Hüseyin AKSOY, Ülkü AKSOY, Yunus HACIMUSALAR, Turgut AYDIN, Gökhan AÇMAZ, Gülsüm UYSAL, Fulya ÇAĞLI, Mustafa Alparslan BABAYİĞİT

ERKEN GEBELİKTE HİPEREMEZİS VE DÜŞÜK TEHTİDİ: ANKSİYETE VE DEPRESYON İLE İLİŞKİSİ VE LİTERATÜR TARAMASI

Amaç: Bu çalışma hiperemezis HG ve düşük tehtidi Aİ olan hastaların mevcut anksiyete ve depresyon seviyelerini değerlendirmekte ve ayrıca anksiyete ve depresyon prevelanslarını sağlıklı gebe kontrolleri ile karşılaştımaktadır. Bu prospektif vaka-kontrol çalışmasının amacı anksiyete ve depresyon ile HG ve Aİ arasındaki olası ilişkiyi araştırmak ve bu sonuçları sağlıklı gebe kontrolleri ile karşılaştırmaktır. Hastalar ve Yöntemler: Bu prospektif vaka-kontrol çalışması üçüncü basamak referans hastenemizde gerçekleştirildi. Hiperemezisli 84 hasta ve düşük tehtidi olan 88 hasta çalışma grublarımız oluşturken; 98 sağlıklı gebe kadın ise kontrol grubumuzu oluşturdu. Hastalara anksiyete ve depresyon değerlendirmesi için psikiyatrik değerlendirme sırasında Beck Anksiyete Ölçeği BAI ve Beck Depresyon Ölçeği BDI uygulandı. Sonuçlar: Ortalama BAI skoru HG, Aİ ve sağlıklı kontrol grubunda sırasıyla 17.34 ± 8.97, 17.23 ± 8.71 ve 7.03 ± 5.45 idi. Ortalama BDI skoru HG, Aİ ve sağlıklı kontrol grubunda sırasıyla 15.54 ± 7.81, 16.27 ± 6.72 ve 6.68 ± 5.28 idi. Sonuç: Bu çalışmanın bulguları HG ve Aİ ile anksiyete ve depresyon arasında potansiyel bir bağlantı göstermektedir. Bu nedenle, gebelikte HG ve Aİ hastaları tıbbi durumları kadar anksiyete ve depresyon açısından da değerlendirilmelidirler. Klinisyenler HG ve Aİ’in psikolojik sonuçları konusunda duyarlı olmalıdırlar.

Hyperemesis and Threatened Abortion in Early Pregnancy: Relationship with Anxiety and Depression and Review of the Literature

Objective: This study evaluated the current state of anxiety and depression levels in patients with HG and TA and compared the prevalence of anxiety and depression levels with healthy pregnant controls. The aim of this prospective casecontrol study was to investigate the possible relationship between anxiety, depression and HG and TA and compare the results with healthy pregnant controls. Patients and Methods: A prospective case–control study was performed at our tertiary referral centre. 84 consecutive women with HG and 88 consecutive women with TA constituted our study group and 98 healthy pregnant women constituted our control group. Beck Anxiety Inventory BAI and Beck Depression Inventory BDI were administered to patients during the psychiatric interview for the anxiety and depression evaluation. Results: The mean BAI scores in HG, TA and healthy control groups were 17.34 ± 8.97, 17.23 ± 8.71 and 7.03 ± 5.45, respectively. The mean BDI scores in HG, TA and healthy control groups were 15.54 ± 7.81, 16.27 ± 6.72 and 6.68 ± 5.28, respectively. Conclusion: The findings of this study indicated a potential link between HG, TA and anxiety and depression disorders. Therefore, patients with HG and TA during pregnancy should be evaluated in terms of anxiety and depression disorders as much as their medical conditions. Medical professionals should be sensitive to psychological consequences of HG and TA.

Keywords:

anxiety, depression, hyperemesis, pregnancy, threatened abortion,

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