Veleminsky Milos, Boledovicova Maria, Dvorackova Olga, Stejskalova Jana, Veleminsky Milos, Fedor-Freybergh Peter G, Uharcek Peter, Lichtenberg-Kokoszka Emilia, Hamanova Jana
Faculty of Health and Social Sciences, University of South Bohemia in Ceske Budejovice, 370 01 Ceske Budejovice, Czech Republic.
St. Elisabeth University of Health and Social Sciences, Slovakia.
Neuro Endocrinol Lett. 2024 Dec 22;45(7-8):523-538.
The quality of prenatal care for women during pregnancy, in terms of monitoring somatic development, is generally high. The study aims to evaluate the psychosocial situation (well being) of pregnant women during a physiological pregnancy. The care of psychosocial issues of pregnant women is not systematic and often does not occur at all. Prenatal depression and anxiety are associated with an increased risk of depression even after delivery. To accomplish the goal, the authors chose both the modified Freybergh scale - the Sabbatsberg anxiety - frustration Self-Rating Scale (SDS) and a questionnaire created by the authors of this study. A total of 324 women from various regions were randomly approached, of which 277 were selected for the final evaluation. The scale contains seven categories, each with ten questions. Pregnant women repeatedly took the self-assessment over the duration of their pregnancy. The result is a summary point evaluation. The seven individual groups of questions focused on the evaluation of stress, fear, depression, regression, feelings of guilt, frustration, and aggression. The scale of answers to individual questions offered five options. The questionnaire itself had 14 monitored items and evaluated the difference in symptoms in women with and without psychological distress. The degree of psychological distress was processed using descriptive statistics. Furthermore, it was classified into four equal groups (175 points each), identified as none, mild, moderate and high deprivation. The adjusted effect of the monitored parameters on the psychological distress score was studied using a mixed model. The results of the study draw attention to psychological distress in pregnant women with physiological pregnancies. It is vital to monitor symptoms of psychological distress during physiological pregnancies. In addition, preventive prenatal programs to reduce or prevent psychological distress during pregnancies must be implemented and widely available.
孕期女性产前护理在监测身体发育方面的质量总体较高。本研究旨在评估正常孕期孕妇的心理社会状况（幸福感）。对孕妇心理社会问题的护理并不系统，而且常常根本不存在。产前抑郁和焦虑即使在产后也与抑郁风险增加有关。为实现这一目标，作者选择了改良的弗雷伯格量表——萨巴特贝格焦虑-挫折自评量表（SDS）以及本研究作者编制的一份问卷。随机接触了来自不同地区的324名女性，其中277名被选入最终评估。该量表包含七个类别，每个类别有十个问题。孕妇在整个孕期反复进行自我评估。结果是一个综合得分评估。七组单独的问题聚焦于压力、恐惧、抑郁、退行、内疚感、挫折感和攻击性的评估。单个问题的答案量表提供了五个选项。问卷本身有14个监测项目，评估了有心理困扰和无心理困扰女性的症状差异。心理困扰程度采用描述性统计方法进行处理。此外，将其分为四个相等的组（每组175分），分别确定为无、轻度、中度和重度困扰。使用混合模型研究监测参数对心理困扰得分的调整效应。研究结果提请人们关注正常孕期孕妇的心理困扰。在正常孕期监测心理困扰症状至关重要。此外，必须实施并广泛提供旨在减少或预防孕期心理困扰的预防性产前项目。
