Istanbul Medipol University, Faculty of Medicine, Department of Psychiatry - İstanbul, Turkey.
Sakarya University, Faculty of Medicine, Department of Obstetrics and Gynecology - Serdivan, Turkey.
Rev Assoc Med Bras (1992). 2022 Mar;68(3):337-343. doi: 10.1590/1806-9282.20210754.
The purpose of this study was to investigate the prevalence of anxiety among high-risk pregnant women in the late period of the coronavirus disease 2019 pandemic and to evaluate the relationship between anxiety levels, attitudes-behaviors, coping styles, and other psychometric parameters.
Pregnant women who were followed up in our gynecology outpatient clinic were evaluated during their admissions between November 15, 2020 and February 15, 2021. This cross-sectional study analyzes prospectively collected data from a university hospital. Inclusion criteria were those being at risk of pregnancy and between the age of 18 and 45 years, while exclusion criteria were mental retardation and the presence of serious psychiatric illness. The study included 140 participants. Sociodemographic and pregnant attitudes-behaviors data form, State-Trait Anxiety Inventory, Coping Styles Scale Brief Form (Brief-COPE), and Multidimensional Scale of Perceived Social Support were used to collect data.
Participants had high anxiety levels (State-STAI: 40.32±9.88; Trait-STAI: 42.71±7.32) and high prevalence of probable clinical anxiety [State-STAI: 84 (60.0%); Trait-STAI: 92 (65.7%)]. The fact concerning the transmission of the coronavirus disease 2019 to the baby during pregnancy/birth, extent to which coronavirus disease 2019 pandemic prevents regular pregnancy checkups, and family subgroup-Multidimensional Scale of Perceived Social Support predicted state probable clinical anxiety. Use of disinfectants predicted trait probable clinical anxiety. Employment status predicted state/trait probable clinical anxiety. The existence of trait probable clinical anxiety was significantly associated with behavioral disengagement and substance use which are considered ineffective coping styles. Participants without trait probable clinical anxiety had significantly more adopted positive reinterpretation, one of emotion-focused coping styles.
Based on our results, the concern of the transmission of the coronavirus disease 2019 to the babies during pregnancy/birth may be the main factor influencing anxiety among high-risk pregnant women.
本研究旨在调查新冠疫情大流行后期高危孕妇的焦虑患病率，并评估焦虑水平、态度-行为、应对方式和其他心理测量参数之间的关系。
2020 年 11 月 15 日至 2021 年 2 月 15 日期间，在我们的妇科门诊就诊的孕妇在入院期间接受评估。这项横断面研究分析了来自一所大学医院的前瞻性收集数据。纳入标准为有妊娠风险且年龄在 18 至 45 岁之间，排除标准为智力障碍和严重精神疾病。本研究共纳入 140 名参与者。使用社会人口学和妊娠态度-行为数据表单、状态-特质焦虑量表（STAI）、应对方式量表简短形式（Brief-COPE）和多维感知社会支持量表（MSPSS）收集数据。
参与者的焦虑水平较高（状态-STAI：40.32±9.88；特质-STAI：42.71±7.32），且可能存在临床焦虑的比例较高[状态-STAI：84（60.0%）；特质-STAI：92（65.7%）]。以下事实与孕妇对新冠病毒传播给胎儿的担忧、新冠疫情对定期产检的影响程度、家庭亚群-多维感知社会支持量表有关，这些因素预测了状态性可能的临床焦虑。消毒剂的使用预测了特质性可能的临床焦虑。就业状况预测了状态/特质性可能的临床焦虑。特质性可能的临床焦虑的存在与被认为无效的应对方式行为脱离和物质使用显著相关。没有特质性可能的临床焦虑的参与者显著更多地采用了积极的重新解释，这是一种情绪聚焦的应对方式。
根据我们的结果，新冠病毒传播给胎儿的担忧可能是影响高危孕妇焦虑的主要因素。
