Can Sevim Tuncer, Yıldız Sevler, Sağlam Ceren, Golbasi Hakan, Ekin Atalay
Department of Perinatology, Fethi Sekin City Hospital, 23280 Elazig, Turkey.
Department of Psychiatry, Fethi Sekin City Hospital, 23280 Elazig, Turkey.
Medicina (Kaunas). 2025 May 9;61(5):868. doi: 10.3390/medicina61050868.
: Pregnant women may experience various difficulties when abnormal conditions are detected in their babies. We examined the relationship between anxiety and depression levels, spousal support, and stress-coping styles in pregnant women diagnosed with fetal anomalies. A total of 157 pregnant women, 59 of whom were diagnosed with fetal anomalies and 98 of whom were healthy with no obstetric complications, were included in this study. All participants were administered the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Spousal Support Scale (SSS), and Coping Styles Scale (CSS) questionnaires. The data were compared statistically. The BAI ( < 0.001) and the Submissive Approach ( = 0.004), which is a subdimension of the CSS, were significantly higher in the group of pregnant women diagnosed with fetal anomalies than in the control group. Multivariate logistic regression analysis performed to calculate the risk of fetal anomalies showed that having a high school education or below and living in the city were associated with a higher risk of fetal anomaly than living in the countryside. The cut-off value of 4 for the BAI had a sensitivity of 64.4% and a specificity of 65.3. Additionally, a cut-off value of 6 for the Submissive Approach, a CSS subdimension, had a 66.1% sensitivity and a 57.1% specificity. A significant negative correlation was observed between the Spousal Support Scale, the BDI, and the gravidity in the case group. There was a positive correlation between the BAI and the BDI and a significant negative correlation between the BAI and these CSS subdimensions: Self-Confident Approach, Seeking Social Support, and Optimistic Approach. There was a positive correlation between the BDI and the Helpless Approach subdimension of the CSS and a significant negative correlation between the BDI and the Self-Confident Approach and Optimistic Approach subdimensions, as well as the gestational age at which fetal anomaly was detected. A significant positive correlation was observed between the BDI and the Helpless Approach subdimension of the CSS, while significant negative correlations were observed between the BDI and the Self-Confident Approach and Optimistic Approach subdimensions and the gestational age at which the fetal anomaly was detected. The pregnant women diagnosed with fetal anomalies experienced anxiety, but most tended to use the submissive coping style to deal with stress, and their partners also supported them.
当孕妇检测出胎儿有异常情况时，她们可能会经历各种困难。我们研究了被诊断为胎儿异常的孕妇的焦虑和抑郁水平、配偶支持以及压力应对方式之间的关系。本研究共纳入157名孕妇，其中59名被诊断为胎儿异常，98名健康且无产科并发症。所有参与者均接受了贝克焦虑量表（BAI）、贝克抑郁量表（BDI）、配偶支持量表（SSS）和应对方式量表（CSS）问卷调查。对数据进行了统计学比较。被诊断为胎儿异常的孕妇组的BAI（<0.001）和CSS的一个子维度——顺从应对方式（=0.004）显著高于对照组。为计算胎儿异常风险进行的多因素逻辑回归分析表明，与居住在农村相比，高中学历及以下且居住在城市的孕妇胎儿异常风险更高。BAI的临界值为4时，敏感性为64.4%，特异性为65.3%。此外，CSS子维度顺从应对方式的临界值为6时，敏感性为66.1%，特异性为57.1%。病例组中，配偶支持量表、BDI与妊娠次数之间存在显著负相关。BAI与BDI之间存在正相关，BAI与CSS的这些子维度（自信应对方式、寻求社会支持和乐观应对方式）之间存在显著负相关。BDI与CSS的无助应对方式子维度之间存在正相关，BDI与自信应对方式和乐观应对方式子维度以及检测到胎儿异常时的孕周之间存在显著负相关。被诊断为胎儿异常的孕妇会感到焦虑，但大多数人倾向于采用顺从的应对方式来应对压力，并且她们的伴侣也会支持她们。
