Mood state and psychological adjustment to pregnancy

Hart, R. C.; McMahon, Catherine

doi:10.1007/s00737-006-0141-0

Cited by 177 publications

(149 citation statements)

References 55 publications

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“…Literatürde bildirilen gebelik dönemi depresyon sıklığı ile ilgili yurt dışı [14][15][16][17][18][19] ve yurt içi [20][21][22][23][24][25] Çalışma bulgularıyla benzer şekilde; yaşayan çocuk sayısının [43] gebeliğin istenme durumunun [21,36,39], önceki gebeliklerinde kayıp yaşamış olmanın [21], gebelik döneminde sorun yaşamanın [22] ve cinsiyet beklentisinin [21,39] gebelikte depresyon düzeyini etkilemediği gösterilmiştir. Karataylı [10] ile Şahin ve Kılıçaslan'ın [13] çalışmalarındaki bulgularla paralel olacak şekilde gebe olduklarını öğrenince olumlu duygulanım yaşayan kadınlarda depresyon düzeyinin daha düşük, gebeliklerini öğrendiklerinde ve üçüncü trimesterde korku, endişe, tedirginlik, üzüntü gibi olumsuz duygular yaşayanların ise depresyon düzeyinin yüksek olduğu görülmüştür.…”

Section: Discussionunclassified

“…Çalışma sonuçlarını destekler nitelikteki bazı araştırmalarda; kadınların primigravida ve multigravida olma durumlarına göre doğum öncesi anksiyete düzeyleri arasında fark olmadığı [40,43,45], gebeliğini planlamamış olanların anksiyete ortalamalarının genel ortalamadan farklı çıkmadığı [12,40,43], gebeliği isteme ve doğacak bebeğin cinsiyetini bilme [3,39] ve düşük yapma [21], gebe olduğunu öğrenince sevinme durumu [13] ile anksiyete puanları arasında ilişki olmadığı sonuçları elde edilmiştir. Araştırmada ulaşılan bu sonuçlar ve destekleyen çalışmalar genelde her gebe kadının gebelik ve doğuma ilişkin kaygı yaşadığını göstermektedir.…”

Section: Discussionunclassified

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Gebelerin stresle başa çıkma tarzlarının anksiyete ve depresyon düzeyi ile ilişkisi

Dağlar¹,

Nur²

2014

Cumhuriyet Med J

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Amaç. Gebelerin stresle başa çıkma tarzları ile anksiyete ve depresyon düzeyi arasındaki ilişkiyi belirlemektir. Yöntem. Bu çalışma Mart ve Eylül 2013 tarihleri arasında Sivas merkezde basit rastgele örnekleme yöntemiyle seçilen 12 mahallede 227 gebe ile ev ziyareti şeklinde yapılmıştır. Veriler sosyo-demografik kişisel bilgi formu, Stresle Başa Çıkma Tarzları Ölçeği (SBTÖ), Epidemiyolojik Araştırmalar Merkezi Depresyon Skalası (EAMDS) ve Beck Anksiyete Envanteri (BEA) ile toplanmıştır. Bulgular. Gebelerin yaş ortalaması 27,4 ± 5,7 yıldır. EAMDS puan ortalaması 17,6 ± 10,1 (min-max: 2-55) BAE puan ortalaması da 19,2 ± 10,1'dir (min-max: 0-47). Gebelerin %50,7'sinde depresyon riski saptanmıştır. Gebelerin depresyon ve anksiyete düzeyini çalışma, eğitim düzeyi ve ekonomik durum algısı etkilemiştir. Ayrıca anksiyete düzeyini kronik bir hastalığa sahip olma durumu da etkilemiştir. Stresle başa çıkmada kendine güvenli yaklaşım, iyimser yaklaşım ve sosyal destek arama tarzını kullanma ile gebelikte depresyon riski arasında negatif, boyun eğici ve çaresiz yaklaşım tarzını kullanma ile gebelikte depresyon riski ve anksiyete düzeyi arasında ise pozitif ilişki bulunmuştur. Sonuç. Stresle başa çıkmada kendine güvenli yaklaşım, iyimser yaklaşım ve sosyal destek arama tarzını kullanan gebelerin depresyon riski düşmekte iken, boyun eğici ve çaresiz yaklaşım tarzını kullanan gebelerde ise depresyon riski ve anksiyete düzeyi yükselmektedir.Anahtar sözcükler: Gebelik, stresle başa çıkma tarzı, anksiyete, depresyon Abstract Aim. To determine relationship between anxiety and depression level and coping styles with stress of pregnant women. Method. This study has been conducted in Sivas center between March and September 2013 in twelve districts which was selected by simple random sampling method in the form of home visits with 227 pregnant women. Data were collected by using Sociodemographic Personal Question Form, Ways of Coping with Stress Scale, Center for Epidemiologic Studies Depression Scale (CES-D) and Beck Anxiety Inventory (BAI). Results. Mean age of pregnant women was 27.4 ± 5.7. The mean scores CES-D of the pregnant women was 17.6 ± 10.1 (minmax: 2-55), mean scores of BAI scores was 19.2 ± 10.1 (min-max: 0-47). The risk of depression was found in 50.7% of pregnant women. Depression and anxiety levels of pregnant women was affected by working status, education level and perception of economic situation. In addition, the level of anxiety was also affected by having a chronic disease. It was determined that there is negative relationship between confident approach, optimistic approach, seeking for social support coping style and the risk of depression during pregnany. Also positive relationship was found between submissive and helpless coping style and risk of depression and anxiety level during pregnancy. Conclusion. Pregnant women who use confident approach, optimistic approach and seeking social support style to cope with stress are at a decreased risk for depression whereas risk of depression and anxiety are at an incr...

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Section: Discussionunclassified

Gebelerin stresle başa çıkma tarzlarının anksiyete ve depresyon düzeyi ile ilişkisi

Dağlar¹,

Nur²

2014

Cumhuriyet Med J

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“…With spirit possession attribution however, sadness clustered with irritability and interpersonal conflict, particularly with partners. Studies show conflicts with intimate partners can both be a result of perinatal depression (Kazi et al, 2006;Hart et al, 2006), and a risk factor for perinatal depression across diverse cultural settings (Farber et al, 1996;Bolton et al, 1998;Pajulo et al, 2001). In the context of low socio-economic status and multifocal family structures, the need to foster supportive networks is perhaps greater.…”

Section: Discussionmentioning

confidence: 99%

Understanding women’s experiences of distress during pregnancy in Dar es Salaam, Tanzania

Kaaya

Mbwambo

Fawzi

et al. 2010

Tanzania J Hlth Res

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Several studies show depression is common during pregnancy. However, there is limited information in Tanzania on the magnitude of perceived distress during pregnancy and meanings ascribed to such distress. A descriptive survey collected data using unstructured interviews from 12 traditional practitioners and 10 peri-urban women with previous pregnancy related mental health concerns identified using a depression vignette. The objectives were to describe the sources and characteristics of distress during pregnancy, and idioms of distress that could inform cultural adaptation of depression screening tools. Narrative analysis showed an emergent category of "problematic pregnancies" framed women's recollections of prolonged periods of sadness. This experience was qualified using various idioms of distress that were differentially emphasized depending on informant's perceived causes of health concern. The idiom kusononeka was consistently used to describe extreme sadness across causal categories and clustered with at least two typical features of major depression. This suggested existence of a construct with similarities to biomedical criteria for depression. "Thinking too much" emerged as a distinctive expression associated with prolonged sadness. Distinctive expressions of social functioning impairments were identified that can inform depression severity assessments. In conclusion, contextual inquiry into experiences of psychological distress showed distinct local idioms that clustered in patterns similar to symptoms of biomedical depressive episodes. Further studies to assess the utility of local idioms of distress and distress related functional impairment in depression assessment tools are warranted. __________________________________________________________________________________________

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“…Approximately 6% of women suffer from phobic FOC (tokophobia), which is often related to previous labor trauma (Butcher, 2014;Gosselin et al, 2016). To a varying extent, the following factors are considered to be predictors of FOC during pregnancy: previous life experience, hearing negative stories about labor, posttraumatic stress disorder (caused by rape, abuse, or a previous complicated labor), lack of childbirth experience, ambivalence towards pregnancy and maternity (Hart, McMahon, 2006), age, education, social-economic status, and lack of social support (Laursen et al, 2008;Räisänen et al, 2014). Other studies have indicated significant psychological predictors for FOC, for instance, personality type, anxiety, and low self-esteem (Ryding et al, 2007;Handelzalts et al, 2015;Klabbers et al, 2016), and psycho-social FOC predictors (Toohill et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Childbirth - Related Fear Among Slovak Women

Mazúchová

Škodová

Kelčíková

et al. 2017

Cent Eur J Nurs Midw

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Aim: Aim of the study was to examine the intensity of childbirth-related fear, its components and relationship with selected variables (age, parity, and delivery history) among pregnant women in Slovakia. Design: The study was designed as a descriptive cross-sectional study. Methods: A cross-sectional study, 156 pregnant women participated in the research (age 29.7 ± 4.73). The Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ, version A) was used to assess the intensity of childbirth-related fear. A short questionnaire of our own design was used to measure the components of child-related fear. Correlation analysis, ANOVA, and linear regression were employed. Results: The average intensity of child-related fear in the research sample was 68.8 (± 11.6), extreme fear was identified among 9.6% of pregnant women. Child-related fear and age were significantly negatively correlated (R = -0.16; p = 0.05). Results of ANOVA showed significant differences in intensity of fear according to delivery history (F = 4.58; p = 0.005). In the linear regression model, parity and delivery history were shown to be significant predictors of fear of childbirth. The most prevalent components of childbirth-related fear were pain (21.2%), prolonged labor (19.2%), and use of forceps or vacuum extraction (17.6%). Conclusion: Being a primipara, or perceiving a previous labor as complicated were significant factors influencing the fear of childbirth in our sample. The identification of the components and related factors of childbirth-related fear is important in planning effective intervention strategies aimed at anxiety prevention during pregnancy, and contributes to improvement in the quality of life of pregnant women.

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Mood state and psychological adjustment to pregnancy

Cited by 177 publications

References 55 publications

Gebelerin stresle başa çıkma tarzlarının anksiyete ve depresyon düzeyi ile ilişkisi

Gebelerin stresle başa çıkma tarzlarının anksiyete ve depresyon düzeyi ile ilişkisi

Understanding women’s experiences of distress during pregnancy in Dar es Salaam, Tanzania

Factors Associated With Childbirth - Related Fear Among Slovak Women

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