Exploring Anxiety Levels and Pregnancy Experiences Among Women with Neurological Disorders: A Cross-Sectional Study

Meryem Kocaslan Toran, Nur Yılmaz, Dilara Kabay, Handenur Bilgi, T. Dalcı
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Abstract

Objective: In addition to pregnancy-specific anxiety, women experience additional anxiety related to diseases or complications that occur during pregnancy. It is reported that approximately 23% of women experience generalized anxiety disorders during pregnancy, with an increased frequency of anxiety disorders, particularly in the third trimester. Material and Methods: This cross-sectional study obtained data from pregnant women who met the inclusion criteria. The data was collected through face-to-face interviews using a Demographic Information Form, State-Trait Anxiety Inventory, and Pregnancy Experience Scale (PES). The sociodemographic, clinical, and obstetric characteristics of the participants were gathered and documented through a Demographic Information Form developed by the researchers. The study was completed with a total of 358 pregnant participants. Results: The average age of the pregnant women participating in the study was 29.01 ± 5.37 years. When evaluating educational status, it was observed that 41.1% had completed high school. Regarding gestational weeks, 78.2% of the women were in the third trimester. Analysis of neurological conditions among pregnant women indicated that 74% reported experiencing migraines and headaches. The mean score for "state anxiety" was calculated as 40.33 ± 8.10, while for "trait anxiety," it was 37.79 ± 8.50. Exploring the average scores of the Pregnancy Experiences Scale (PES), the mean score for "positive frequency" was 27.28 ± 7.08, and for "negative frequency," it was 17.39 ± 5.55. Conclusion: Notably, among pregnant women with neurological disorders, the levels of state and trait anxiety displayed notable correlations with the frequency and intensity of both positive and negative pregnancy-related experiences. Recognizing and diagnosing mood and anxiety disorders early in pregnancy, particularly in the context of neurological conditions, holds significance in mitigating potential adverse impacts on both maternal and fetal well-being. Stressing the importance of appropriate interventions and care measures is pivotal in reducing these potential effects.
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神经系统疾病妇女的焦虑水平和妊娠经历:一项横断面研究
目的:除了怀孕特有的焦虑外,妇女还会经历与怀孕期间发生的疾病或并发症有关的额外焦虑。据报道,大约23%的妇女在怀孕期间经历广泛性焦虑症,焦虑症的频率增加,特别是在妊娠晚期。材料和方法:本横断面研究从符合纳入标准的孕妇中获取数据。数据通过面对面访谈收集,采用人口统计信息表、状态-特质焦虑量表和妊娠体验量表(PES)。通过研究人员开发的人口统计信息表,收集并记录了参与者的社会人口学、临床和产科特征。这项研究共有358名孕妇参与。结果:参与研究的孕妇平均年龄为29.01±5.37岁。在评估教育状况时,41.1%的人完成了高中学业。在妊娠周数方面,78.2%的妇女处于妊娠晚期。对孕妇神经系统状况的分析表明,74%的孕妇报告有偏头痛和头痛。“状态焦虑”的平均得分为40.33±8.10,“特质焦虑”的平均得分为37.79±8.50。在妊娠经历量表(PES)中,“阳性频率”的平均得分为27.28±7.08分,“阴性频率”的平均得分为17.39±5.55分。结论:在患有神经系统疾病的孕妇中,状态焦虑和特质焦虑水平与妊娠相关的积极和消极经历的频率和强度呈显著相关。在怀孕早期识别和诊断情绪和焦虑障碍,特别是在神经系统疾病的背景下,对于减轻对母亲和胎儿健康的潜在不利影响具有重要意义。强调适当干预和护理措施的重要性对于减少这些潜在影响至关重要。
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