Student Research Committee, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Clinical Pharmacology and Toxicology, St Vincent's Clinical School, University of New South Wales, Kensington, Australia.
BMC Womens Health. 2021 Sep 8;21(1):326. doi: 10.1186/s12905-021-01467-2.
Considering the increasing incidence of ectopic pregnancy and the negative effects of pregnancy loss on mental health, this study aimed to determine the status of mental health in women with ectopic pregnancy and examine its relationship with their self-esteem.
This was a cross-sectional study on 150 women (with a 100% response rate) hospitalized for ectopic pregnancy et al.-Zahra hospital in Tabriz, Iran, during 2018-2019, and recruited via convenience sampling. Data were collected using the General Health Questionnaire-28, which has four subscales (overall score range: 0 to 84; subscale score range: 0 to 21 with a lower score indicating a better mental state), and Rosenberg Self-Esteem Scale (score range: - 10 to + 10 with a higher score indicating higher self-esteem). To determine the association between self-esteem and mental health, independent t-tests, and multivariable logistic regression were used.
The response rate was 100%. The mean score (SD) of participants' mental health was 31.4 (8.5), and that of self-esteem was 4.5 (3.80). The percentage of participants who were considered as having mental distress (i.e., overall GHQ-28 score ≥ 24) was 76%. Among the subscales of mental health, social dysfunction was the most prevalent (observed in 100% of the participants), followed by somatic symptoms (79.3%). Lower self-esteem was significantly associated with overall mental distress (odds ratio (OR): 0.74; 95% confidence interval (95% CI): 0.64-0.87; P < 0.001), depression (OR: 0.70; 95% CI: 0.60-0.80; P < 0.001) and anxiety/insomnia (OR: 0.76; 95% CI: 0.66-0.87; P < 0.001).
Mental distress was common among women with ectopic pregnancy. This study is the first to examine the relationship between self-esteem and mental health among women with ectopic pregnancy and highlights the important role of self-esteem in mental wellbeing among those women.
考虑到宫外孕的发病率不断上升以及妊娠丢失对心理健康的负面影响，本研究旨在确定宫外孕妇女的心理健康状况，并探讨其与自尊的关系。
这是一项横断面研究，于 2018 年至 2019 年期间在伊朗大不里士的 Zahra 医院对 150 名（100%应答率）因宫外孕住院的女性进行了研究，采用便利抽样法招募参与者。使用一般健康问卷-28（GHQ-28）收集数据，该问卷有四个分量表（总分范围：0 至 84；分量表得分范围：0 至 21，得分越低表示精神状态越好）和罗森伯格自尊量表（得分范围：-10 至+10，得分越高表示自尊心越高）。采用独立 t 检验和多变量逻辑回归分析自尊与心理健康之间的关联。
应答率为 100%。参与者心理健康的平均得分（SD）为 31.4（8.5），自尊的平均得分（SD）为 4.5（3.80）。被认为有精神困扰（即，GHQ-28 总分≥24）的参与者比例为 76%。在心理健康的分量表中，社会功能障碍最为普遍（100%的参与者存在该问题），其次是躯体症状（79.3%）。较低的自尊与整体精神困扰显著相关（比值比（OR）：0.74；95%置信区间（95%CI）：0.64-0.87；P<0.001）、抑郁（OR：0.70；95%CI：0.60-0.80；P<0.001）和焦虑/失眠（OR：0.76；95%CI：0.66-0.87；P<0.001）。
宫外孕妇女中精神困扰较为常见。本研究首次检查了宫外孕妇女中自尊与心理健康之间的关系，并强调了自尊在这些妇女心理健康中的重要作用。
