HİPEREMEZİS GRAVİDARUM HASTALARINDA TİROİD FONKSİYON TESTLERİ NORMAL OLANLAR VE TİROİD FONKSİYON TESTLERİ NORMAL OLMAYANLAR ARASINDAKİ DUYGU DURUM KARŞILAŞTIRILMASI

Bu çalışmada hiperemezis gravidarum hastalarında tiroid fonksiyon testi(TFT) normal olanlar ve TFT’i normal olmayanlar arasındaki duygu durum farklılıklarının değerlendirilmesi amaçlanmıştır. Bu nedenle üç aylık çalışma döneminde hiperemezis gravidarum tanısı alan gebelerin tiroid fonksiyon testleri değerlendirildi. Hastalar normal ve anormal tiroid fonksiyon testlerine gore iki gruba ayrıldı. Her grup 50 hastadan oluşuyordu. Her iki grubunda demografik özellikleri kayıtedilerek gruplara Beck depresyon ve anksiyete ölçekleri uygulandı. Beck depresyon envanteri puanı TFT’i normal olan gebelerde %58, normal olmayanlarda %56 olmasına rağmen bu fark istatistiksel olarak anlamlı değildi (p>0.05). Beck Anksiyete Envanteri puanlarına göre anormal TFT'si olan hastalar ile normal TFT'si olan hastalararasında istatistiksel olarak anlamlı fark vardı (p<0.05). Ayrıca anormal TFT'si olan hastalar, normal TFT'si olanlara gore daha endişeli olma eğilimindeydi (p<0.1). Anormal TFT'I olan hasta grubunda Beck depresyon ile Beck anksiyete envanteri puanları arasında orta kuvvette negative korelasyon tespit edildi (Spearman's rho =-0.403; p=0.004). İlave olarak Beck depresyon envanteri puanı ile sosyal güvenlik durumu arasında zayıf bir negative ilişki bulunurken (Spearman's rho = -0.287; p=0.043), Beck depresyon envanteri puanı ile düşük öyküsü arasında zayıf bir pozitif korelasyon tespit edilmiştir (Spearman's rho = 0.287; p=0.043). Bu çalışmada TFT’i normal olan ve olmayan hiperemezis gravidarumlu hastalararasında depresyon açısından anlamlı bir fark olmadığı halde, TFT’i normal olmayanlarda, normal olanlara kıyasla kaygı düzeylerinin daha yüksek olduğu belirlenmiştir.

Anahtar Kelimeler:

Anksiyete; depresyon; hiperemezis gravidarum, tiroid fonksiyon testi, Anxiety, depression, hyperemesis gravidarum, thyroidfuncktion test

COMPARISON OF EMOTIONAL STATE IN HYPEREMESIS GRAVIDARUM PATIENTS WITH AND WITHOUT NORMAL THYROID FUNCTION TESTS

In this study, it was aimed to evaluate the mood differences between those with normal thyroid function test (TFT) and those with normal TFT in patients with hyperemesis gravidarum. Therefore, thyroid function tests of pregnant women who were diagnosed with hyperemesis gravidarum during the three-month study period were evaluated. Patients were divided into two groups according to normal and abnormal thyroid function tests. Each group consisted of 50 patients. The demographic characteristics of both groups were recorded and Beck depression and anxiety scales were applied to the groups. Although the Beck depression inventory score was 58% in pregnant women with normal TFT and 56% in non-normal patients, this difference was not statistically significant (p>0.05). According to Beck Anxiety Inventory scores, there was a statistically significant difference between patients with abnormal TFT and patients with normal TFT (p<0.05). Also, patients with abnormal TFT tended to be more anxious than those with normal TFT (p<0.1). A moderately strong negative correlation was found between Beck depression and Beck anxiety inventory scores in the patient group with abnormal TFT (Spearman's rho =-0.403; p=0.004). In addition, there was a weak negative correlation between Beck depression inventory score and social security status (Spearman's rho = -0.287; p=0.043), while a weak positive correlation was found between Beck depression inventory score and history of miscarriage (Spearman's rho = 0.287; p=0.043). In this study, although there was no significant difference in depression between patients with hyperemesis gravidarum with and without normal TFT, it was determined that anxiety levels were higher in patients with abnormal TFT compared to those with normal TFT.

Keywords:

Anxiety, depression, hyperemesis gravidarum, thyroidfuncktion test,

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