The structural analysis of mental disorders in pregnant women with COVID-19 pneumonia

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Аннотация

Objective: To make a structural analysis of psychoemotional disorders in pregnant women with COVID-19 pneumonia. Hamilton Anxiety Rating Scale

Materials and methods: The prospective investigation enrolled 3080 pregnant women infected with SARS-CoV-2; of them 889 were in the first trimester; 1056 and 1135 were in the second and third trimesters, respectively. The vast majority (64.3%; 1980/3080) of cases were diagnosed with moderate COVID-19 pneumonia. Psychoemotional disorders were identified and its severities were assessed using. The Hamilton Anxiety Rating Scale-7 was used to identify psychoemotional disorders and to assess their severity; posttraumatic stress disorders (PTSDs) were detected using the IES-6 and depressive syndrome was identified using the PHQ-9.

Results: A considerable part (80.1%; 2467/3080) of pregnant women during COVID-19 infection was noted to have psychoemotional disorders; with 100% (n=1056) in the second trimester of pregnancy. Depressive syndrome was evident in the first trimester, while anxiety states and PTSDs were more characteristic for the second trimester. There was a higher incidence of mixed mental disorders with the higher pregnancy status. The most of pregnant women with psychoemotional disorders (51.5%; 1585/3080) was assigned to a cohort of patients with moderate COVID-19; in the same pattern of moderate COVID-19 pneumonia, there was a preponderance of cases of PTSDs (59.5%; 1178/1980).

PTSDs showed a practically equal incidence among pregnant women with severe and very severe COVID-19 (54.3 and 52.7%, respectively), as well as anxiety (28.6 and 28.4%, respectively) and depressive (17.1 and 18.9, respectively) states. The high incidence of mixed psychoemotional disorders was characteristic for pregnant women with severe and very severe COVID-19 pneumonia (46.7 and 52.7%, respectively, which indicates the aggravation of the clinical presentations of psychoemotonal disorders during COVID-19 pneumonia progression.

Conclusion: Psychoсихоemotional disorders during COVID-19 infection are characteristic for a considerable part of pregnant women. Moreover, their early detection using specialized questionnaire scales (HARS-7, IES-6, and PHQ-9) can be favorable to the timely inclusion of a psychological component of treatment policy and prevent poor perinatal and social consequences.

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Авторлар туралы

Khilola Alimova

Republican Specialized Infectious Diseases Zangiota-1 Hospital

Email: Khilola.Alimova69@mail.ru
ORCID iD: 0000-0001-9358-1825

Dr. Med. Sci., Deputy Director

Өзбекстан, Tashkent Region

Gavkhar Voitova

Republican Specialized Infectious Diseases Zangiota-1 Hospital; Tashkent City Center of Women's Reproductive Health

Хат алмасуға жауапты Автор.
Email: gavharv@mail.ru
ORCID iD: 0000-0002-7575-294X

M.D., obstetrician-gynecologist, perinatal psychologist, Tashkent City Center of Women's Reproductive Health; Senior Researcher, Republican Specialized Infectious Diseases Hospital Zangiota No. 1

Өзбекстан, Tashkent Region; Tashkent

Әдебиет тізімі

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2. Fig. 1. Results of psychoemotional disturbance assessment in pregnant women with COVID-19 using specialized scales

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3. Fig. 2. Distribution of women with COVID-19 pneumonia by pregnancy status

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4. Fig. 3. Distribution of pregnant women according to the severity of the clinical picture of pneumonia COVID-19 with the frequency of psycho-emotional disorders

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5. Fig. 4. Frequency of psycho-emotional disorders at different degrees of pneumonia severity COVID-19

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