Yıldırım Engin, Demir Emre
a Department of Obstetrics and Gynecology, Faculty of Medicine , Hitit University , Çorum , Turkey.
b Department of Biostatistics, Faculty of Medicine , Hitit University , Çorum , Turkey.
J Obstet Gynaecol. 2019 Aug;39(6):793-798. doi: 10.1080/01443615.2019.1572725. Epub 2019 Apr 15.
The purpose of this study was to compare patients who were diagnosed with hyperemesis gravidarum (HG) with the control group by identifying anxiety, depression, sleep disorder levels and the relationship between them. This study involved 98 first-trimester pregnant women (46 HG patients and 52 control group patients) who applied to the Hitit University Medicine Faculty Obstetrics and Gynecology clinic. Statistically significant differences were found between HG patients and the control group according to the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) scores ( < .001 and < .001, respectively). In addition, a significant relationship was found between the classification performed according to the Pittsburgh Sleep Quality Index (PSQI) scores and HG ( < .001). According to PSQI scores, while 60.9% of HG patients had severe sleep disorders, 7.7% of the patients in the control group had severe sleep disorders. These findings clearly show that the PSQI scores increased as a result of nausea and vomiting. Impact statement The aetiology of hyperemesis gravidarum has not yet been clarified. There are some studies that relate pregnancy to anxiety and depression. In our study, we aimed to evaluate first-trimester vomiting with psychological disorders. There was a statistically significant relationship between PSQI scores and BAI and BDI scores in the HG group. However, this relationship was not detected in the control group. Also, PSQI scores increased as a result of nausea and vomiting in HG cases.
本研究的目的是通过识别焦虑、抑郁、睡眠障碍水平及其之间的关系，将诊断为妊娠剧吐（HG）的患者与对照组进行比较。本研究纳入了98名在希梯特大学医学院妇产科诊所就诊的孕早期孕妇（46例HG患者和52例对照组患者）。根据贝克焦虑量表（BAI）和贝克抑郁量表（BDI）评分，HG患者与对照组之间存在统计学显著差异（分别为<0.001和<0.001）。此外，根据匹兹堡睡眠质量指数（PSQI）评分进行的分类与HG之间存在显著关系（<0.001）。根据PSQI评分，60.9%的HG患者有严重睡眠障碍，而对照组患者中有7.7%有严重睡眠障碍。这些发现清楚地表明，恶心和呕吐导致PSQI评分升高。影响声明 妊娠剧吐的病因尚未明确。有一些研究将妊娠与焦虑和抑郁联系起来。在我们的研究中，我们旨在评估孕早期呕吐与心理障碍之间的关系。HG组中PSQI评分与BAI和BDI评分之间存在统计学显著关系。然而，在对照组中未检测到这种关系。此外，HG病例中恶心和呕吐导致PSQI评分升高。
