Gebelerin Psikososyal Sağlık ve Depresyon Düzeylerinin İncelenmesi

Yıl 2023, , 66 - 72, 02.02.2023

Rahime Kıraç Sibel Polat Olca

https://doi.org/10.30934/kusbed.1129906

Öz

Amaç: Bu araştırma gebelerin psikososyal sağlık ve depresif belirti düzeyleri arasındaki ilişkinin incelenmesi amacıyla yapıldı.
Yöntem: Aile Sağlığı Merkezi’nde izlenen 150 gebenin verileri yüz yüze görüşme yöntemi ile toplandı. Veriler, 10 Mart 2021-26 Temmuz 2021 tarihleri arasında yüz yüze görüşülerek toplandı. Veriler; çalışmaya özel Kişisel Veri Formu, Gebelikte Psikososyal Sağlığı Değerlendirme Ölçeği (GPSDÖ) ve Beck Depresyon Ölçeği (BDÖ) ile toplandı.
Bulgular: Gebelerin ortalama yaşı 27,49±5,69 yıl, ortalama evlilik süresi 6,21±5,33 yıl ve ortalama gebelik sayısı 2,50±1,58 idi. Çalışmaya katılan gebelerin %26,0'sı birinci trimesterde, %34,7'si ikinci trimesterde ve %39,3'ü üçüncü trimesterdeydi. Gebelerin Gebelikte Psikososyal Sağlığı Değerlendirme ölçeği toplam puan ortalamasının 2.06±0.6 ve psikososyal sağlık durumlarının kötü olduğu belirlendi. Gebelerin %23,3’ünde hafif, %8,7 ‘sinde orta ve % 0,7’sinde ise şiddetli depresyon belirtisi olduğu saptandı.
Sonuç: Gebelikte psikososyal sağlık durumu ile depresyon arasında negatif yönlü ve orta düzeyde anlamlı bir ilişki bulundu.

Anahtar Kelimeler

Gebe, psikososyal sağlık, depresyon.

Destekleyen Kurum

Bu araştırma herhangi bir kurum tarafından desteklenmemiştir.

Teşekkür

Çalışmaya katılan tüm gebelere ve Aile Sağlığı Merkezlerinde çalışan tüm sağlık profesyonellerine teşekkür ederiz.

Investigation of Psychosocial Health and Depression Levels of Pregnancy

Öz

Objective: The present study was conducted to examine the relationship between psychosocial health and depressive symptom levels of pregnant women.
Methods: The data of 150 pregnant women who were followed up in the Family Healthcare Center were collected by face-to-face interview. The data were collected with study specific Personal Data Form, the Psychosocial Health Assessment in Pregnancy Scale (PHAPS), and Beck Depression Inventory (BDI).
Results: The mean age of the pregnant participants was 27.49±5.69 years, and the mean marriage duration was 6.21±5.33 years and average number of pregnancies 2.50±1.58. Of the pregnant women participating in the study, 26.0% were in the first trimester, 34.7% were in the second trimester, and 39.3% were in the third trimester. The total mean score of the PHAPS during the pregnancies of the women was 2.06±0.6 and their psychosocial health status was poor. It was found that 23.3% of the pregnant women had mild, 8.7% had moderate, and 0.7% had severe depression symptoms.
Conclusion: Negative and moderately significant relations were detected between better psychosocial health status and depression during pregnancy.

Anahtar Kelimeler

Pregnant, psychosocial health, depression.

Kaynakça

• Koyuncu SB, Yılmaz SD. The Effect of Some Socio-Demographic and Obstetric Characteristics on Psychosocial Health Levels in Last Trimester Nulliparous Pregnants. JEUNF, 2013;31(2): 53-66.
• Erdemoğlu Ç, Karakayalı Ç, Özşahin Z. Psychosocial health level and related factors during pregnancy. TJTFP, 2018;9(2):34-46.
• Gürhan N. Ruh Sağlığı ve Psikiyatri Hemşireliği. 1. Baskı. Ankara: Nobel Tıp Kitapevleri. 2016.
• Haakstad LA, Torset B, Bø K. What is the effect of regular group exercise on maternal psychological outcomes and common pregnancy complaints? An assessor blinded RCT. Midwifery, 2016;32:81-86. doi.org/10.1016/j.midw.2015.10.008.
• Aksay Y, Gülhan YB, Saygın N, Körükcü Ö. Does Psychosocial Health of Pregnant Women Affect Birth Preference? GUJHS., 2017;6(4):138-145.
• World Health Organization (WHO) Depression and other commonmental disorders: global health estimates. Geneva: World Health Organization, 2017;24.
• Rwakarema M, Premji SS, Nyanza EC, Riziki P, Palacios-Derflingher L. Antenatal depression is associated with pregnancy-related anxiety, partner relations, and wealth in women in Northern Tanzania: a cross-sectional study. BMC Women's Health, 2015;15(1): 1-10. doi.org/10.1186/s12905-015-0225-y.
• Tekgöz İ, Sunay D, Çaylan A, Kısa C. (2009). Evaluation of anxiety disorder and related factors in the last 3 months of pregnancy. TJTFP, 2009;13(3):132-136. doi.org/ 10.2399/tahd.09.132.
• Atasever İ, Çelik AS. The Effect of Prenatal Stress on Mother-Child Health. Journal of Anatolia Nursing and Health Sciences, 2018;21(1): 60-68.
• Yıldız H. A study of developing a psychosocial health assessment scale during pregnancy. Maltepe University Journal of Nursing Science and Art, 2011;4(1): 63-74.
• Hisli N. Validity and reliability of the Beck Depression Inventory for university students. Turkish Journal of Psychology., 1989;7(23):3-13.
• Kaplan V, Uçtu AK. Examining the Relationship between the Gender Perception and Psychosocial Health Status of Pregnant Women. Med Records, 2022; 4(3): 410-417. doi.org/10.37990/medr.1112018
• Pearlstein T. Depression during pregnancy. Best Pract Res Clin Obstet Gynaecol, 2015;29(5):754-764. doi.org/10.1016/j.bpobgyn.2015.04.004.
• Polanska K, Krol A, Merecz‐Kot D, Jurewicz J, Makowiec‐Dabrowska T, Chiarotti F. et al. Maternal stress during pregnancy and neurodevelopmental outcomes of children during the first 2 years of life. Journal of Paediatrics and Child Health, 2017;53(3): 263-270. doi.org/10.1111/jpc.13422.
• Çalık KY, Aktaş, S. Depression in pregnancy: frequency, risk factors and treatment, Curr. Approaches Psychiatry, 2011;3(1):142-162.
• Yücel P, Çayır Y, Yücel M. Depression and anxiety disorder in first trimester pregnant women. Turkish J Clinical Psychiatry, 2013;16:83-87.
• Khanghah AG, Khalesi ZB, Afagh RH. The importance of depression during pregnancy. JBRA Assist. Reprod., 2020;24(4):405. doi.org/10.5935/1518-0557.20200010.
• Carolan-Olah M, Barry M. Antenatal stress: an Irish case study. Midwifery, 2014;30(3):310-316. doi: 10.1016/j.midw.2013.03.014.
• Çankaya, S. The effect of psychosocial risk factors on postpartum depression in antenatal period: A prospective study. Arch. Psychiatr. Nurs. 2020; 34(3): 176-183. doi.org/10.1016/j.apnu.2020.04.007
• Wall V, Premji SS, Letourneau N, McCaffrey G, Nyanza EC. Factors associated with pregnancy-related anxiety in Tanzanian women: a cross sectional study. BMJ open, 2018;8(6): e020056. doi.org/ 10.1136/bmjopen-2017-020056.
• Körükcü Ö, Deliktaş A, Aydin R, Kabukcuoğlu K. Examination of the relationship between psychosocial health status and fear of childbirth during pregnancy. Clin. exp. health sci., 2017;7(4):159-165.
• Kinser PA, Thacker LR, Lapato D, Wagner S, Roberson-Nay R, Jobe-Shields L. et al. Depressive symptom prevalence and predictors in the first half of pregnancy. J Womens Health, 2018: 27(3): 369-376. doi.org/10.1089/jwh.2017.6426.
• Şahin S, Güler SD, Özdemir K, Ünsal A. Evaluation of the level of knowledge and fear of childbirth in pregnant women. Med J Bakirkoy , 2019;15(1):5-14. doi.org/10.4274/BTDMJB.galenos.2017.20170603015031.
• Da Cunha Coelho FM, Pinheiro RT, Silva RA, de Ávila Quevedo L, de Mattos Souza LD, Castelli RD. et al. Major depressive disorder during teenage pregnancy: socio-demographic, obstetric and psychosocial correlates. Rev. Bras. de Psiquiatr., 2013;35(1):51-56. doi: 10.1016/j.rbp.2012.03.006.
• Shrestha M, Shrestha S, Shrestha B. Domestic violence among antenatal attendees in a Kathmandu hospital and its associated factors: a cross-sectional study. BMC Pregnancy Childbirth, 2016;16(1):1-10. doi.org/10.1186/s12884-016-1166-7.
• Zheng B, Zhu X, Hu Z, Zhou W, Yu Y, Yin S. Et al.The prevalence of domestic violence and its association with family factors: a cross-sectional study among pregnant women in urban communities of Hengyang City, China. BMC Public Health, 202;20(1):1-9. doi.org/10.1186/s12889-020-08683-9.
• Sheeba B, Nath A, Metgud CS, Krishna M, Venkatesh S, Vindhya J. et al. Prenatal depression and its associated risk factors among pregnant women in Bangalore: a hospital based prevalence study. Public Health Front., 2019;7: 108. doi.org/10.3389/fpubh.2019.00108.
• Stapleton LRT, Schetter CD, Westling E, Rini C, Glynn LM, Hobel C. J. et al. Perceived partner support in pregnancy predicts lower maternal and infant distress. J Fam Psychol, 2012;26(3):453. doi.org/10.1037/a0028332.
• Qiu C, Gelaye B, Fida N, Williams MA. Short sleep duration, complaints of vital exhaustion and perceived stress are prevalent among pregnant women with mood and anxiety disorders. BMC Pregnancy Childbirth, 2012;12(1):1-9. doi.org/10.1186/1471-2393-12-104.
• Karaçam Z, Özçelik G. Common Complaints During Pregnancy, Physical, Mental and Sexual Health Problems, Risk Factors and Their Relationship with Quality of Life. JEUNF, 2014; 30(3): 1-18.
• Shahid A, Malik NI, Shahid F, Ullah I, Abbass Z. Psychosocial predictors of mental health among pregnant women. Perspect Psychiatr Care., 2021. doi.org/10.1111/ppc.12900.