Atatürk Health Care Vocational School, Ege University, İzmir, Turkey.
Faculty of Nursing, Dokuz Eylül University, İzmir, Turkey.
Perspect Psychiatr Care. 2021 Jan;57(1):73-81. doi: 10.1111/ppc.12526. Epub 2020 May 5.
The study was to evaluate the anxiety, depressive symptoms, hopelessness, and perceived social support of women who became pregnant using assisted reproductive techniques and who were both diagnosed or not diagnosed with threatened miscarriage (TM).
This comparative and descriptive study was carried out with 194 pregnant women with-TM (96) and non-TM (98). The study data were collected using the Pregnant-Women-Information-Form, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Beck Hopelessness Scale (BHS) and Multidimensional Scale of Perceived Social Support (MSPSS).
Women in the TM group were found to have higher mean scores from the BDI, BAI, and BHS, and a lower mean score from the MSPSS compared to the non-TM group (The group with TM had higher levels of anxiety, depression, and hopelessness than the group without TM, and the level of perceived social support by this group was lower). It was found that there was a strongly significant positive correlation in both groups between the BDI and BAI, and between the BDI and BHS. A strongly significant negative correlation was found between the BDI, BAI, BHS, and MSPSS in the TM group, whereas there was a moderately significant negative correlation in the non-TM group. It was found that there was a statistically significant difference between the mean BDI, BAI, BHS, and MSPSS scores according to age group, educational status, number of interventional in vitro fertilization attempts, and history of depression. In addition, there was a statistically significant difference between the mean BDI, BAI, and BHS scores according to previous abortion and family history of depression in the TM group.
Monitoring symptoms of depression, anxiety, and hopelessness in women diagnosed with TM who have become pregnant after infertility treatment, intervening due to the risk factors involved, may prevent possible mental problems and have a positive impact on the healthy continuation of the pregnancy.
本研究旨在评估接受辅助生殖技术怀孕的女性中，确诊或未确诊先兆流产（TM）的焦虑、抑郁症状、绝望感和感知社会支持情况。
这是一项比较性和描述性研究，共纳入 194 名 TM 孕妇（96 名）和非 TM 孕妇（98 名）。研究数据通过孕妇信息表、贝克抑郁量表（BDI）、贝克焦虑量表（BAI）、贝克绝望量表（BHS）和多维感知社会支持量表（MSPSS）收集。
与非 TM 组相比，TM 组孕妇 BDI、BAI 和 BHS 的平均得分更高，MSPSS 的平均得分更低（TM 组的焦虑、抑郁和绝望程度高于非 TM 组，该组的感知社会支持水平较低）。两组中 BDI 和 BAI 之间以及 BDI 和 BHS 之间均存在显著正相关。TM 组中 BDI、BAI、BHS 与 MSPSS 之间存在显著负相关，而非 TM 组中则存在中度负相关。根据年龄组、教育程度、体外受精干预次数和抑郁史，TM 组的 BDI、BAI、BHS 和 MSPSS 平均得分存在统计学差异。此外，TM 组中 BDI、BAI 和 BHS 的平均得分还与既往流产和家族抑郁史有关。
对接受不孕治疗后怀孕且确诊 TM 的女性进行抑郁、焦虑和绝望症状监测，针对相关危险因素进行干预，可能预防潜在的心理问题，并对妊娠的健康延续产生积极影响。
