The factors affecting depression, anxiety and perceived social support level of  pregnant women who have the diagnosis of preterm labor: Preterm eylem tanısı alan gebelerin kaygı, depresyon ve  algılanan sosyal destek düzeyini etkileyen faktörler*

Emine Şen; Ahsen Şirin

doi:10.5455/GMJ-30-2013-149

Authors

Emine Şen Adnan Menderes Üniversitesi, Söke Sağlık Yüksekokulu, Aydın
Ahsen Şirin İstanbul Bilim Üniversitesi, Sağlık Yüksekokulu, İstanbul

DOI:

https://doi.org/10.5455/GMJ-30-2013-149

Keywords:

Depression, anxiety, preterm labor, social support

Abstract

It has been reported that depression and anxiety in pregnancy period improves pregnancy and childbirth complications, affect adverse on the health of the newborn, premature birth, low birth weight and intrauterine growth retardation. The purpose of the study is to determine the factors affecting anxiety, depression and perceived social support level of pregnant women who had diagnosed preterm delivery. The study design is descriptive. The study consists of 113 pregnant women between June 1 to August 31, 2010 at Ege University Hospital Obstetrics and Gynecology Clinic, Obstetrics Service and the Ministry of Health Dr. Ekrem Hayri Üstündağ Service of Obstetrics and Gynecology Hospital. For data collection of the study, the individual identification form prepared in accordance with relevant literature, the Beck Depression Inventory (BDI), State Anxiety Inventory (SAI) and Trait Anxiety Inventory (TAI) and Multidimensional Scale of Perceived Social Support (MSPSS) was applied using face-to-face interview technique. The data have been analyzed using t-test and one-way ANOVA. It has been determined that BDI scores were 24.92±10.40, TAI scores were 45.81±8.75, SAI scores were 49.68±7.41, and MSPSS scores were 49.15±15.90 of pregnant women who have preterm labor. In conclusion, depression scores were moderate, anxiety scores were high and perceived social support scores were moderate of pregnant women diagnosed preterm labor. It is recommended that the nurses and midwives should assess depression and anxiety on these pregnant women and plan interventions to increase social support.

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References

Jesse DE, Seaver W, Wallace DC. Maternal psychosocial risks predict preterm birth in a group of women from Appalachia. Midwifery 2003;19(3):191-202.

Ege E, Akın B, Altuntuğ K, Arıöz A, Koçoğlu D. Spontan preterm doğum sıklığı ve ilişkili faktörler. Türk Jinekoloji ve Obstetrik Derneği Dergisi 2009;6(3):197-205.

Vırıt O, Akbaş E, Savaş HA, Sertbaş G, Kandemir H. Gebelikte depresyon ve kaygı düzeylerinin sosyal destek ile ilişkisi. Nöropsikiyatri Arşivi 2008;45(1):9-13.

Chomitz VR, Cheung LWY, Lieberman E. The role of lifestyle in preventing low birth weight. Future Child 1995;5(1):121-38.

Vahratian A, Siega-Riz AM, Savitz DA, Thorp JM. Multivitamin use and the risk of preterm birth. Am J Epidemiol 2004;160(9):886-92.

Kelleci M, Doğan S. Bedensel hastalıkla birlikte depresyonu olan hastalara hemşirelerin yaklaşımlarının incelenmesi. Anadolu Psikiyatri Dergisi 2001;2(3):161-8.

Hisli N. Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Türk Psikoloji Dergisi 1989;7(23):3-13.

Savasır I, Sahin NH. Assessment in cognitive-behavioural therapies; frequently used scales. Ankara: Özyurt Press, Turkish Psychologist Association Publications, 1997.

Öner N, Le Compte A. Durumluk-Sürekli Kaygı Envanteri el kitabı. İstanbul: İstanbul Boğaziçi Üniversitesi Yayınları, 1985.

Eker D, Arkar H. Çok boyutlu algılanan sosyal destek ölçeğinin faktör yapısı, geçerlilik ve güvenilirliği. Türk Psikoloji Dergisi 1995;10(34):45-55.

Eker D, Arkar H, Yaldız H. Çok boyutlu algılanan sosyal destek ölçeği’nin gözden geçirilmiş formunun faktör yapısı, geçerlilik ve güvenilirliği. Türk Psikiyatri Dergisi 2001;12(1):17-25.

Dayan J, Creveuil C, Marks MN, Conroy S, Herlicoviez M, Dreyfus M, et al. Prenatal depression, prenatal anxiety, and spontaneous preterm birth: a prospective cohort study among women with early and regular care. Psychosom Med 2006;68(6):938-46.

Copper RL, Goldenberg RL, Das A, Elder N, Swain M, Norman G, et al. The preterm prediction study: maternal stress is associated with spontaneous preterm births at less than thirtyfive weeks’ gestation. Am J Obstet Gynecol 1996;175(5):1286-92.

Orr S, Miller CA. Maternal depressive symptoms and the risk of poor pregnancy outcome. Epidemiol Rev 1995;17(1):165-71.

Dole N, Savitz DA, Hertz-Picciotto I, Siega-Riz AM, McMahon MJ, Buekens P. Maternal stress and preterm birth. Am J Epidemiol 2003;157(1):14-24.

Meis PJ, Michielutte R, Peters TJ, Wells HB, Sands RE, Coles EC, et al. Factors associated with preterm birth in Cardiff, Wales. Univariable and multivariable analysis. Am J Obstet Gynecol 1995;173(2):590-6.

Creasy RK. Preterm birth prevention: where are we? Am J Obstet Gynecol 1993;168(4):1223-30.

Bozkurt N, Himmetoğlu Ö. Preterm eyleme güncel yaklaşım. T Klin J Gynecol Obstet 2004;14(3):175-81.

Karacam Z, Ancel G. Depression, anxiety and influencing factors in pregnancy: a study in a Turkish population. Midwifery 2009;25(4):344-56.

Webster J, Linnane JWJ, Dibley LM, Hinson JK, Starrenburg SE, Roberts JA. Measuring social support in pregnancy: can it be simple and meaningful? Birth 2000;27(2):97-101.

Zayas LH, Jankowski KRB, McKee MD. Prenatal and postpartum depression among low-income Dominican and Puerto Rican women. Hispanic Journal of Behavioral Sciences 2003;25(3):370-85.

Ross LE, Sellers EM, Gilbert-Evans SE, Romach MK. Mood changes during pregnancy and the postpartum period: development of a biopsychosocial model. Acta Psychiat Scand 2004;109(6):457-66.

Elsenbruch S, Benson S, Rücke M, Rose M, Dudenhausen J, Pincus-Knackstedt MK, et al. Social support during pregnancy: effects on maternal depressive symptoms, smoking and pregnancy outcome. Hum Reprod 2007;22(3):869-77.

Westdahl C, Milan S, Magriples U, Kershaw TS, Rising SS, Ickovics JR. Social support and social conflict as predictors of prenatal depression. Obstet Gynecol 2007;110(1):134-40.

Akbaş E, Vırıt O, Kalenderoğlu A. Savaş H, Sertbaş G. Gebelikte sosyodemografik değişkenlerin kaygı ve depresyon düzeyleriyle ilişkisi. Nöropsikiyatri Arşivi 2008;45(3):85-91.

Li D, Liu L, Odouli R. Presence of depressive symptoms during early pregnancy and the risk of preterm delivery: a prospective cohort study. Hum Reprod 2009;24(1):146-53.