Evaluation of anxiety and associated factors in pregnant women


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Abstract

Background. Pregnancy is a critical life experience for women, which in many cases is featured with anxiety. Objective. The aim of the study was to investigate anxiety-related symptoms in pregnant women and associated factors. Materials and methods. The research was designed as a cross-sectional study. The research sample consisted of 304pregnant women with physiological pregnancy and the average age was 27±4.95 years. The standardized Beck Anxiety Inventory (BAI) was used to measure the symptoms of anxiety in pregnant women. The questionnaire was supplemented by the research variables (age, parity, trimester, satisfaction with partner support, health problems) essential for the research set characteristics as well as for the evaluation of the links between these items and anxiety. The received data were analysed using descriptive statistics, the Kruskal Wallis test and the Wilcoxon two-sample test. Results. Evaluation of the BAI showed that most respondents (50.66%) had just mild symptoms of anxiety, 26.97% displayed moderate symptoms of anxiety, 10.53% presented severe symptoms of anxiety and 11.84% had no anxiety at all. Age and trimester of pregnancy were found to have no statistically significant effects on anxiety-related symptoms in pregnant women. Parity, satisfaction with partner support and health problems were shown to be statistically significant in relation to anxiety in pregnant women. Conclusion. The incidence of anxiety disorder requires not only early diagnosis in primary health care settings but also timely measures that are to be taken by midwives and partners of pregnant women in order to prevent anxiety during pregnancy with an emphasis on the prevention of adverse consequences for the mother and child.

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About the authors

Lucia Mazuchova

Comenius University in Bratislava

Email: mazuchova@jfmed.uniba.sk
MSN, PhD, a lecturer with the specialization on Nursing and Midwifery

Simona Kelcikova

Comenius University in Bratislava

Email: kelcikova@jfmed.uniba.sk
MSN, PhD, a lecturer with the specialization on Nursing, Midwifery and Public health

Erika Maskalova

Comenius University in Bratislava

Email: maskalova@jfmed.uniba.sk
MSN, PhD, a lecturer with the specialization on Nursing and Midwifery

Zuzana Dubovicka

Comenius University in Bratislava

Email: zuzana.dubovicka788@gmail.com
BMid is a student of midwifery

Nora Malinovska

Comenius University in Bratislava

Email: malinovska@jfmed.uniba.sk
MA, PhD, a lecturer in Medical Latin and English for Medical Purposes

References

  1. Huizink A., Menting B., De Moor M., Verhage M.L., Kunseler F.C., Huizink A.C., Menting B., De Moor M.H.M., Verhage M.L., Kunseler F.C., Schuengel C. et al. From prenatal anxiety to parenting stress: a longitudinal study. Arch. Womens Ment. Health. 2017; 20(5): 663-72. https://dx.doi.org/ 10.1007/ s00737-017-0746-5.
  2. Dennis C.L., Falah-Hassani K., Shiri R. Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. Br. J. Psychiatry. 2017; 210(5): 315-23. https://dx.doi.org/10.1192/bjp.bp.116.187179.
  3. Martini J., Petzoldt J., Einsle F., Beesdo-Baum K., Hofler M., Wittchen H.U. Risk factors and course patterns of anxiety and depressive disorders during pregnancy and after delivery: a prospective-longitudinal study. J. Affect. Disord. 2015; 175: 385-95. https://dx.doi.org/10.1016/ j.jad.2015.01.012.
  4. Madhavanprabhakaran G.K., D’Souza M.S., Nairy K.S. Prevalence of pregnancy anxiety and associated factors. IJANS. 2015; 3: 1-7. https://dx.doi.org/10.1016/ j.ijans.2015.06.002.
  5. Biaggi A., Conroy S., Pawlby S., Pariante C.M. Identifying the women at risk of antenatal anxiety and depression: a systematic review. J. Affect. Disord. 2016; 191: 62-77. https://dx.doi.org/10.1016/j.jad.2015.11.014.
  6. Sinesi A., Maxwell M., O 'Carroll R., Cheyne H. Anxiety scales used in pregnancy: systematic review. BJPsych Open. 2019; 5(1): e5. https://dx.doi.org/10.1192/ bjo.2018.75.
  7. Перова Е.И., Стеняева Н.Н., Аполихина И.А. Беременность на фоне тревожно-депрессивных состояний. Акушерство и гинекология. 2013; 7: 14-7. [Perova E.I., Stenyaeva N.N., Apolikhina I.A. Pregnancy in the presence of anxiety and depressive conditions. Akusherstvo i ginekologiya/Obstetrics and Gynecology. 2013; 7: 14-7. (in Russian)].
  8. Nath S., Ryan E.G., Trevillion K., Bick D., Demilew J., Milgrom J. et al. Prevalence and identification of anxiety disorders in pregnancy: the diagnostic accuracy of the two-item Generalised Anxiety Disorder scale (GAD-2). BMJ Open. 2018; 8(9): e023766. https://dx.doi.org/10.1136/ bmjopen-2018-023766.
  9. Zhong Q.Y., Gelaye B., Zaslavsky A.M., Fann J.R., Rondon M.B., Sancher S.E. et al. Diagnostic validity of the Generalized Anxiety Disorder -7 (GAD-7) among pregnant women. PLoS One. 2015; 10(4): e0125096. https:// dx.doi.org/10.1371/journal.pone.0125096.
  10. Bayrampour H., Vinturache A., Hetherington E., Lorenzetti D.L., Tough S. Risk factors for antenatal anxiety: a systematic review of the literature. J. Reprod. Infant Psychol. 2018; 36(5): 476-503. https://dx.doi.org/10.1080/02646838.20 18.1492097.
  11. Mazuchova L. Preventive programmes of CAN syndrome in children. Kontakt. 2012; 14(3): 269-75.
  12. Hore B., Smith D.M., Wittkowski A. Women’s experiences of anxiety during pregnancy: an interpre-tative phenomenological analysis. J. Psychiatry Behav. Sci. 2019; 2(1): 1026.
  13. Beck A.T., Epstein N., Brown G., Steer R.A. An inventory for measuring clinical anxiety: psychometric properties. J. Consult. Clin. Psychol. 1988; 56(6): 893-7. https://dx.doi.org/10.1037//0022-006x.56.6.893.
  14. Rubertsson C., Hellstrom J., Cross M., Sydsjo G. Anxiety in early pregnancy: prevalence and contributing factors. Arch. Womens Ment. Health. 2014; 17(3): 221-8. https://dx.doi.org/10.1007/s00737-013-0409-0.
  15. Staneva A., Bogossian F., Pritchard M., Wittkowski A. The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: a systematic review. Women Birth. 2015; 28(3): 179-93. https://dx.doi. org/10.1016/j.wombi.2015.02.003.
  16. Nasreen H.E., Kabir Z.N., Forsell Y., Edhborg M. Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: a population based study in rural Bangladesh. BMC Womens Health. 2011; 11: 22. https:// dx.doi.org/10.1186/1472-6874-11-22.
  17. Zapata-Masias Y., Marqueta B., GomezRoig M.D., Gonzalez-BosquetE. Obstetric and perinatal outcomes in women >40years of age: associations with fetal growth disorders. Early Hum. Dev. 2016; 100: 17-20. https://dx.doi.org/10.1016/]. earlhumdev.2016.04.010.
  18. Kang Y.T., Yao Y., Dou J., Guo X., Li S.Y., Zhao C.N. et al. Prevalence and risk factors of maternal anxiety in late pregnancy in China. Int. J. Environ. Res. Public Health. 2016; 13(5): 468. https://dx.doi.org/10.3390/ijerph13050468.
  19. Soto-Balbuena C., Rodriguez M.F., Escudero Gomis A.I., Ferrer Barriendos F.J., Le H.N., Pmb-Huca G. Incidence, prevalence and risk factors related to anxiety symptoms during pregnancy. Psicothema. 2018; 30(3): 257-63. https://dx.doi. org/ 10.7334/psicothema2017.379.
  20. Kannenberg K., Weichert J., Rody A., Banz-Jansen C. Treatment-associated anxiety among pregnant women and their partners: what is the influence of sex, parity, age and education? Geburtshilfe Frauenheilkd. 2016; 76(7): 809-13. https://dx.doi.org/10.1055/s-0042-101546.
  21. Alipour Z., Lamyian M., Hajizadeh E. Anxiety and fear of childbirth as predictors of postnatal depression in nulliparous women. Women Birth. 2012; 25(3): e37-43. https://dx.doi.org/0.1016/j.wombi.2011.09.002.
  22. Turk R., Erkaya R. Determining the status of anxiety and depression in women during pregnancy and in the postpartum period.CBU International Conference Proceedings. 2018; 6: 971-7. https://dx.doi.org/10.12955/cbup.v6.1280.
  23. Nath A., Venkatesh S., Balan S., Metgud C.S., Krishna M., Murthy G.V.S. The prevalence and determinants of pregnancy-related anxiety amongst pregnant women at less than 24 weeks of pregnancy in Bangalore, Southern India. Int. J. Womens Health. 2019; 11: 241-8. https://dx.doi.org/10.2147/ IJWH.S193306.
  24. Fairbrother N., Young A.H., Zhang A., Janssen P., Antony M.M. The prevalence and incidence of perinatal anxiety disorders among women experiencing a medically complicated pregnancy. Arch. Womens Ment. Health. 2017; 20(2): 311-9. https://dx.doi.org/10.1007/s00737-016-0704-7.
  25. Branecka-Wozniak D., Karakiewicz B., Torbe A., Ciepiela P., Mroczek B., Stanisz M. et al. Evaluation of the occurrence of anxiety in pregnant women with regard to environmental conditions. Fam. Med. Prim. Care Rev. 2018; 20(4): 320-6. https://dx.doi.org/10.5114/fmpcr.2018.79341.
  26. Silva M.M.J., Nogueira D.A., Clapis M.J., Leite E.P.R.C. Anxiety in pregnancy: prevalence and associated factors. Rev. Esc. Enferm. USP. 2017; 51: e03253. https://dx.doi.org/10.1590/S1980-220X2016048003253.
  27. Beyazit F., Sahin B. Effect of nausea and vomiting on anxiety and depression levels in early pregnancy. Eurasian J. Med. 2018; 50(2): 111-5. https://dx.doi. org/10.5152/eurasianjmed.2018.170320.
  28. Yanikkerem E., Ay S., Mutlu S., Goker A. Antenatal depression: prevalence and risk factors in a hospital based Turkish sample. J. Pak. Med. Assoc. 2013; 63(4): 472-7.
  29. Peter P.J., de Mola C.L., de Matos M.B., Coelho F.M., Pinheiro K.A., da Silva R.A. et al. Association between perceived social support and anxiety in pregnant adolescents. Braz. J. Psychiatry. 2017; 39(1): 21-7. https://dx.doi. org/10.1590/1516-4446-2015-1806.
  30. Cheng E.R., Rifas-Shiman S.L., Perkins M.E., Rich-Edwards J.W., Gillman M.W., Wright R. et al. The influence of antenatal partner support on pregnancy outcomes. J. Womens Health (Larchmt). 2016; 25(7): 672-9. https://dx.doi.org/ 10.1089/jwh.2015.5462.
  31. Sim§ek Y., Celik O., Yilmaz E., Karaer A., Yildirm E., Yologlu S. Assessment of anxiety and depression levels of pregnant women with hyperemesis gravidarum in a case-control study. J. Turk. Ger. Gynecol. Assoc. 2012; 13(1): 32-6. https:// dx.doi.org/10.5152/jtgga.2012.01.
  32. Anniverno R., Bramante A., Mencacci C., Durbano F. Anxiety disorders in pregnancy and the postpartum period. In: Durbano F., ed. New insights into anxiety disorders. Croatia: InTech Open; 2013: ch.11: 260-85. https:// dx.doi.org/10.5772/46003.
  33. Ding X.X., Wu Y.L., Xu S.J., Zhu R.P., Jia X.M., Zhang S.F et al. Maternal anxiety during pregnancy and adverse birth outcomes: a systematic review and meta-analysis of prospective cohort studies. J. Affect. Disord. 2014; 159: 103-10. https://dx.doi.org/10.1016/j.jad.2014.02.027.
  34. Shahhosseini Z., Pourasghar M., Khalilian A., Salehi F. A review of the effects of anxiety during pregnancy on children's health. Mater. Sociomed. 2015; 27(3): 200-2. https://dx.doi.org/10.5455/msm.2015.27.200-202.Поступила 09.10.2020

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