Evaluation of maternal anxiety and depression levels in pregnancies with fetal anomalies

Bergen Laleli Koç, Duygu Tuğrul Ersak, B. Elmas, K. Can, Özgür Kara, D. Şahın
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Abstract

Aim: This study aimed to document depression and anxiety levels in pregnant women with intrauterine fetal anomalies based on objective measurement inventories, raise awareness of this issue and provide the necessary support to patients. Materials and Method: Forty pregnant women between the ages of 18-41 who were diagnosed with a major fetal anomaly, and decided their pregnancy to continue were included in the study group. Forty pregnant women with a healthy fetus and gestational week and maternal age matched with the study group were included as the control group. The Beck Depression Inventory (BDI) and the Spielberger State-Trait Anxiety Inventory (STAI) were applied to pregnant women. Results: Anxiety and depression levels were compared between pregnant women diagnosed with an intrauterine fetal anomaly and the control group. The mean BDI score was significantly higher in the study group (P=0.008). In the STAI scoring, the mean state anxiety level (P0.001) and the mean trait anxiety score (P=0.001) were found to be statistically higher in the study group compared to the control group. Conclusion: The depressive symptom scores and the state and trait anxiety levels of pregnant women with the intrauterine fetal anomaly, increased compared to the healthy pregnant women. These pregnant women should be provided with professional psychological support and necessary medical assistance during this difficult period.
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胎儿畸形妊娠中母亲焦虑和抑郁水平的评估
目的:本研究旨在通过客观测量量表来记录宫内胎儿异常孕妇的抑郁和焦虑水平,提高对这一问题的认识,并为患者提供必要的支持。材料与方法:选取40例年龄在18-41岁之间经诊断为严重胎儿异常并决定继续妊娠的孕妇作为研究对象。选取40例胎儿健康且孕周、孕龄与研究组相匹配的孕妇作为对照组。采用Beck抑郁量表(BDI)和Spielberger状态-特质焦虑量表(STAI)对孕妇进行调查。结果:将诊断为宫内胎儿异常的孕妇与对照组的焦虑和抑郁水平进行比较。研究组BDI平均评分显著高于对照组(P=0.008)。在STAI评分中,研究组的平均状态焦虑水平(P≤0.001)和平均特质焦虑得分(P=0.001)均高于对照组,差异有统计学意义。结论:宫内胎儿异常孕妇抑郁症状评分、状态焦虑和特质焦虑水平均高于正常孕妇。在这一困难时期,应为这些孕妇提供专业的心理支持和必要的医疗援助。
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