Anxiety and depression in pregnant women with previous history of spontaneous abortion [Anksioznost i depresija kod trudnica s prethodnom anamnezom spontanih pobačaja]

Medjedović Marčinko, Vesna and Marčinko, Darko and Đorđević, Veljko and Orešković, Slavko (2011) Anxiety and depression in pregnant women with previous history of spontaneous abortion [Anksioznost i depresija kod trudnica s prethodnom anamnezom spontanih pobačaja]. Collegium Antropologicum, 35 (S. 1). pp. 225-228. ISSN 0350-6134

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Abstract

Spontaneous abortion is the most common adverse pregnancy outcome, and stress has been suggested to be important factor. We hypothesized that those female pregnant women with previous spontaneous abortion will have higher anxiety and depression than female pregnant women without previous spontaneous abortion and controls (healthy non-pregnant women). Age and socio-demographic parameters did not differ significantly between the three groups of participants. Anxiety and depression levels were assessed with the Beck Depression Inventory and the Beck Anxiety Inventory. There were no significant differences in the scores on Beck Depression Inventory between three groups of participants at the week 10 of gestation-1st assessment and week 20 of gestation-2nd assessment. Contrary of these results, pregnant women with history of spontaneous abortion have had statistically significant higher anxiety score than pregnant women without history of spontaneous abortion and control group-non-pregnant women, on both assessment of anxiety. Negative correlations between months passed form the last spontaneous abortion and anxiety on both assessment, emphasize the role of psychological support for the women who have experienced spontaneous abortion.

Abstract in Croatian

Spontani pobačaj je najčešći negativni ishod u trudnoći i stress pri tome ima značajnu ulogu. U našem istraživanju, postavili smo hipotezu da trudnice koje u anamnezi imaju spontani pobačaj, imaju višu razinu anksioznosti i depresije, nego trudnice bez prethodnog spontanog pobačaja u anamnezi i kontrolna skupina žena koje nisu trudne. Dob i socio-demografski parametri nisu se značajno razlikovali između tri promatrane skupine. Razina anksioznosti i depresije je procjenjivana putem Beckove skale za depresiju i anksioznost. Rezultati pokazuju kako nema značajnih razlika između skupina po pitanje simptoma depresije, tijekom 1. mjerenja (10. tjedan trudnoće) i 2. mjerenja (20. tjedan trudnoće). Međutim, skupine su se razlikovale po razini anksioznosti. Tako su trudnice koje u anamnezi imaju spontani pobačaj, imale značajno višu razinu anksioznosti, u odnosu na trudnice bez prethodnog spontanog pobačaja i kontrolnu skupinu žena koje nisu trudne, tijekom oba mjerenja. Pronađena je i negativna korelacija između broja mjeseci, koji su protekli nakon spontanog pobačaja u prethodnoj trudnoći, i anksioznosti, na oba mjerenja, čime se naglašava važnost psihološkog suporta za žene koje dožive spontani pobačaj.

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