Depression and anxiety disorder in hyperemesis gravidarum: A prospective case-control study

Topalahmetoğlu, Yusuf; Altay, Mehmet; Cırık, Derya Akdağ; Tohma, Yusuf Aytaç; Colak, Eser; Çoşkun, Bora; Gelişen, Orhan

doi:10.4274/tjod.78477

Cited by 17 publications

(14 citation statements)

References 22 publications

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“…In line with our findings, some studies reported a nulliparity risk factor for HG, and also primiparous women needed hospital care more because of HG ( 29 , 30 ) . By contrast, some studies found no difference in parity between HG and healthy groups ( 27 , 28 ) . When comparing family structure, we found a difference between the HG and control groups.…”

Section: Discussionmentioning

confidence: 86%

“…The percentage of university graduates in the HG group was higher than in the control group. However, previous results regarding education status are conflicting: according to some comparative studies, there was no difference between HG and control groups in terms of educational status ( 19 , 25 , 26 , 27 ) , but one study reported that the HG group had a lower education level than the healthy group ( 28 ) . Likewise, results regarding parity in women with HG are controversial.…”

Section: Discussionmentioning

confidence: 97%

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Evaluation of psychological resilience and anxiety levels of patients with hyperemesis gravidarum diagnosis and comparison with healthy pregnant women

Elmas¹,

Vatansever

Kahve

et al. 2021

tjod

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Objective: To compare the psychological resilience and anxiety levels of patients diagnosed with hyperemesis gravidarum (HG) and healthy pregnant women. Materials and Methods: A sociodemographic data form and the Resilience scale for Adults (RSA) and the State-Trait Anxiety Inventory (STAI) were administered. The sociodemographic data form was completed by the physician, and the RSA and STAI were completed by the participant. The sample of the study consisted of 60 pregnant women with HG and hospitalized and 97 healthy voluntary pregnant women with similar characteristics to the research group without any pregnancy complications. Data were evaluated using descriptive statistical analyses, the independent samples t-test, the Mann-Whitney U test and Pearson’s correlation analysis. Results: The age range was 18-42 years for HG group and 20-43 years for control group. The average age of the HG group was 28.17±5.96 years and that of the control group was 29.45±5.83 years. There was no statistically significant difference between the groups in terms of pregnancy week. Regarding the prevalence of state and trait anxiety between the groups, it was found that 66.7% of the HG group had a high level of trait anxiety and 51.7% had a high level of state anxiety. It was found that 61.9% of the control group had a high level of trait anxiety and 38.1% had a high level of state anxiety. There was no difference between the healthy pregnant group and the HG group in terms of anxiety (p=0.125). It was found that there was a significant difference between the groups in terms of only sub-dimensions of RSA, which were perception of self (U=2385.00, p=0.044) and perception of future (U=2350.50, p=0.030). The perception of self and perception of future scores of the healthy control group were higher. Conclusion: There was no difference between the healthy pregnant group and the HG group in terms of anxiety. It was observed that the HG group had a lower perception of self and future. Apart from the usual increase in anxiety levels during pregnancy, HG accompanied by stubborn nausea and vomiting does not create an extra psychological burden, either as a cause or a result.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 97%

Evaluation of psychological resilience and anxiety levels of patients with hyperemesis gravidarum diagnosis and comparison with healthy pregnant women

Elmas¹,

Vatansever

Kahve

et al. 2021

tjod

View full text Add to dashboard Cite

show abstract

“…Another study in 2017 reported that woman with HG was 20.5 times more prone to having severe anxiety compared with healthy pregnant woman [22].…”

Section: Discussionmentioning

confidence: 99%

Anxiety and Emotional Distress in Hyperemesis Gravidarum Patients (A Case-Control Study) in Zagazig University Hospitals, Egypt

Hussien¹,

Masry²,

Zaitoun³

et al. 2019

JFMHC

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Nausea and vomiting are common experiences in pregnancy and it is considered as a part of normal physiology. It affects about 75% of pregnant women without a known cause. In most cases, it is a mild and self-limited condition that can be controlled with conservative measures and has no adverse fetal outcomes. Women with severe nausea and vomiting during pregnancy (NVP) may have hyperemesis gravidarum (HG); an entity distinct from NVP, which if left untreated may lead to significant maternal and fetal morbidity. The objective of this study was to assess the presence and severity of anxiety in pregnant women with and without HG. The study is a case-control study on 52 pregnant women divided into two groups: cases hospitalized with the diagnosis of HG and healthy pregnant women as a control group. All mothers in the study were evaluated by Hamilton Anxiety Rating Scale (HAM-A) and General Health Questionnaire (GHQ-28). It was revealed that most of hyperemesis gravidarum cases suffered from severe anxiety while only (7.7%) of healthy control had severe anxiety, with high statistical significant difference. The mean of Hamilton Anxiety Rating Scale (HAM-A) is statistically higher among hyperemesis gravidarum cases than healthy controls. Regarding General Health Questionnaire-28 subscales; the mean score of somatic symptoms, social dysfunction and severe depression is statistically higher among hyperemesis gravidarum cases than healthy controls. It was concluded that anxiety and emotional distress were more common and severe in patients with HG.

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“…Several predisposing factors for these disorders are known. High-risk pregnancy [14], history of pre-pregnancy psychological disorders [15], stressful events during pregnancy [16], and economic and social factors [17,18], are known risk factors. The importance of identifying women at risk of depression and anxiety during pregnancy has led screening programs to be included in many prenatal care programs in developed countries [19].…”

Section: Introductionmentioning

confidence: 99%

Changes in prenatal depression and anxiety levels in low risk pregnancy among Iranian women: A prospective study

Kazemi

Dadkhah

2020

Asia-Pacific Psychiatry

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Background There is limited information on the changes in uncomplicated pregnancies. Therefore, in the present study, the changes of depression and anxiety changes in uncomplicated pregnancies during the prenatal period was evaluated. Method This longitudinal study was performed on 256 pregnant women at the beginning of the rst trimester of pregnancy. Inclusion criteria included the absence of pre-pregnancy depression and anxiety and poor pregnancy history. Exclusion criteria were the incidence of pregnancy complications. The level of their depression and anxiety at the time of entering the study were completed by self-report using the DASS questionnaire at 9-10, 11-12, 24-25, and 33-35 weeks of pregnancy. Results The results of the study indicated the effect of time on the level of perinatal depression and anxiety (p < 0.001). These ndings showed that the level of depression increased signi cantly from 9 to 24 weeks of pregnancy and decreased in the 32-34 weeks, but did not reach the level of depression at 9 weeks of pregnancy. Also, the anxiety level increased signi cantly from the onset of pregnancy to the 24 weeks gestation but did not change during the second and third trimesters. The ndings of the study showed that depression and anxiety levels in each of the pregnancy termites were related to its level in the previous trimesters. Conclusion The results of the study showed that the level of depression and anxiety of women in uncomplicated pregnancies also increases. Therefore, psychological health screenings in the second trimester of pregnancy should be performed in these women.

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Depression and anxiety disorder in hyperemesis gravidarum: A prospective case-control study

Cited by 17 publications

References 22 publications

Evaluation of psychological resilience and anxiety levels of patients with hyperemesis gravidarum diagnosis and comparison with healthy pregnant women

Evaluation of psychological resilience and anxiety levels of patients with hyperemesis gravidarum diagnosis and comparison with healthy pregnant women

Anxiety and Emotional Distress in Hyperemesis Gravidarum Patients (A Case-Control Study) in Zagazig University Hospitals, Egypt

Changes in prenatal depression and anxiety levels in low risk pregnancy among Iranian women: A prospective study

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