Psychological factors and coping strategies in pregnancies complicated by hypertension: A cluster-analytic approach

Chapuis-de-Andrade, Sabrina; Moret-Tatay, Carmen; Paula, Tassiane Amado de; Irigaray, Tatiana Quarti; Antonello, Ivan Carlos Ferreira; Costa, Bartira Ercília Pinheiro da

doi:10.1016/j.jad.2021.09.049

Cited by 8 publications

(9 citation statements)

References 70 publications

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“…Despite the high prevalence of HDPs in our sample, PMAD was not associated with HDP. These findings are in contrast to findings from previous studies (19). For instance, Dachew et al, examined a large cohort of women and found that women who developed PreE had a 53% increased risk of experiencing antenatal depression relative to women who did not have PreE (20).…”

Section: Discussioncontrasting

confidence: 74%

No association between perinatal mood disorders and hypertensive pregnancies

Araji

Griffin²,

Kassahun‐Yimer³

et al. 2022

Front. Psychiatry

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Mental health disorders such as anxiety and/or depression are the most common mental health disorders seen among reproductive aged women and can increase during pregnancy. Many sociodemographic risk factors have been associated with anxiety and/or depression in pregnancy, which can lead to adverse maternal and infant outcomes including the risk of a hypertensive pregnancy. The current study prospectively examined self-reported anxiety, depression and stress in pregnant women without a history of fetal loss or mood disorders beginning at 20–26 weeks. At each study visit, circulating immune factors associated with perinatal mood disorders were measured in blood samples that were collected. A total of 65 women were eligible for data analysis, 26 of which had hypertensive pregnancies. There was not a significant difference in self-reported depression, anxiety or stress between hypertensive disorders of pregnancy and normotensive women. Black women were more likely to have a hypertensive pregnancy and develop a perinatal mood disorder compared to non-black women. Both the inflammatory cytokines interleukin-17 and tumor necrosis factor-alpha were increased in patients with perinatal mood disorders. However, additional research is needed in a larger sample to truly understand the relationship between these factors along with the underlying etiologies and the associated outcomes.

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Section: Discussioncontrasting

confidence: 74%

No association between perinatal mood disorders and hypertensive pregnancies

Araji

Griffin²,

Kassahun‐Yimer³

et al. 2022

Front. Psychiatry

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“…While complimentary results were also seen in the elevated zero maze, only PreE rats spent significantly less time in the open areas relative to NP rats. To our knowledge, this is the first study to evaluate post-partum anxiety among HDP rats beyond the immediate post-partum period; however, clinical studies do report increases in depression and anxiety among women with HDP [ 8 , 42 , 43 ]. Furthermore, a study by Ying et al recently reported that PreE is an independent risk factor for the development of post-partum depression [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Women with a history of HDPs are at an increased risk of developing mood disorders, such as anxiety and depression [ 3 , 4 , 5 ]. Women with advanced HDPs, such as preeclampsia (PreE; new onset of high blood pressure after 20 weeks gestation) or HELLP (hemolysis, elevated liver enzyme, low platelet; considered to be a variant of PreE with more severe organ dysfunction and often life threatening) syndrome, are even more susceptible to these mood disorders and have been reported by some to have disturbances in cognitive function [ 6 , 7 , 8 ]. There have been several theories as to why women affected by HDPs are more susceptible to these changes, ranging from cerebral vascular dysfunction during pregnancy to long-term complications due to hypertension [ 9 , 10 ]; however, to date, none have been conclusive.…”

Section: Introductionmentioning

confidence: 99%

Evidence of Anxiety, Depression and Learning Impairments following Prenatal Hypertension

Wallace

Bowles

Griffin

et al. 2022

Behavioral Sciences

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Background: Hypertensive disorders of pregnancy, such as Preeclampsia (PreE) and HELLP (hemolysis, elevated liver enzyme, low platelet) syndrome, affects approximately 5–10% of pregnancies and increases the risk of women developing disorders, such as anxiety or depression, in the postpartum period. Using preclinical rodent models, we set out to determine whether rats with a history of PreE or HELLP had evidence of anxiety, depression or cognitive impairment and whether immune suppression during pregnancy prevented these changes in mood and/or cognition. Methods: Timed-pregnant rats were infused with sFlt-1 and/or sEng to induce PreE or HELLP beginning on gestational day 12. After delivery, a battery of validated behavioral assays was used to assess post-partum depression, anxiety and learning. Results: There was no negative effect on maternal pup interaction due to PreE or HELLP; however, hypertensive dams spent more time immobile in the forced swim test (p < 0.0001). Hypertensive dams also spent less time in the open area of the open field (p = 0.001). There were no significant changes in recognition memory (p = 0.08); however, spatial learning was impaired in hypertensive dams (p = 0.003). Immobility time in the forced swim test was positively correlated with increased circulating S100B (p = 0.04), while increased time spent in the outer zones of the open field was negatively correlated with BDNF levels (p < 0.0001). Conclusion: The results from this study suggest that hypertensive pregnancy disorders are associated with depression, anxiety and learning impairments in the post-partum period.

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“…This study comprises the Line of Research on Hypertension in Pregnancy. This work partly consists of a broader research effort, with previous results published but with different investigation objectives [ 29 , 30 ]. Thus, a survey was conducted from December 2016 to October 2018.…”

Section: Methodsmentioning

confidence: 99%

The Mediation Effect of Coping Strategies between Personality and Blood Pressure in Pregnancy Complicated by Hypertension

et al. 2022

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Background: Hypertension is the most common medical condition during pregnancy. Hypertensive disorders are associated with an increased risk of adverse outcomes for both mother and fetus. This study examined the role played by personality and coping strategies in relation to blood pressure levels during pregnancy. The specific goal was to study whether coping strategies can mediate the effect of personality in pregnant women with hypertension. Methods: A sample of 351 pregnant women was enlisted, encompassing 192 pregnancies complicated by hypertension. This is a cross-sectional study where personality traits were measured by the five-factor model and coping was evaluated by Jalowiec’s coping inventory scale. Results: Personality can partially predict systolic and diastolic blood pressure. Openness to experience trait is inversely correlated with systolic and diastolic blood pressure. Conversely, emotion-focused coping directly correlated with blood pressure levels. Systolic (β = −0.14; p < 0.05) and diastolic (β = −0.15; p < 0.05) blood pressure were also predicted by openness to experience. Conclusions: It is recommended to reinforce the development of coping strategies which focus more on the problem than on the emotion, avoiding detrimental effects of emotional coping in blood pressure levels during pregnancy.

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Psychological factors and coping strategies in pregnancies complicated by hypertension: A cluster-analytic approach

Cited by 8 publications

References 70 publications

No association between perinatal mood disorders and hypertensive pregnancies

No association between perinatal mood disorders and hypertensive pregnancies

Evidence of Anxiety, Depression and Learning Impairments following Prenatal Hypertension

The Mediation Effect of Coping Strategies between Personality and Blood Pressure in Pregnancy Complicated by Hypertension

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