The Role Of Psychiatric And Demographic Factors In The Etiology of Hyperemesis Gravidarum

Yıl 2023, Cilt: 2 Sayı: 4, 202 - 207, 02.10.2023

Guldeniz Toklucu , Bilge Doğan Taymur , Arzu Tekin , Osman Samet Günkaya , Ayşegül Bestel , Nıyazı Tug

https://doi.org/10.5505/achmedj.2023.13008

Öz

Introduction: Our aim in this study is to show how various aspects of the psychosocial health status and demographic features relate to the development and severity of hyperemesis gravidarum (HG).
Methods: A total of 100 women before 20 weeks of pregnancy were enrolled in a study. The pregnant women were divided into three groups, hospitalized hyperemesis gravidarum patients, HG outpatients, and control group respectively. Pregnant women were questioned by scales after written consent. These scales were Rosenberg’s self-esteem scale and multidimensional perceived social support scale and The Dyadic Adjustment Scale. SPSS 20.0 software (SPSS Inc., Chicago, USA) was used for analyses. Statistical significance was set at p< 0.05.
Results: Duration of marriage significantly differs between hospitalized HG group and the control group (p=0.045), and between the HG group and the control group (p=0.006). Parity significantly differs for nulliparity between hospitalized HG and nonhospitalized HG groups with the control group. According to our data among all parameters, some (age, educational status of women and husband, types of family, economic status, previous history of depression, planned pregnancy, feeling of anxiety caused by pregnancy, having health insurance, working status, anxiety, and depression) were found not to be related
Conclusion: Our study provides powerful scientific evidence
of a psychogenic etiology by putting forth that psychological factors have no effect on the risk of HG.

Anahtar Kelimeler

Hyperemesis gravidarum, Depression, Anxiety, Rosenberg scale, Multidimensional perceived social support scale, The dyadic adjustment scale

Destekleyen Kurum

Ankara Bilkent Şehir Hastanesi

Kaynakça

• 1. Niebyl JR. 2010. Clinical practice. Nausea and vomiting in pregnancy. The New England Journal of Medicine 363:1544
• 2. Davis M. Nausea and vomiting of pregnancy: an evidence-based review. J Perinat Neonatal Nurs. 2004;18(4):312-328.
• 3. Mazzotta P, Maltepe C, Navioz Y, Magee LA, Koren G. Attitudes, management and consequences of nausea and vomiting of pregnancy in the United States and Canada. Int J Gynaecol Obstet. 2000;70(3):359-365.
• 4. Attard CL, Kohli MA, Coleman S, et al. The burden of illness of severe nausea and vomiting during pregnancy in the United States. Am J Obstet Gynecol. 2002;186(5)(Suppl Understanding):S220-S227.
• 5. . Anxiety, depression, and marital satisfaction in women with hyperemesis gravidarum: A comparative cross-sectional study in Hospital Tengku Ampuan Rahimah, Klang, Malaysia, PMID: 32929893, DOI: 10.1111/appy.12416
• 6. Nijsten K, van der Minnen LM, Dean C, Bais JMJ, Ris-Stalpers C, van Eekelen R, Bremer HA, van der Ham DP, Heidema WM, Huisjes A, Kleiverda G, Kuppens SM, van Laar JOEH, Langenveld J, van der Made F, Papatsonis D, Pelinck MJ, Pernet PJ, van Rheenen-Flach L, Rijnders RJ, Scheepers HCJ, Vogelvang T, Mol BW, Olff M, Roseboom TJ, Koot MH, Grooten IJ, Painter RC. Depression, anxiety, and post-traumatic stress disorder symptoms after hyperemesis gravidarum: a prospective cohort study. J Matern Fetal Neonatal Med. 2022 Dec;35(25):10055-10063. doi: 10.1080/14767058.2022.2089550. Epub 2022 Jun 21. PMID: 35726837.
• 7. Agostini F, Neri E, Salvatori P, et al. Antenatal depressive symptoms associated with specific life events and sources of social support among Italian women. Matern Child Health J. 2015;19(5):1131–1141. 8. Magtira A, Schoenberg FP, MacGibbon K, Tabsh K, Fejzo MS. Psychiatric factors do not affect recurrence risk of hyperemesis gravidarum. J Obstet Gynaecol Res. 2015 Apr;41(4):512-6. DOI: 10.1111/jog.12592. Epub 2014 Oct 27. PMID: 25345812.
• 9. Zimet G, Dahlem N, Zimet S, Farley G. The Multidimensional scale of perceived social support. J Pers Assess. 1988;52:30–41.
• 10. Eker, D., Arkar, H., Yaldiz, H., 2001. Factorial structure, validity, and reliability of revised form of the multidimensional scale of perceived social support. Turkish Journal of Psychiatry. 12(1), 17–25.
• 11. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
• 12. Çuhadaroğlu F. Adolesanlarda Benlik Saygısı. Yayınlanmış Uzmanlık Tezi, Hacettepe Üniversitesi Tıp Fakültesi, Ankara, 1986.
• 13. Spanier GB. Measuring dyadic adjustment: New scales for assessing the quality of marriage and the similar dyads. Journal of Marriage Family 1976; 38(1):15- 28.
• 14. Fışıloğlu H and Demir A. Applicability Of The Dyadic Adjustment Scale For Measurement Of Marital Quality With Turkish Couples. European Journal Of Psychological Assessment 2000; 16(3):214- 18.
• 15. Engin Yıldırım & Emre Demir (2019): The relationship of hyperemesis gravidarum with sleep disorders, anxiety and depression, Journal of Obstetrics and Gynaecology, DOI: 10.1080/01443615.2019.1572725
• 16. Yusuf Topalahmetoğlu, Mehmet Metin Altay, Derya Akdağ Cırık, Yusuf Aytaç Tohma, Eser Çolak, Bora Çoşkun, Orhan Gelişen. Depression and anxiety disorder in hyperemesis gravidarum: A prospective case-control study Hiperemezis gravidarumlu kadınlarda depresyon ve anksiyete bozukluğu: Prospektif olgu kontrol çalışması. Turk J Obstet Gynecol 2017;14:214-9, DOI: 10.4274/tjod.78477
• 17. Fejzo MS, Macgibbon KW, Romero R, Goodwin TM, Mullin PM. Recurrence risk of hyperemesis gravidarum. J Midwifery Womens Health 2011; 56: 132–136.
• 18. Elmas B, Vatansever M, Civan Kahve A, Salman Özgü B, Asut G, Çakmak IB, Bestel A, Erkaya S. Evaluation of psychological resilience and anxiety levels of patients with hyperemesis gravidarum diagnosis and comparison with healthy pregnant women. Turk J Obstet Gynecol. 2021 Jun 2;18(2):115-123. doi: 10.4274/tjod.galenos.2021.05994. PMID: 34083634; PMCID: PMC8191320.
• 19. [Simpson SW, Goodwin TM, Robins SB, Rizzo AA, Howes RA, Buckwalter DK, et al. Psychological factors and hyperemesis gravidarum. J Women's Health Gend Based Med 2001;10(5):471–7.]
• 20. D'Orazio LM, Meyerowitz BE, Korst LM, Romero R, Goodwin TM. Evidence against a link between hyperemesis gravidarum and personality characteristics from an ethnically diverse sample of pregnant women: a pilot study. J Women's Health 2011;20: 137–44].
• 21. Fejzo MS, MacGibbon KW, Wisner KL. Pregnant, miserable, and starving in 21st century America. AJOG Glob Rep. 2022 Dec 5;3(1):100141. doi: 10.1016/j.xagr.2022.100141. PMID: 36536797; PMCID: PMC9758489.22. Buckwalter JG, Simpson SW. Psychological factors in the etiology and treatment of severe nausea and vomiting in pregnancy. Am J Obstet Gynecol 2002;186(Suppl 5):210-4.
• 22. Buckwalter JG, Simpson SW. Psychological factors in the etiology and treatment of severe nausea and vomiting in pregnancy. Am J Obstet Gynecol 2002;186(Suppl 5):210-4.
• 23. [Zhang Y, Cantor RM, Macgibbon K, Romero R, Goodwin TM, Mullin PM, et al. Familial aggregation of hyperemesis gravidarum. Am J Obstet Gynecol 2011;204:230.e1-7. [10] Vikanes A, Skjaerven R, Grjibovski AM, Gunnes N, Vangen S, Magnus P. Recurrence of hyperemesis gravidarum across generations: population based cohort study. BMJ 2010;29:340.]
• 24. McCarthy FP, Khashan AS, North RA, et al on behalf of the SCOPE consortium. A prospective cohort study investigating associations between hyperemesis gravidarum and cognitive, behavioural and emotional well-being in pregnancy. PLoS One. 2011; 6, e27678.)