ekonomik durumun kötü olması, evlilik yılının uzaması, planlanmamış ve tedavi edilmemiş gebeliktir. Sonuç: Bu çalışma BDI ile MSPSS arasında anlamlı negatif korelasyon olduğunu ve sosyal desteğin ileri yaştaki gebelerin depresyonu üzerinde önleyici etkiye sahip olduğunu göstermektedir. İleri yaştaki gebelerin antenatal dönemde sosyo-demografik faktörler göz önünde bulundurularak depresyon açısından takip edilmesi ve sosyal desteğin depresyon üzerinde engelleyici etkiye sahip olduğu düşünülmesi önemlidir. Gebelere yönelik sosyal destek unsurlarının artırılmasına yönelik girişimlerde bulunulması önerilir.

Anahtar Kelimeler

İleri Yaş Gebe , Depresyon , Sosyal Destek , Prenatal

The Relationship between Social Support and Prenatal Depression in Advanced Age Pregnant Women in Türkiye: A Cross-Sectional Study

Öz

Objective: Advanced gestational age may cause risks in pregnancy. The fact that women experience social and demographic changes in addition to physical changes in advanced age increases the risk of antenatal and postpartum depression. We aimed to determine the prevalence of depression in advanced pregnant women and the effect of social support on depression. Methods: The research sample consisted of pregnant over the age of 40 who were followed up in the two and third trimester in a public hospital. The research data were collected face-to-face through the data form consisting of the personal form, Beck depression scale and Multidimensional scale of perceived social support. Results: The mean score of Beck depression inventory of 46.3% of advanced age pregnant was found to be 25.95±8.21. Factors associated with high mean scores of BDI; low level of education, low level of partner education, unemployment, poor economic level, prolongation of the marriage year, unplanned and untreated pregnancy. Conclusions: This study shows that there was a significant negative correlation between BDI and MSPSS and that social support has preventive effect on depression of advanced age pregnancy. It is important that advanced age pregnant are followed up in terms of depression by considering the socio-demographic factors in the antenatal period, and considering that social support has a disabling effect on depression. It is recommended to take initiatives to increase the social support elements for pregnant women.

Anahtar Kelimeler

Advanced age pregnancy , Depression , Social support , Prenatal

Etik Beyan

The ethics committee approval of the research *** Written permission was obtained from the Clinical Research Ethics Committee (protocol no: 30.10.2019/263) and the hospital management where the study was conducted (2019/E44231). The study was conducted according to the guidelines of the Declaration of Helsinki.

Destekleyen Kurum

Kahramanmaraş Sütçü İmam Üniversitesi

Teşekkür

Author MA of this article died 6 February 2023 Kahramanmaras earthquakes. I remember with you mercy.

Kaynakça

• Akarsu, R., & Şahiner, L. (2020). Evaluation of Very Advanced Maternal Age Pregnancy Results. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 11(3), 522-525. https://doi.org/10.31067/0.2020.302522
• Arslan, S., Gülşen, O., Coşkun, A. M., & Temiz, F. (2019). Women’s Perceptıon of Pregnancy and the Affectıng Factors. Journal of Health science and Proffesions, (6), 179-192.
• Bayrampour, H., Heaman, M., Duncan, KA., & Tough, S. (2012). Advanced maternal age and risk perception: A qualitative study. BMC Pregnancy and Childbirth, (12)100, 1-13.
• Beck, A., Ward, C., Mendelsohn, M., Mock, J., & Erbaugh J. (1961). An inventory for measuring depression. JAMA, (4), 561–571.
• Beck A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996) Comparison of Beck Depression Inventories-IA and-II in psychiatric outpatients. JPA, (67), 588-597.
• Bilszta, J. L., Tang, M., Meyer, D., Milgrom, J., Ericksen, J., & Buist A. E. (2008). Single motherhood versus poor partner relationship: outcomes for antenatal mental health. Australian & New Zealand Journal of Psychiatry, (42)1, 56-65.
• Biaggi, A., Conroy, S., Pawlby, S., & Pariante, C. M. (2016). Identifying the women at risk of antenatal anxiety and depression: a systematic review. J Affect Disord,191, 62-77.
• Biratu, A., & Haile, D. (2015). Prevalence of antenatal depression and associated factors among pregnant women in Addis Ababa, Ethiopia: a cross-sectional study, Reproductive Health, 12, 99:1-8.
• Bödecs, T., Szilágyi, E., Cholnoky, P., Sándor, J., Gonda, X., Rihmer Z., & Horváth, B. (2013). Prevalence and psychosocial background of anxiety and depression emerging during the first trimester of pregnancy: data from a Hungarian population-based sample. Psychiatria Danubina, 25, 0-358.
• Cho, H., Lee, K., Choi, E., Cho, H.N., … Choi, K. S. (2022). Association between social support and postpartum depression. Scientific Reports, 12, 1-9.
• Chen, J., Cross, W. M., Plummer, V., Lam, L., Sun, M., Qin, C., & Tang, S. (2019). The risk factors of antenatal depression: A cross‐sectional survey, Journal of Clinical Nursing, 28, 3599-3609.
• Cincioğlu, G., Durat, S., Öztürk, H., & Akbaş, H. (2020). Mental States and Coping Styles with Stress of Women in High-Risk Pregnancy. Sağlık ve Toplum, 20, 148-157.
• Can, H., & Çakır, L. (2012). Relation Between Sociodemographic Variables with the Levels of Depression and Anxiety in Pregnancy. The Journal of Turkish Family Physician, 3(2), 35-42.
• Coll, C. D. V. N., da Silveira, M. F., Bassani, D. G., Netsi, E., Wehrmeister, F. C., Barros, F. C., & Stein, A. (2017). Antenatal depressive symptoms among pregnant women: Evidence from a Southern Brazilian population-based cohort study. Journal of Affective Disorders, 209, 140-146.
• Değirmenci, F, Yılmaz V, D. (2020). The relationship between psychosocial health status and social support of pregnant women. J Psychosom Obstet Gynaecol, 41(4), 290-297.
• Eker, D., & Arkar, H. (1995). Factorial Structure, Validity, and Reliability of the Multidimensional Scale of Perceived Social Support. Türk Psikoloji Dergisi, (10), 45-55.
• Eker, D., Arkar, H., & Yaldız, H. (2001). Çok boyutlu algılanan sosyal destek ölçeğinin gözden geçirilmiş formunun faktör yapısı, geçerlik ve güvenirliği. Türk Psikiyatri Dergisi, 12, 17-25.
• Feinberg, E., Declercq, E., Lee, A., & Belanoff, C. (2002). The relationship between social support and postnatal anxiety and depression: Results from the Listening to Mothers in California survey. Women's Health Issues, 32(3), 251-260.
• Field, T. (2017). Prenatal depression risk factors, developmental effects and interventions: a review. Journal of Pregnancy and Child Health, 4 (1), 1-25.
• Fisher, J., Tran, T., Duc Tran, T., Dwyer, T., … Biggs, B. A. (2013). Prevalence and risk factors for symptoms of common mental disorders in early and late pregnancy in Vietnamese women: a prospective population-based study. Journal of Affective Disorders, 5(146), 213-219.
• García-Blanco, A., Monferrer, A., Grimaldos, J., Hervás, D., & Balanzá-Martínez, V. (2017). V, Vento M. and Cháfer-Pericás C.A preliminary study to assess the impact of maternal age on stress-related variables in healthy nulliparous women. Psychoneuroendocrinology, 78, 97-104.
• Goecke, T., Voigt, F., Faschingbauer, F., Spangler, G., Beckmann, M., & Beetz, A. (2012). The association of prenatal attachment and perinatal factors with pre-and postpartum depression in first-time mothers. Archives of Gynecology and Obstetrics, 286, 309-316.
• González-Mesa, E., Kabukcuoglu, K., Körükcü, O., Blasco, M., Ibrahim, N., & Kavas, T (2018). Cultural factors influencing antenatal depression: A cross-sectional study in a cohort of Turkish and Spanish women at the beginning of the pregnancy. Journal of Affective Disorders, 238, 256-260.
• Hu, Y., Wang, Y., Wen, S., Guo, X., … Wang, Y. (2019). Association between social and family support and antenatal depression: a hospital-based study in Chengdu, China. BMC Pregnancy and Childbirth, 19, 1-10.
• Hue, M. T., Nguyet Van, N. H., Nha, P. P., Vu, N. T., … Tu, N. H. (2020). Factors associated with antenatal depression among pregnant women in Vietnam: A multisite cross-sectional survey. Health Psychology Open, 18, 7(1). https://doi.org/10.1177/205510292091407
• Jahromi, B. N., & Husseini, Z. (2008). Pregnancy outcome at maternal age 40 and older. Taiwanese Journal of Obstetrics and Gynecology, (47), 318-321.
• Ngowa, J. D., Ngassam, A. N., Dohbit, J. S., Nzedjom, C., & Kasia, J. M. (2013). Pregnancy outcome at advanced maternal age in a group of African women in two teaching Hospitals in Yaounde, Cameroon. Pan Afr Med J, 7(14), 134.
• Nilsen, A. B. V., Waldenström, U., Hjelmsted, A., Rasmussen, S., & Schytt, E. (2012). Characteristics of women who are pregnant with their first baby at an advanced age. Acta Obstetricia et Gynecologica Scandinavica, (91), 353-362x.
• Maghami, M., Shariatpanahi, S. P., Habibi, D., Heidari‐Beni, M., Badihian, N., Hosseini, M., & Kelishadi, R. (2021). Sleep disorders during pregnancy and postpartum depression: A systematic review and meta‐analysis. International Journal of Developmental Neuroscience, 81, 469-478.
• Míguez, M. C., & Vázquez, M. B. (2021). Risk factors for antenatal depression: A review. World Journal of Psychiatry, 11(7), 325-336. https://doi.org/10.5498/wjp.v11.i7.325
• Sidhu, G. S., Sidhu, T. K., Kaur, P., Lal, D., & Sangha, N. K. (2019). Evaluation of Peripartum Depression in Females. Int J Appl Basic Med Res, (9), 201-205.
• Thompson, O., & Ajayi, I. (2016). Prevalence of antenatal depression and associated risk factors among pregnant women attending antenatal clinics in Abeokuta North Local Government Area, Nigeria. Depression Research and Treatment, 4518979, 1-15 http://dx.doi.org/10.1155/2016/4518979
• Taylor, B. L., Nath, S., Sokolova, A. Y., Lewis, G., Howard, L. M., Johnson, S., & Sweeney, A. (2022). The relationship between social support in pregnancy and postnatal depression. Soc Psychiatry Psychiatr Epidemiol, 57(7), 1435-1444.
• To, S. M., Yang, L., & Yan, M. W. (2022). The Presence of Meaning in Parenthood, Perceived Social Support, and Happiness of Mothers Living in Hong Kong: A Comparative Study on Younger and Older Mothers. Int J Environ Res Public Health, 26;19(5), 2730.
• Yang, J. P., Lin, R. J., Sun, K., & Gao, L. L. (2023). Incidence and correlates of insomnia and its impact on health-related quality of life among Chinese pregnant women: a cross-sectional study. J of Reprod Infant Psychol, 41(4), 391-402.
• Yanikkerem, E., Ay, S., Mutlu, S., & Goker, A. (2013). Antenatal depression: prevalence and risk factors in a hospital based Turkish sample. J Pak Med Assoc, 63, 472-477.
• Yogev, Y., Melamed, N., Bardin, R., Tenenbaum-Gavish, K., Ben-Shitrit, G., & Ben-Haroush, A. (2010). Pregnancy outcome at extremely advanced maternal age. American Journal of Obstetrics and Gynecology, (203), 558.e551-558.e557.
• Zaman, FK., Özkan, N., & Toprak, D. (2018). Depression and Anxiety in Pregnancy. Konuralp Medical Journal, (10), 20-25.