Kadam Kranti S, Anvekar Aditya R, Unnithan Vishnu B
Department of Psychiatry, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
Department of Psychiatry, Tata Memorial Hospital, Mumbai, India.
J Yeungnam Med Sci. 2023 Oct;40(4):394-401. doi: 10.12701/jyms.2023.00087. Epub 2023 May 9.
Pregnancy is associated with a number of physical, emotional, and biological changes that can exacerbate maternal psychological disturbances, such as body image concerns and depression. Sleep disturbances during pregnancy can also have adverse impacts. This study aimed to determine the prevalence of depression, sleep disturbances, and body image concerns among pregnant women. The study also examined the relationship between these factors and pregnancy-related variables, such as bad obstetric history and whether the pregnancies were unplanned.
A cross-sectional study of 146 pregnant patients was conducted at a tertiary care center over 15 months. The patients were administered the Beck Depression Inventory, Pittsburgh Sleep Quality Index, and Body Image Concern Inventory questionnaires. Contingency tables, Fisher exact test, and Spearman correlation were used to identify underlying relationships.
The prevalence of depression was 22.6%. Although body image disturbance was noted in only 2.7% of patients, 46.6% had poor sleep quality. Poor sleep was associated with primigravida status. Bad obstetric history and unplanned pregnancy were associated with depression. Depression was found to be significantly correlated with body image disturbances and poor sleep quality.
Psychiatric disorders were prevalent during pregnancy. This study highlights the importance of screening for depression in pregnant patients. Counselling and caregiver education can be useful for mitigating psychological disturbances. Management of pregnancies by multidisciplinary teams that include psychiatrists could be immensely useful in improving the pregnancy experiences of patients.
怀孕伴随着一系列身体、情绪和生理变化，这些变化可能会加剧孕妇的心理困扰，如对身体形象的担忧和抑郁。孕期睡眠障碍也可能产生不利影响。本研究旨在确定孕妇中抑郁症、睡眠障碍和身体形象担忧的患病率。该研究还考察了这些因素与妊娠相关变量之间的关系，如不良产科史以及妊娠是否为意外怀孕。
在一家三级医疗中心对146名孕妇进行了为期15个月的横断面研究。对患者进行了贝克抑郁量表、匹兹堡睡眠质量指数和身体形象担忧量表问卷调查。使用列联表、Fisher精确检验和Spearman相关性分析来确定潜在关系。
抑郁症的患病率为22.6%。虽然只有2.7%的患者存在身体形象障碍，但46.6%的患者睡眠质量较差。睡眠不佳与初孕状态有关。不良产科史和意外怀孕与抑郁症有关。发现抑郁症与身体形象障碍和睡眠质量差显著相关。
孕期精神障碍很普遍。本研究强调了对孕妇进行抑郁症筛查的重要性。咨询和护理人员教育有助于减轻心理困扰。由包括精神科医生在内的多学科团队管理妊娠对改善患者的妊娠体验可能非常有用。
