Anxiety-depressive disorders in pregnant women with hypertension


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Abstract

Objective. To diagnose and detect anxiety-depressive disorders in pregnant women with hypertensive disease. Subjects and methods. A total of 188 patients aged 18 to 40 years from the Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology were examined. The investigators used the Spielberger-Hanin anxiety scale; the Beck depression inventory, the Leonhard personality accentuation test modified by S. Shmishek; the life style index (LSI) developed by Plutchik, Kellerman, and Conte to identify ego psychological defense mechanisms; the PARI method developed by E.S. Shefer and R.K. Bell and adapted by T.V. Nescheret to study the relationships of parents (primarily those of mothers to different aspects of family life (a family role). Results. The pregnant women with hypertension were found to have a high level of depression and also situational and personality anxiety. Conclusion. Anxiety/depressive disorders during pregnancy occur in pregnant women with certain personality traits (a hyperthymic, exalted, and emotive type), by using the leading defense mechanisms, such as projection, repression, and negation in the presence of the certain parental attitude of “emotional overdistance to the child”. Anxiety/depressive disorders in pregnant women with hypertension should be corrected using psychotherapy methods.

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About the authors

Zhanna R. Gardanova

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health Russia; N.I. Pirogov Russian National Research Medical University

Email: zanna7777@inbox.ru
MD, Professor, Major Researcher of the Therapeutic Department; Head of the Department of psychotherapy

Kseniya A. Anisimova

N.I. Pirogov Russian National Research Medical University

Email: ksushalka@yandex.ru
assistant of the Department of psychotherapy

Anna V. Vasilyeva

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health Russia

PhD, doctor of the Therapeutic Department

Roza M. Esayan

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health Russia

Email: rozaes@mail.ru
PhD, Head of the Therapeutic Department

Nana K. Tetruashvili

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: tetrauly@mail.ru
MD, Head of the Threatened abortion prevention and treatment unit Department

Anna I. Sazonova

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health Russia

Email: anyta_sazonova@mail.ru
PhD, doctor of the Therapeutic Department

Saipudin D. Abdrakhmanov

N.I. Pirogov Russian National Research Medical University

Email: dr.saipudin@mail.ru
PhD, assistant of the Department of psychotherapy

Marina M. Sipova

N.I. Pirogov Russian National Research Medical University

Email: berta70@bk.ru
PhD student of the Department of psychotherapy

Dmitriy G. Sokov

N.I. Pirogov Russian National Research Medical University

Email: Sokov77@mail.ru
PhD student of the Department of psychotherapy

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